Ethical issues in treatment of babies born at 22 weeks of gestation

Title

Ethical issues in treatment of babies born at 22 weeks of gestation

Creator

Lantos JD

Publisher

Archives of Disease in Childhood

Date

2020

Subject

ethics; neonatal; life sustaining treatment; premature birth; gestational viability

Description

Many centres now report that more than half of babies born at 22 weeks survive and most survivors are neurocognitively intact. Still, many centres do not offer life-sustaining treatment to babies born this prematurely. Arguments for not offering active treatment reflect concerns about survival rates, rates of neurodevelopmental impairment and cost. In this essay, I examine each of these arguments and find them ethically problematic. I suggest that current data ought to lead to two changes. First, institutional culture should change at institutions that do not offer treatment to babies born at 22 weeks. Second, we need more research to understand best practices for these tiny babies. Copyright © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Rights

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).

Citation List Month

July 2021 List

Collection

Citation

Lantos JD, “Ethical issues in treatment of babies born at 22 weeks of gestation,” Pediatric Palliative Care Library, accessed February 4, 2023, https://pedpalascnetlibrary.omeka.net/items/show/17595.

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