The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective

• Fanaroff Jonathan M.
• J.-M. Hascoët
• T.W.R. Hansen
• M. Levene
• M. Norman
• A. Papageorgiou
• E. Shinwell
• M. van de Bor
• D.K. Stevenson

Abstract

Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing «modern » medicine was explored.

Conclusion. There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making.

Keywords:ethics, extremely premature infants, international perspectives, neonatology, resuscitation