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Delivery room hospice
Author(s) -
Garbi Lyndsey R.,
Shah Shetal,
La Gamma Edmund F.
Publication year - 2016
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.13497
Subject(s) - medicine , hospice care , ethical issues , palliative care , nursing , intensive care medicine , family medicine , engineering ethics , engineering
Advances in perinatal science over the past five decades have reduced the practical ‘threshold of viability’ by approximately one week every 10 years such that survivors are expected as early as 22 weeks. Ethical standards regarding treatment of this periviable patient population remain enigmatic. Conclusion We review limitations in the current ethical rationale for caring for these infants in the delivery room and introduce an alternative utilising a delivery room hospice care approach involving the administration of opioids.