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Decisions concerning resuscitation and end-of-life care in neonates. Bioethical aspects (Part I)
Gonzalo Mariani1, Marcela Arimany2
1Hospital Italiano de Buenos Aires, Instituto Universitario del Hospital Italiano, City of Buenos Aires, Argentina.
Insights
Navigating the end-of-life care for newborns involves understanding therapeutic futility and family rights. This analysis explores bioethical considerations and communication strategies for critical decisions in neonatal end-of-life care.
Area of Science:
- Neonatal Bioethics
- Pediatric End-of-Life Care
Background:
- Coping with neonatal death necessitates specific training.
- End-of-life care for newborns involves complex decision-making.
Purpose of the Study:
- To analyze neonatal bioethics in end-of-life situations.
- To explore decision-making, communication, and care redirection for newborns.
Main Methods:
- Review of bioethical principles.
- Analysis of end-of-life care criteria.
- Examination of communication strategies.
Main Results:
- Therapeutic futility and care redirection are key considerations.
- Patient and family rights are central to decision-making.
- Effective communication is crucial for families facing neonatal death.
Conclusions:
- Neonatal bioethics provides a framework for end-of-life care.
- Structured approaches to decision-making improve care quality.
- Training in communication and bioethics supports healthcare providers.
Abstract:
Coping with the death of a newborn infant requires training and reflection regarding the end-of-life decision-making process, communication with the family, and the care to be provided. The objective of this article is to analyze in depth the salient aspects of neonatal bioethics applied to end-of-life situations in newborn infants. Part I describes notions of therapeutic futility, redirection of care criteria, patient and family rights, and concepts about the value of life. Part II analyzes situations that deserve considering the redirection of care and delves into aspects of communication and the complex process of end-of-life decision-making in newborn infants.
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