Document Detail

Ethical dilemmas in extreme prematurity: recent answers; more questions.
MedLine Citation:
PMID:  15530714     Owner:  NLM     Status:  MEDLINE    
Advances in perinatal care allow survival of more extremely premature infants, but the implementation and continuation of intensive care may itself constitute an ethical dilemma, given the limited chances of intact survival among the patients most at risk. This paper discusses several key issues raised by the options that are under general consideration with reference to births of infants at the threshold of viability, in particular: the implications of making a distinction between extreme prematurity and other general medical situations that may involve decisions on ending support; the concrete nature of the restrictions on therapy in such patients interactions and the need for feedback between parents, medical staff and society.
Umberto Simeoni; Mariella Vendemmia; Alina Rizzotti; Marc Gamerre
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  117 Suppl 1     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-08     Completed Date:  2005-03-31     Revised Date:  2006-03-22    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  S33-6     Citation Subset:  E; IM    
Department of Neonatology, La Timone University Hospital, 264 rue Saint-Pierre, 13385 Marseille, France.
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MeSH Terms
Decision Making
Gestational Age
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal
Life Support Care / ethics*
Perinatology / ethics*,  methods
Withholding Treatment / ethics*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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