Neonatal Issues - Final

Neonatal Issues Cabrieto.Cacnio.Cadag

Neonatal Issues Neonate Neonatologist Neonatal

care

Issues on neonatal care 1.

Extreme premature births

3.

Full term births (but diagnosed with extreme disability or deformity)

Extreme Premature Births  Borderline  Babies

Viability Cases

born between 23-25 weeks of gestation

 1960-1970:

“lost,” “miscarriage”

 Modern

technology (prenatal monitoring)  Likelihood

of disability

Full Term Births with Diagnosis of Disability or Deformity  Encephalopathies,

“brain damage”  Congenital

abnormalities

 Introduction

and continuity of life support

Dilemmas in Current Practice: Babies needing intensive care  When

intensive care is futile

 Very

high possibility of severe disability in the future (e.g. brain damage)

 Conditions

for which there are no treatments (e.g. malformations, dysplasia, genetic)

Dilemmas in Current Practice: Babies needing intensive care The

role of the physician

 Determining

the true state of delivery:

All decisions are dependent on the assessment of the neonatologist regarding the infant’s chances of survival and accompanying disabilities  Sustaining

life:

Resuscitation

Who

decides? PARENTS

Ethical Principles  Inviolability  Double

of life

effect

 Beneficence  Non-maleficence  Totality