Most neonates who now survive intensive care would have died 50 years
ago, and "nature" would have decided the outcomes, making ethical
discussions about initiating or withholding resuscitation irrelevant.
Medical developments in neonatology have changed the way we respond to
diseases of neonates, to their illness, and to their parents. Not only
as physicians, but also as a society.
Decisions on when to start, withhold, or withdraw life-saving
interventions in critically ill neonates are among the most difficult
decisions in pediatric practice. These decisions are fraught with
ethical dilemmas, for example deciding whether withholding intensive
care -leading to death- is superior to uncertain survival with a risk of
disability and the additional burden of intensive care. This book covers
important ethical questions that arise in neonatal intensive care units.
Questions such as, whether to intervene medically and whether we are
good at predicting the outcome of fragile neonates; whether a medical
intervention should be withheld or withdrawn, and who should be
primarily responsible for these decisions and how?