Why do we help a micropreemie to live?

S Takahashi1, A Endo, M Minato

  • 1Department of Pediatrics, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan. tshigeru@med.nihon-u.ac.jp

Abstract

Insights

Aggressively intervening to save micropreemies is driven by moral and ethical emotions, not utilitarian assessments. The focus has shifted to achieving "intact survival" for extremely low-birthweight infants, affirming their right to life.

Area of Science:

  • Neonatal Medicine
  • Bioethics
  • Philosophy of Life

Background:

  • Aggressive interventions for micropreemies can seem unnatural.
  • Utilitarian assessments of lifesaving efforts for micropreemies are considered inappropriate.
  • The goal of treating premature infants has evolved from fetal salvage to achieving 'intact survival'.

Purpose of the Study:

  • To explore the moral and ethical underpinnings of aggressive care for premature infants, including micropreemies.
  • To examine the philosophical basis for affirming the right to life of extremely low-birthweight infants.
  • To understand the role of human emotion and empathy in neonatal intensive care.

Main Methods:

  • Philosophical inquiry into bioethical principles.
  • Analysis of moral and emotional drivers in neonatal care.
  • Review of concepts related to the sanctity of life and natural law.

Main Results:

  • Moral and ethical emotions, such as empathy, are the primary drivers for aggressive interventions in micropreemies.
  • The concept of 'intact survival' represents a new therapeutic target, continually improving survival rates for extremely low-birthweight infants.
  • Oriental philosophy views an individual life as part of nature's continuum, affirming a micropreemie's inherent right to life.

Conclusions:

  • The sanctity of life is the paramount bioethical principle, setting limits on medical interventions.
  • The birth of a micropreemie is a significant event, underscoring the profound human desire for these infants to live and thrive.
  • The awareness of mortality heightens the imperative to preserve life, especially for the most vulnerable newborns.