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10:36
A Swine Model of Neonatal Asphyxia
Published on: October 11, 2011
Prolonging life and allowing death: infants
1Aberdeen University, Edinburgh.
Journal of Medical Ethics
|December 1, 1995
Summary
Decisions regarding neonatal resuscitation and life-prolonging treatment require a team approach involving doctors, parents, and nurses. Withholding or withdrawing treatment is ethically permissible when burdens outweigh benefits for the infant.
Area of Science:
- Medical Ethics
- Neonatal Intensive Care
Background:
- Neonatal care advancements present complex ethical dilemmas regarding resuscitation and life-prolonging treatments for compromised infants.
- Quality of life and resource allocation significantly influence clinical management decisions.
Purpose of the Study:
- To advocate for a collaborative, team-based approach to decision-making in neonatal care.
- To emphasize the ethical considerations and practicalities of withholding or withdrawing life-sustaining treatments.
Main Methods:
- The paper is written on behalf of an Institute of Medical Ethics working party.
- It involves ethical analysis and discussion of clinical practice in neonatal intensive care.
Main Results:
- The ultimate decision rests with the attending physician, but a team approach involving parents and nurses is crucial.
- Discretion is necessary; rigid legislation is inappropriate. Committees should advise, not decide.
- Withholding or withdrawing treatment is deemed legitimate when burdens are unacceptable and benefits absent.
Conclusions:
- A multidisciplinary team approach, including parents and nurses, is vital for ethical decision-making in neonatal care.
- Support for families facing these difficult decisions must be improved.
- Accurate record-keeping is essential throughout the process.
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