The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective

J.M. Fanaroff; J.M. Hascoët; T.W. Hansen; M. Levene; M. Norman; A. Papageorgiou; E. Shinwell; M. van de Bor; D.K. Stevenson

doi:10.1111/apa.12633

The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective

J.M. Fanaroff, J.M. Hascoët, T.W. Hansen, M. Levene, M. Norman, A. Papageorgiou, E. Shinwell, M. van de Bor, D.K. Stevenson

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing 'modern' medicine was explored. Conclusion There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making. ©2014 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd.

Original language	English
Pages (from-to)	701-708
Journal	Acta Paediatrica
Volume	103
Issue number	7
DOIs	https://doi.org/10.1111/apa.12633
Publication status	Published - 2014

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AU - Hascoët, J.M.

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AU - Levene, M.

AU - Norman, M.

AU - Papageorgiou, A.

AU - Shinwell, E.

AU - van de Bor, M.

AU - Stevenson, D.K.

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AB - Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing 'modern' medicine was explored. Conclusion There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making. ©2014 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd.

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The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective

Abstract

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