Decision‐making at the borderline of viability: Who should decide and on what basis?

Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long‐term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should deci...

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Detalles Bibliográficos
Autores principales: Gillam, Lynn, Wilkinson, Dominic, Xafis, Vicki, Isaacs, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2017
Materias:
Ethical Debate
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516231/
https://www.ncbi.nlm.nih.gov/pubmed/28194892
http://dx.doi.org/10.1111/jpc.13423
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author Gillam, Lynn
Wilkinson, Dominic
Xafis, Vicki
Isaacs, David
author_facet Gillam, Lynn
Wilkinson, Dominic
Xafis, Vicki
Isaacs, David
author_sort Gillam, Lynn
collection PubMed
description Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long‐term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should decide what will happen when the baby is delivered? Should the baby be resuscitated? Should intensive care be initiated? Three ethicists, one of whom is also a neonatologist, discuss this complex issue.
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spelling pubmed-55162312017-08-02 Decision‐making at the borderline of viability: Who should decide and on what basis? Gillam, Lynn Wilkinson, Dominic Xafis, Vicki Isaacs, David J Paediatr Child Health Ethical Debate Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long‐term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should decide what will happen when the baby is delivered? Should the baby be resuscitated? Should intensive care be initiated? Three ethicists, one of whom is also a neonatologist, discuss this complex issue. John Wiley & Sons Australia, Ltd 2017-02-13 2017-02 /pmc/articles/PMC5516231/ /pubmed/28194892 http://dx.doi.org/10.1111/jpc.13423 Text en © 2017 The Authors. Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians) This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Ethical Debate
Gillam, Lynn
Wilkinson, Dominic
Xafis, Vicki
Isaacs, David
Decision‐making at the borderline of viability: Who should decide and on what basis?
title Decision‐making at the borderline of viability: Who should decide and on what basis?
title_full Decision‐making at the borderline of viability: Who should decide and on what basis?
title_fullStr Decision‐making at the borderline of viability: Who should decide and on what basis?
title_full_unstemmed Decision‐making at the borderline of viability: Who should decide and on what basis?
title_short Decision‐making at the borderline of viability: Who should decide and on what basis?
title_sort decision‐making at the borderline of viability: who should decide and on what basis?
topic Ethical Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516231/
https://www.ncbi.nlm.nih.gov/pubmed/28194892
http://dx.doi.org/10.1111/jpc.13423
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