Ethical dimensions of periviability

Daniel W. Skupski, Frank A. Chervenak, Laurence B. McCullough, Eduardo Bancalari, Dominique Haumont, Umberto Simeoni, Ola Saugstad, Steven Donn, Birgit Arabin, Anne Greenough, Gianpaolo Donzelli, Malcolm Levene, Cihat Sen, Xavier Carbonell, Joachim W. Dudenhausen, Radu Vladareanu, Aris Antsaklis, Zoltan Papp, Mehmet Aksit, Manuel Carrapato

Research output: Contribution to journalArticle

22 Scopus citations

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.

Original languageEnglish
Pages (from-to)579-583
Number of pages5
JournalJournal of Perinatal Medicine
Volume38
Issue number6
DOIs
StatePublished - Nov 1 2010

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Keywords

  • Extreme prematurity
  • Extremely low birth weight
  • Limit of viability
  • Periviability
  • Premature birth
  • Premature labor

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Skupski, D. W., Chervenak, F. A., McCullough, L. B., Bancalari, E., Haumont, D., Simeoni, U., Saugstad, O., Donn, S., Arabin, B., Greenough, A., Donzelli, G., Levene, M., Sen, C., Carbonell, X., Dudenhausen, J. W., Vladareanu, R., Antsaklis, A., Papp, Z., Aksit, M., & Carrapato, M. (2010). Ethical dimensions of periviability. Journal of Perinatal Medicine, 38(6), 579-583. https://doi.org/10.1515/JPM.2010.098