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Alexander Rakow
28th May 2007, 10:50
Leading article - June 2007
The Leading article for June 2007 is an article about decision-making for infants born at 23-24 weeks, at the so-called border of viability. The article is highly recommended reading. It is written by William Meadow at the Department of Pediatrics and MacLean Center for Clinical Medical Ethics, The University of Chicago, USA.

The article is published in collaboration with the journal Acta Paediatrica (http://www.blackwellpublishing.com/journal.asp?ref=0803-5253).

An excerpt is published below and you can read the complete article here (http://www.blackwell-synergy.com/doi/abs/10.1111/j.1651-2227.2007.00124.x).

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Babies between a rock and a hard place—neonatologists vs parents at the edge of infant viability
William Meadow (wlm1@uchicago.edu)
Department of Pediatrics, MacLean Center for Clinical Medical Ethics, The University of Chicago, IL, USA


”… One might assume for infants born at 23–24 weeks/450—600 g that parental preferences would determine clinical decisions. However, they rarely do. In survey after survey, neonatologists say that they would ‘see how the infant looks at birth’ or ‘watch how the infant responds to resuscitation’ before deciding what should be done with/for/to the baby…”

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You may comment the article directly below or discuss staffing and related issues in the forum Ethical and Legal Aspects (http://www.99nicu.org/forum/forumdisplay.php?f=16).

nicurn2083
31st May 2007, 03:18
While I agree with the reasoning behind the article, I can not help but wonder how much the parents can truly be in control of this decision. Usually they will base their decision on the information the provider gives them and what happens if they are given bias information. What can we do to prevent this from happening?

Jennifer Tucker RN
HCMC
Minneapolis, MN

bagata
4th June 2007, 09:55
While I agree with the reasoning behind the article, I can not help but wonder how much the parents can truly be in control of this decision. Usually they will base their decision on the information the provider gives them and what happens if they are given bias information. What can we do to prevent this from happening?

Jennifer Tucker RN
HCMC
Minneapolis, MN

nepnnp
17th August 2007, 23:39
Leading article - June 2007
The Leading article for June 2007 is an article about decision-making for infants born at 23-24 weeks, at the so-called border of viability. The article is highly recommended reading. It is written by William Meadow at the Department of Pediatrics and MacLean Center for Clinical Medical Ethics, The University of Chicago, USA.

The article is published in collaboration with the journal Acta Paediatrica (http://www.blackwellpublishing.com/journal.asp?ref=0803-5253).

An excerpt is published below and you can read the complete article here (http://www.blackwell-synergy.com/doi/abs/10.1111/j.1651-2227.2007.00124.x).

* * * * * * * * * * * * * * * * * * *


Babies between a rock and a hard place—neonatologists vs parents at the edge of infant viability
William Meadow (wlm1@uchicago.edu)
Department of Pediatrics, MacLean Center for Clinical Medical Ethics, The University of Chicago, IL, USA


”… One might assume for infants born at 23–24 weeks/450—600 g that parental preferences would determine clinical decisions. However, they rarely do. In survey after survey, neonatologists say that they would ‘see how the infant looks at birth’ or ‘watch how the infant responds to resuscitation’ before deciding what should be done with/for/to the baby…”

* * * * * * * * * * * * * * * * * * *

You may comment the article directly below or discuss staffing and related issues in the forum Ethical and Legal Aspects (http://www.99nicu.org/forum/forumdisplay.php?f=16).

I am not certain parents are able to make this type of decision even if they have been "informed" due to their basic beliefs of what a baby is and the typical expectations for the pregnancy. I feel we fail at times by not taking ethical responsibility for the normal inadequate understanding of the "lay" population. I am firm in my belief the parents may need to pass this responsibility on to those of higher knowledge...Nancy Perry RNC, MSN, NNP