Ethical dimensions of periviability

Skupski D. W., Chervenak F. A., McCullough L. B., Bancalari E., Haumont D., Simeoni U., ...Daha Fazla

JOURNAL OF PERINATAL MEDICINE, cilt.38, sa.6, ss.579-583, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 6
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1515/jpm.2010.098
  • Dergi Adı: JOURNAL OF PERINATAL MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.579-583
  • İstanbul Üniversitesi Adresli: Evet

Özet

The birth of neonates at the limits of viability, or periviability, poses numerous challenges to health care providers and to systems of care, and the care of these pregnancies and neonates is fraught with ethical controversies. This statement summarizes the ethical principles involved in the care of periviable pregnancies and neonates, and provides expert clinical opinion about the numerous challenges posed by this problem around the world. Topics addressed include a summary of the published experience, an ethical framework, translating neonatal outcome data to the obstetric arena, management as a trial of intervention, referral to tertiary centers, neonatal resuscitation, cesarean delivery for fetal indication, and limits on life-sustaining neonatal treatment.