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Related Experiment Videos

Delivery room hospice.

Lyndsey R Garbi¹, Shetal Shah¹, Edmund F La Gamma²

¹The Regional NICU at Maria Fareri Children's Hospital, Westchester Medical Center - New York Medical College, Valhalla, New York, USA.

Acta Paediatrica (Oslo, Norway : 1992)

|June 9, 2016

Summary

Advances in perinatal science allow for earlier infant survival, but ethical care standards for these periviable infants are unclear. A new delivery room hospice approach using opioids is proposed.

Keywords:

Ethical issues Limit of viability Opiates Palliative care

Related Experiment Videos

Area of Science:

Perinatal Science
Neonatal Ethics
Medical Ethics

Background:

Over the past 50 years, advancements in perinatal science have progressively lowered the threshold of viability.
Infants born as early as 22 weeks of gestation are now expected to survive.

Observation:

Current ethical standards for managing periviable infants in the delivery room are not well-defined.
There is a need for a clear ethical framework to guide the care of extremely premature infants.

Findings:

The existing ethical rationale for delivery room care of periviable infants has limitations.
An alternative approach involving delivery room hospice care, including opioid administration, is introduced.

Implications:

This hospice approach may offer a more ethically sound method for caring for periviable infants.
Further discussion and research are needed to establish ethical guidelines for neonatal care at the threshold of viability.