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Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care

Amongst all the traumatic experiences in a human life, death of child is considered the most painful, and has profound and lasting impact on the life of parents. The experience is even more complex when the death occurs within a neonatal intensive care unit, particularly in situations where there ha...

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Autor principal: Pant, Stuti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer India 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857086/
https://www.ncbi.nlm.nih.gov/pubmed/34145563
http://dx.doi.org/10.1007/s12098-021-03810-9
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author Pant, Stuti
author_facet Pant, Stuti
author_sort Pant, Stuti
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description Amongst all the traumatic experiences in a human life, death of child is considered the most painful, and has profound and lasting impact on the life of parents. The experience is even more complex when the death occurs within a neonatal intensive care unit, particularly in situations where there have been conflicts associated with decisions regarding the redirection of life-sustaining treatments. In the absence of national guidelines and legal backing, clinicians are faced with a dilemma of whether to prolong life-sustaining therapy even in the most brain-injured infants or allow a discharge against medical advice. Societal customs, vagaries, and lack of bereavement support further complicate the experience for parents belonging to lower socio-economic classes. The present review explores the ethical dilemmas around neonatal death faced by professionals in India, and suggests some ways forward.
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spelling pubmed-88570862022-02-23 Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care Pant, Stuti Indian J Pediatr Review Article Amongst all the traumatic experiences in a human life, death of child is considered the most painful, and has profound and lasting impact on the life of parents. The experience is even more complex when the death occurs within a neonatal intensive care unit, particularly in situations where there have been conflicts associated with decisions regarding the redirection of life-sustaining treatments. In the absence of national guidelines and legal backing, clinicians are faced with a dilemma of whether to prolong life-sustaining therapy even in the most brain-injured infants or allow a discharge against medical advice. Societal customs, vagaries, and lack of bereavement support further complicate the experience for parents belonging to lower socio-economic classes. The present review explores the ethical dilemmas around neonatal death faced by professionals in India, and suggests some ways forward. Springer India 2021-06-18 2022 /pmc/articles/PMC8857086/ /pubmed/34145563 http://dx.doi.org/10.1007/s12098-021-03810-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Pant, Stuti
Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care
title Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care
title_full Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care
title_fullStr Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care
title_full_unstemmed Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care
title_short Ethical Issues around Death and Withdrawal of Life Support in Neonatal Intensive Care
title_sort ethical issues around death and withdrawal of life support in neonatal intensive care
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857086/
https://www.ncbi.nlm.nih.gov/pubmed/34145563
http://dx.doi.org/10.1007/s12098-021-03810-9
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