Do Sociocultural Factors Influence Periviability Counseling and Treatment More Than Science? Lessons From Scandinavia

Pediatrics
John D LantosJeremy Garrett

Abstract

All of us (doctors, parents, bioethicists, and health policy makers) think differently about premature infants who require neonatal intensive care than we do about other patients who are critically ill. In most other clinical circumstances, those that involve patients other than premature infants, our first impulse when confronted with a patient in an emergency is to do whatever we can to rescue the patient. We offer life-sustaining treatments first and ask questions later. With extremely premature infants, by contrast, we first ask questions, ponder our options, and try to develop policies about whether it is appropriate to try to save these infants. We wonder aloud whether these tiny patients are even worth saving. In most countries that have NICUs, and in many hospitals, doctors and policy makers have explicitly specified which infants ought to be offered life-sustaining treatment and which should be allowed to die. Regarding the treatment of infants who are born at the borderline of viability, there are markedly distinct approaches in Sweden, Norway, and Denmark. In each country, the prevailing approaches were developed after careful consideration of many factors, including public sentiment, professional preferences, report...Continue Reading

References

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Feb 8, 2016·Health Policy·Trygve OttersenOle Frithjof Norheim

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Citations

Mar 11, 2021·The Journal of Pediatrics·Matthew A RysavyEdward F Bell
Apr 16, 2021·Archives of Disease in Childhood·John D Lantos

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