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The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective
Author(s) -
Fanaroff Jonathan M.,
Hascoët JeanMichel,
Hansen Thor Willy Ruud,
Levene Malcolm,
Norman Mikael,
Papageorgiou Apostolos,
Shinwell Eric,
Bor Margot,
Stevenson David K.
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12633
Subject(s) - medicine , resuscitation , perspective (graphical) , neonatal resuscitation , ethical issues , neonatology , intensive care medicine , emergency medicine , engineering ethics , pregnancy , artificial intelligence , biology , computer science , engineering , genetics
Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international C ollegium 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.