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Ethical dimensions of periviability
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Daniel W. Skupski
Published/Copyright:
August 31, 2010
Abstract
The birth of neonates at the limits of viability, or periviability, poses numerous challenges to health care providers and to systems of care, and the care of these pregnancies and neonates is fraught with ethical controversies. This statement summarizes the ethical principles involved in the care of periviable pregnancies and neonates, and provides expert clinical opinion about the numerous challenges posed by this problem around the world. Topics addressed include a summary of the published experience, an ethical framework, translating neonatal outcome data to the obstetric arena, management as a trial of intervention, referral to tertiary centers, neonatal resuscitation, cesarean delivery for fetal indication, and limits on life-sustaining neonatal treatment.
Keywords: Extreme prematurity; extremely low birth weight; limit of viability; periviability; premature birth; premature labor
Published Online: 2010-08-31
Published in Print: 2010-11-01
©2010 by Walter de Gruyter Berlin New York
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Keywords for this article
Extreme prematurity;
extremely low birth weight;
limit of viability;
periviability;
premature birth;
premature labor
Articles in the same Issue
- Editorial
- Late motherhood and cesarean delivery
- Review article
- Oxygen and oxidative stress in bronchopulmonary dysplasia
- A statement of the World Association of Perinatal Medicine
- Ethical dimensions of periviability
- Opinion Paper
- The role of melatonin in post-partum psychosis and depression associated with bipolar disorder
- Original articles – Obstetrics
- Low maternal serum matrix metalloproteinase (MMP)-2 concentrations are associated with preterm labor and fetal inflammatory response
- Comparison of complications in second trimester amniocentesis performed with 20G, 21G and 22G needles
- Genome profiles in maternal blood during early onset preeclampsia and towards term
- Comparative analysis of insulin-like growth factor binding protein-1 (IGFBP-1), placental alpha-microglobulin-1 (PAMG-1) and nitrazine test to diagnose premature rupture of membranes in pregnancy
- Evidence of the escape of antithrombin from the blood into the interstitial space in pregnant women
- Characterization of the myometrial transcriptome and biological pathways of spontaneous human labor at term
- Does very advanced maternal age, with or without egg donation, really increase obstetric risk in a large tertiary center?
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- Long chain polyunsaturated fatty acids in mothers of preterm babies
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- Prenatal tobacco exposure and cortisol levels in infants of teen mothers
- Letter to the editor
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- Neonatal abstinence syndrome (NAS) after intrauterine exposure to tramadol
- Fetoscopic laser photocoagulation and uterine wall defects
- Congress Calendar
- Congress Calendar
