| An ethically justified, clinically comprehensive approach to peri-viability: gynaecological, obstetric, perinatal and neonatal dimensions. | |
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MedLine Citation:
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PMID: 17365448 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Peri-viability, 22-26 completed weeks' gestational age, has generated ongoing clinical ethical controversies concerning the roles of abortion, caesarean delivery for fetal indication, neonatal resuscitation and limits on life-sustaining treatment of neonates. This paper provides a comprehensive, ethically justified approach to the clinical management of peri-viable fetuses and infants. We reviewed available data about the outcomes of peri-viable fetuses and developed an outcomes-based ethical framework that appeals to the ethical principles of beneficence, autonomy and justice. We identified beneficence-based, autonomy-based and justice-based considerations that should guide clinical judgement, the informed consent process, and decisions about termination of pregnancy, caesarean delivery and setting justified limits on life-sustaining treatment of neonatal patients. Ethics is an essential component of perinatal medicine because it provides physicians with an evidence-based, ethically justified, comprehensive approach to the gynaecological, obstetric, perinatal and neonatal dimensions of peri-viability. |
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Authors:
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F A Chervenak; L B McCullough; M I Levene |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 27 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-03-16 Completed Date: 2007-05-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 3-7 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, NYPH-Weill Medical College of Cornell University, New York, New York 10021, USA. fac2001@med.cornell.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Induced
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ethics* Female Fetal Therapies / ethics* Fetal Viability* Humans Infant, Newborn Life Support Care / ethics* Perinatal Care / ethics* Pregnancy |
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