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Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
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
Unlabelled:
Helping a "micropreemie" to live by aggressive interventions may sometimes seem unnatural. However, utilitarian assessment of benefits derived from lifesaving efforts for a micropreemie is considered inappropriate. The goal in treating premature infants has advanced from fetal salvage to achieving "intact survival", which represents a new therapeutic target. In this way, the record for lifesaving in extremely low-birthweight infants is continually being broken. Why do we help a micropreemie to live? Moral and ethical emotions are the underlying reasons for the aggressive care devoted to premature infants, including micropreemies. Such human feelings might even be considered the purpose of life. Human emotion is the impetus for aggressive efforts to improve the survival prospects of premature infants. The beautiful and delicate nature of a newborn is compelling. The high-order emotion of empathy for another's misfortune is also important. Most human emotions are related to an awareness of death, and micropreemies are near death. In Oriental thought, a human being is a growing product of nature. Forces of nature and changes in a living being follow nature's rules. First and foremost, an individual life is part of the long chain of existence beginning before the self and continuing beyond it. An immature human being, even a newborn, is simultaneously a complete entity and part of nature's long chain of being, which has a wholeness of its own that affirms a micropreemie's right to life. A fetus is a member of human society in the sense that there is an overall reverence for life as a quality that lives on.
Conclusion:
The limit that bioethics must not exceed is the sanctity of life. We believe that the birth of a micropreemie is an important and serious event. We profoundly wish that a micropreemie might live and thrive, because we on earth must live with the continual presence and imminence of death.
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.
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