<- Home <- Arhive <- Vol. 6, Issue 1, February 2010



GINECOeu6(1)9-12(2010)
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Ethical dilemmas in the vital sustaining therapy for the premature newborns

C. Stan, A. Toma


Abstract: The paper represents a review of the ethical aspects in the process of care of the premature newborns. It is discussed the decision to support the life of a premature newborn. There are also reivewed the factors that need to be evaluateds in the case of a premature neonate and the prognosis that can be made at delivery. The quality of life in the case of a premature neonate and basing the decision on the best interests of the neonate are also reviewed. A separate chapter is represented by the recomandations regarding the parent-doctor conflicts in these delicate situations. The etical decisions regarding the premature neonates cared in the neonatal intensive care units involve three steps: estabilshing a correct clinical indications for the intensive care, the most accurrate determination of the survival prognosis of the neonate; the estimation of the final result regarding the neurological handicap and the quality of life of the neonate in the future. In conclusion, the sudies show that neither the birth weight , nor the gestational age are predictors for the appearance of the neurological sequelae and this is why a clinical strategy based exclusively on the gestational age or birth weight cannot be sustained though.
Keywords: premature, ethic, neurologic, intensive care

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