Document Detail


Policy Change for Infants Born at the "Cusp of Viability": A Canadian NICU Experience.
MedLine Citation:
PMID:  25311605     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Resuscitation and life-support treatments for infants born at the "cusp of viability" continue to be subject to clinical and ethical debate. Reported positive outcomes for these infants led our Neonatal Program to critically review our historic practice of discouraging resuscitation of infants born at <24 weeks' gestational age. This practice change required a multifaceted, collaborative approach including neonatal, perinatal, and obstetric efforts. An exceptional experience was the formation of a dedicated working group that included invaluable input from parents who had lived the NICU experience. The inclusion of family members in the development of clinical policy was a novel experience for NICU staff, which we feel ultimately resulted in a more ethically sound approach to the care of these infants and their families. In this article, we explore our experience of the process of policy change, which although detailed and transparent was also complex and challenging in development and implementation.
Authors:
Linda Mahgoub; Michael van Manen; Paul Byrne; Juzer M Tyebkhan
Related Documents :
24251165 - Infants with dilated cardiomyopathy and hypocalcemia.
9029705 - Trends and characteristics of births attended by midwives.
4914725 - Birth control after 1984.
22127795 - Interparental aggression and infant patterns of adrenocortical and behavioral stress re...
8338985 - Faecal short-chain fatty acids in breast-fed and bottle-fed infants.
1469565 - Prolapsed hyperplastic gastric polyp causing gastric outlet obstruction, hypergastrinem...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-10-13
Journal Detail:
Title:  Pediatrics     Volume:  -     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-14     Completed Date:  -     Revised Date:  2014-10-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 by the American Academy of Pediatrics.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Neighborhood Poverty and Allostatic Load in African American Youth.
Next Document:  Neighborhood Influences on Girls' Obesity Risk Across the Transition to Adolescence.