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[Ethical problems regarding extremely preterm infants].

H U Bucher1

  • 1Klinik für Neonatologie, Departement für Frauenheilkunde, Universitätsspital Zürich, Zürich, Schweiz. buh@usz.ch

Gynakologisch-Geburtshilfliche Rundschau
|December 16, 2003
PubMed
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Advances in neonatal intensive care for premature infants have led to increased survival but also chronic health issues. A majority of European neonatologists favor stopping intensive care when it causes suffering without benefit.

Area of Science:

  • Neonatal Medicine
  • Medical Ethics

Background:

  • Industrialized nations have seen increased survival of extremely preterm infants over 20 years.
  • This has led to longer intensive care, infant suffering, and worse long-term outcomes, including chronic lung, eye, and brain conditions (cerebral palsy).

Purpose of the Study:

  • To explore the ethical considerations and practices surrounding the limits of intensive care for extremely preterm infants.
  • To understand the spectrum of opinions among neonatologists and nursing staff regarding the withdrawal of intensive care.

Main Methods:

  • A survey of neonatologists and nursing staff across Europe was conducted.
  • The study investigated opinions on gestational age limits and criteria for discontinuing intensive care.

Main Results:

Related Experiment Videos

  • A wide spectrum of opinions exists regarding the limits of intensive care for preterm infants.
  • A majority supports discontinuing intensive care when it leads to prolonged suffering without improving the infant's best interest.

Conclusions:

  • Difficult medico-ethical decisions regarding intensive care for preterm infants require structured approaches.
  • Specialized procedures have been developed and validated to aid in these complex decisions, prioritizing infant well-being over prolonged suffering.