Advances in perinatal care have made an increased chance of survival extremely immature neonates. Resuscitation and persistent therapy can keep these children alive, often prolonging the dying process. This raises ethical concerns. The decision to take, omission or limitation of medical team treating taken. Among the specialists is visible diversity of views on the use of salvage therapy and prolonged life. Often used the strategy of waiting. The biggest influence on the decision to socio-cultural and religious practitioners. The vast majority of parents believe that it ought to make efforts to rescue all children, regardless of their health status, or birth weight. Not much, because only 6% of physicians neonatologists shares this view. Among the nurses and midwives – seniority has a very big influence on opinions. Nurses with less experience often chose an intense life-saving therapies, with longer experience – palliative care. An important element is the medical knowledge on the survival rates and the possibility of normal development of extreme prematurity. Decisions must be made individually for each patient. In a situation where there is no chance of saving his life, it becomes a priority to protect the child from unnecessary suffering. Withdrawal from persistent therapy is acceptance of the natural course of the disease and natural death. It is therefore wdrążyć palliative care, which is aimed at improving the quality of life of the newborn in his last period.

Key words: neonatology, premature extremely immature, intensive care, resuscitation, ethics.