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1 results

  • 10 - Extreme Prematurity: Truth and Justice

  • Edited by Geoffrey Miller , Yale University, Connecticut
  • Book:
    Pediatric Bioethics
    Published online:
    07 May 2010
    Print publication:
    23 November 2009, pp 141-148

  • Summary

    This chapter considers some of the ethical issues that surround the management of the extremely preterm infant (EPTI). Such infants are characterized by a gestational age (GA) of less than 28 weeks. The chapter addresses the interpretation of the neurodevelopmental outcomes and what the words "severe", "moderate", or "mild disability" mean to parents and health professionals if these words are not defined during counseling. The dangers of making false assumptions concerning outcome can also be seen when one examines the efficacy of active resuscitation of an EPTI in the delivery room. The longer an EPTI stays in the neonatal intensive care unit (NICU), the more likely it is that the infant will survive. In general, the principle of justice concerns fairness and rights and dictates that an EPTI be treated in the same way as other infants with treatable conditions.