Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-28T18:27:58.324Z Has data issue: false hasContentIssue false

Chapter 18 - Ethical Issues in Neonatology

from Section 2 - Consultation

Published online by Cambridge University Press:  17 February 2022

D. Micah Hester
Affiliation:
University of Arkansas for Medical Sciences, College of Medicine
Toby L. Schonfeld
Affiliation:
National Center for Ethics in Health Care, US Department of Veterans Affairs
Get access

Summary

These two cases illustrate a number of crucial features about the ethical dilemmas that arise in the NICU. They highlight the ways in which ethical dilemmas for newborns are similar in some ways and different in other ways from ethical dilemmas in other clinical settings. In discussing these cases, I will try to highlight the features that ought to be of concern to healthcare ethics committees (HECs).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Batton, DG, DeWitte, DB, Pryce, CJ (2011). One hundred consecutive infants born at 23 weeks and resuscitated. American Journal of Perinatology, 28(4): 299304.Google Scholar
Donohue, P, Boss, R, Aucott, S, Keene, E, Teague, P (2010). The impact of neonatologists’ religiosity and spirituality on health care delivery for high-risk neonates. Journal of Palliative Medicine, 13(10): 12191224.CrossRefGoogle ScholarPubMed
Hsiao, CC, Tsao, LY, Chen, HN, Chiu, HY, Chang, WC (2009). Changing clinical presentations and survival pattern in trisomy 18. Pediatrics and Neonatology, 50(4): 147151.CrossRefGoogle ScholarPubMed
Janvier, A, Okah, F, Farlow, B, Lantos, JD (2011). An infant with trisomy 18 and a ventricular septal defect. Pediatrics, 127(4): 754759.CrossRefGoogle Scholar
Kaempf, JW, Tomlinson, MW, Campbell, B, Ferguson, L, Stewart, VT (2009). Counseling pregnant women who may deliver extremely premature infants: Medical care guidelines, family choices, and neonatal outcomes. Pediatrics, 123(6): 15091515.CrossRefGoogle ScholarPubMed
McDougall, R, Gillam, L, Spriggs, M, Delany, C (2018). The zone of parental discretion and the complexity of paediatrics: A response to Alderson. Clinical Ethics, 13(4): 172174.CrossRefGoogle ScholarPubMed
McGraw, MP, Perlman, JM (2008). Attitudes of neonatologists toward delivery room management of confirmed trisomy 18: Potential factors influencing a changing dynamic. Pediatrics, 121(6): 11061110.CrossRefGoogle ScholarPubMed
Norman, M, Hallberg, B, Abrahamsson, T, et al. (2019). Association between year of birth and 1-year survival among extremely preterm infants in Sweden during 2004–2007 and 2014–2016. JAMA, 321(12): 11881199.CrossRefGoogle ScholarPubMed
Rosa, RF, Rosa, RC, Lorenzen, MB, et al. (2011). Trisomy 18: Experience of a reference hospital from the south of Brazil. American Journal of Medical Genetics A, 155A(7): 15291535.CrossRefGoogle ScholarPubMed
Rysavy, R, Li, L, Bell, EF, et al. (2015). Between-hospital variation in treatment and outcomes in extremely preterm infants. New England Journal of Medicine, 372(19): 18011811.CrossRefGoogle ScholarPubMed
Tyson, JE, Parikh, NA, Langer, J (2008). Intensive care for extreme prematurity – moving beyond gestational age. New England Journal of Medicine, 358: 16721681.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×