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Chapter 11 - Periviability

from Section 3 - Professionally Responsible Clinical Practice

Published online by Cambridge University Press:  01 November 2019

Laurence B. McCullough
Affiliation:
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
John H. Coverdale
Affiliation:
Baylor College of Medicine, Texas
Frank A. Chervenak
Affiliation:
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
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Summary

This chapter provides an ethical framework to guide decision making about periviable birth.

Viability in professional ethics in obstetrics and gynecology is a function of both fetal physiology and available resuscitation and life-sustaining treatment. Viability is therefore the biological capacity of a live-born infant to survive even if full technological support is needed. This is the concept of viability used by the United States Supreme Court in its landmark ruling, Roe v. Wade, in 1973.

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Publisher: Cambridge University Press
Print publication year: 2019

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References

Chervenak, FA, McCullough, LB, Levene, MI. An ethically justified, clinically comprehensive approach to peri-viability: gynaecological, obstetric, perinatal, and neonatal dimensions. J Obstet Gynaecol 2007; 21: 37.Google Scholar
Roe v. Wade, 410 U.S. 113 (1973).Google Scholar
World Health Organization. 1950 definition of live birth. Available at www.gfmer.ch/Medical_education_En/Live_birth_definition.htm (accessed March 1, 2019).Google Scholar
Tyson, JE, Parikh, NA, Langer, J, et al. Intensive care for extreme prematurity – moving beyond gestational age. N Engl J Med 2008; 358: 16721681.CrossRefGoogle ScholarPubMed
Eunice Kennedy Shriver National Institute of Child Health and Human Development. NICHD Neonatal Research Network (NRN). Extremely preterm birth outcome data. Available at www1.nichd.nih.gov/epbo-calculator/Pages/epbo_case.aspx (accessed March 1, 2019).Google Scholar
American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. Ecker, JL, Kaimal, A, Mercer, BM, Blackwell, SC, et al. Obstetric Care Consensus. #6 Periviable Birth. Obstet Gynecol 2017; 130: e187e198.Google Scholar
Raju, TNK, Mercer, BM, Burchfield, DJ, Joseph, GF. Periviable birth. Executive summary of a joint workshop by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Society for Maternal–Fetal Medicine, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists. Obstet Gynecol 2014; 123: 10831096.Google Scholar
American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine. Obstetric Care Consensus, Number 6: Periviable Birth. Obstet Gynecol 2017; 130: 926928.CrossRefGoogle Scholar
American Academy of Pediatrics. Committee on Bioethics. Informed consent, parental permission, and assent in pediatric practice. Pediatrics 1995; 95: 314317.Google Scholar
American Academy of Pediatrics. Katz, AL, Webb, SA, AAP Committee on Bioethics. Informed consent in decision-making in pediatric practice. Pediatrics 2016; 138: e20161485.Google Scholar
Skupski, DW, McCullough, LB, Levene, M, Chervenak, FA. Improving obstetric estimation of outcomes of extremely premature neonates: an evolving challenge. J Perinat Med 2010; 38: 1922.Google Scholar
Brett, AS, McCullough, LB. When patients request specific interventions: defining the limits of the physician’s obligation. N Engl J Med 1986; 315: 13471351.Google Scholar
Brett, AS, McCullough, LB. Addressing requests by patients for nonbeneficial interventions. JAMA 2012; 307: 149150.CrossRefGoogle ScholarPubMed
Whitney, SN, McCullough, LB, Frugé, E, McGuire, AL, Volk, RJ. Beyond breaking bad news: the roles of hope and hopefulness. Cancer 2008; 114: 442445.Google Scholar

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