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Debate: Should Parents be able to Request Non-Resuscitation for All Extremely Premature Newborn Infants?

Dominic Jc Wilkinson1,2,3,4,5, Julian Savulescu1,3,4

  • 1Oxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, Suite 8, Littlegate House, St Ebbes St, Oxford, OX1 1PT UK.

Asian Bioethics Review
|April 14, 2025
PubMed

Insights

Parents

Area of Science:

  • Neonatal Medicine
  • Bioethics

Background:

  • Extremely preterm infants face high mortality and morbidity risks.
  • Palliative care at birth is an option for some extremely preterm infants, but its availability varies globally.
  • Ethical considerations surrounding parental discretion in neonatal care are complex.

Purpose of the Study:

  • To explore ethical debates on parental discretion for extremely preterm infants.
  • To present contrasting viewpoints on neonatal care decisions for premature infants.
  • To inform ethical discussions in Asia and globally.

Main Methods:

  • Presentation of two contrasting ethical viewpoints.
  • Analysis of factors influencing treatment decisions for extremely preterm infants.
  • Identification of areas for consensus and compromise.

Main Results:

  • Disagreement and differing societal values are inevitable in this field.
  • Variations in treatment outcomes, resource availability, and societal values impact care decisions.
  • Potential points of consensus and compromise were identified despite differing views.

Conclusions:

  • A uniform approach to neonatal care for extremely preterm infants is unlikely.
  • Ethical frameworks must accommodate diverse societal values and resource contexts.
  • Further dialogue is needed to navigate complex decisions regarding neonatal intensive care and palliative care.

Keywords:
Infant, Extremely prematureIntensive careParentsResuscitationZone of parental discretion

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