TY - JOUR
T1 - The ethics and practice of neonatal resuscitation at the limits of viability
T2 - An international perspective
AU - Fanaroff, Jonathan M.
AU - Hascoët, Jean Michel
AU - Hansen, Thor Willy Ruud
AU - Levene, Malcolm
AU - Norman, Mikael
AU - Papageorgiou, Apostolos
AU - Shinwell, Eric
AU - Van De Bor, Margot
AU - Stevenson, David K.
PY - 2014/7
Y1 - 2014/7
N2 - Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing 'modern' medicine was explored. Conclusion There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making.
AB - Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing 'modern' medicine was explored. Conclusion There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making.
KW - Ethics
KW - Extremely premature infants
KW - International perspectives
KW - Neonatology
KW - Resuscitation
UR - http://www.scopus.com/inward/record.url?scp=84902195081&partnerID=8YFLogxK
U2 - 10.1111/apa.12633
DO - 10.1111/apa.12633
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C2 - 24635758
AN - SCOPUS:84902195081
SN - 0803-5253
VL - 103
SP - 701
EP - 708
JO - Acta Paediatrica, International Journal of Paediatrics
JF - Acta Paediatrica, International Journal of Paediatrics
IS - 7
ER -