Document Detail


Care at the edge of viability: medical and ethical issues.
MedLine Citation:
PMID:  21890020     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Decision-making for extremely immature preterm infants at the margins of viability is ethically, professionally, and emotionally complicated. A standard for prenatal consultation should be developed incorporating assessment of parental decision-making preferences and styles, a communication process involving a reciprocal exchange of information, and effective strategies for decisional deliberation, guided by and consistent with parental moral framework. Professional caregivers providing perinatal consultations or end-of-life counseling for extremely preterm infants should be sensitive to these issues and be taught flexibility in counseling techniques adhering to consistent guidelines. Emphasis must shift away from physician beliefs and behaviors about the boundaries of viability.
Authors:
Marlyse F Haward; Nancy W Kirshenbaum; Deborah E Campbell
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in perinatology     Volume:  38     ISSN:  1557-9840     ISO Abbreviation:  Clin Perinatol     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  471-92     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Division of Neonatology, Albert Einstein College of Medicine, Children's Hospital at Montefiore, 1601 Tenbroeck Avenue, 2nd Floor, Bronx, NY 10461, USA.
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