Decision-making at the borderline of viability: Who should decide and on what basis?

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    Author
    Gillam, L; Wilkinson, D; Xafis, V; Isaacs, D
    Date
    2017-02-01
    Source Title
    Journal of Paediatrics and Child Health
    Publisher
    WILEY
    University of Melbourne Author/s
    Gillam, Lynn
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Gillam, L., Wilkinson, D., Xafis, V. & Isaacs, D. (2017). Decision-making at the borderline of viability: Who should decide and on what basis?. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 53 (2), pp.105-111. https://doi.org/10.1111/jpc.13423.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/258110
    DOI
    10.1111/jpc.13423
    Abstract
    Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long-term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should decide what will happen when the baby is delivered? Should the baby be resuscitated? Should intensive care be initiated? Three ethicists, one of whom is also a neonatologist, discuss this complex issue.

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