Document Detail

Treatment decisions for newborns at the threshold of viability: an ethical dilemma.
MedLine Citation:
PMID:  11002878     Owner:  NLM     Status:  MEDLINE    
The major ethical issues involved in decision-making in the care of extremely low birth weight newborns are analyzed here. We propose a schema for assessment and management of these infants that is consistent with ethical principles broadly accepted by the pediatric community, and which takes into account mortality risk at any given institution rather than arbitrary weight limits, with a major decision-making role for the infant's parents. When possible, the decision of whether or not to resuscitate should be made before delivery; when not possible, delivery room resuscitation is recommended, and the decision to continue or withdraw care should be made subsequently based on likelihood of survival and the wishes of the parents.
R W Doroshow; J E Hodgman; J J Pomerance; J W Ross; V J Michel; P M Luckett; A Shaw
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  20     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2001-01-02     Completed Date:  2001-01-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  379-83     Citation Subset:  E; IM    
Department of Pediatrics, Harbor-University of California Los Angeles Medical Center, Torrance, USA.
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MeSH Terms
Critical Illness / therapy*
Decision Making*
Ethics, Medical*
Infant, Newborn
Infant, Very Low Birth Weight*

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

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