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End-of-life decisions for extremely preterm infants - a matter of language, gender and education?

Buhrer C · Acta Paediatrica, International Journal of Paediatrics · 2017

Most of the paediatric patients who die are neonates. Pregnancy complications, including extreme prematurity, childbirth and congenital malformations, account for more deaths in childhood than malignancies and accidents combined, both in high- and low-resource countries. Neonatologists are more likely than other paediatricians to be confronted with dilemmas about the limits of viability and with what medicine can and cannot achieve. That means that they face questions that are inherently difficult to answer, such as who decides which babies should not be resuscitated, when should mechanical ventilation be stopped and what kind of surgery should not be performed? Furthermore, what determines whether life itself, or its perceived quality, should be the ultimate goal of medical interventions?

DOI
10.1111/apa.13717

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Synced from the TRENDS in Pediatric Palliative Care Zotero library, curated by The Siden Research Team. ICPCN does not host or verify the full text.