Document Detail


Report of an International Conference on the Medical and Ethical Management of the Neonate at the Edge of Viability: A Review of Approaches from Five Countries.
MedLine Citation:
PMID:  21424778     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Current United States guidelines for neonatal resuscitation note that there is no mandate to resuscitate infants in all situations. For example, the fetus that at the time of delivery is determined to be so premature as to be non-viable need not be aggressively resuscitated. The hypothetical case of an extremely premature infant was presented to neonatologists from the United States and four other European countries at a September 2006 international meeting sponsored by the World Health Organization Collaborating Center in Reproductive Health of Atlanta (currently, the Global Collaborating Center in Reproductive Health). Responses to the case varied by country, due to differences in legal, ethical and related practice parameters, rather than differences in medical technology, as similar medical technology was available within each country. Variations in approach seemed to stem from physicians' perceptions of their ability to remove the neonate from life support if this appeared non-beneficial. There appears to be a desire for greater convergence in practice options and more open discussion regarding the practical problems underlying the variability. Specifically, the conference attendees identified four areas that need to be addressed: (1) lack of international consensus guidelines in viability and therapeutic options, (2) lack of bodies capable of generating these guidelines, (3) variation in laws between countries, and (4) the frequent failure of physicians and families to confront death at the beginning of life.
Authors:
William R Sexson; Deborah K Cruze; Marilyn B Escobedo; Alfred W Brann
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-22
Journal Detail:
Title:  HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues     Volume:  -     ISSN:  1572-8498     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917455     Medline TA:  HEC Forum     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Emory University School of Medicine, 49 Jesse Hill Jr. Dr. SE, Suite 201, Atlanta, GA, 30303, USA, wsexson@emory.edu.
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