1 40 1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource July 2021 List Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month July 2021 List URL Address <a href="http://doi.org/10.1080/15265161.2021.1925777" target="_blank" rel="noreferrer noopener">http://doi.org/​10.1080/15265161.2021.1925777</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Postponed Withholding: Balanced Decision-Making at the Margins of Viability Publisher An entity responsible for making the resource available American Journal of Bioethics Date A point or period of time associated with an event in the lifecycle of the resource 2021 Subject The topic of the resource decision-making; end-of-life issues; Children and families; professional-patient relationship; pediatrics: neonatology Creator An entity primarily responsible for making the resource Syltern J; Ursin L; Solberg B; Støen R Description An account of the resource Advances in neonatology have led to improved survival for periviable infants. Immaturity still carries a high risk of short- and long-term harms, and uncertainty turns provision of life support into an ethical dilemma. Shared decision-making with parents has gained ground. However, the need to start immediate life support and the ensuing difficulty of withdrawing treatment stands in tension with the possibility of a fair decision-making process. Both the parental "instinct of saving" and "withdrawal resistance" involved can preclude shared decision-making. To help health care personnel and empower parents, we propose a novel approach labeled "postponed withholding." In the absence of a prenatal advance directive, life support is started at birth, followed by planned redirection to palliative care after one week, unless parents, after a thorough counseling process, actively ask for continued life support. Despite the emotional challenges, this approach can facilitate ethically balanced decision-making processes in the gray zone. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1080/15265161.2021.1925777" target="_blank" rel="noreferrer noopener">10.1080/15265161.2021.1925777</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). 2021 American Journal of Bioethics Children And Families Decision-making End-Of-Life Issues July 2021 List pediatrics: neonatology Professional-patient Relationship Solberg B Støen R Syltern J Ursin L