Ethical issues of the therapy of premature infants

Author:

Kazanova AM1,Zyryanov SK1ORCID

Affiliation:

1. Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University), Moscow, Russia

Abstract

Currently preterm births are the leading causes of newborn mortality in developed countries. There is growing concern in the medical community about the moral and ethical implications of therapeutic care for these patients. The article raises the problem of joint decision-making by neonatologists and parents on the treatment of premature newborns. Including the question of who is most qualified to make decisions regarding the initiation, termination or withdrawal of life-sustaining treatment for preterm infants. The rest of the life of surviving premature newborns may be associated with inconvenience and suffering in everyday life, and understanding of responsibility for the life of the patient and the child greatly complicates the decision. Another important issue is the relationship between intensive care nurses and parents in caring for premature newborns. The article describes the life experience and ethical and moral problems that medical personnel face during caring for premature newborns.

Publisher

Pirogov Russian National Research Medical University

Subject

General Medicine,Materials Chemistry,Psychiatry and Mental health,Automotive Engineering,Psychiatry and Mental health,General Medicine,General Medicine,General Medicine,General Medicine,General Medicine

Reference12 articles.

1. Nizamova E. R. Scientific justification for improving the organization of medical care for premature children [dissertation]. Moscow: 2020. Russian.

2. Order of the Ministry of Health and Social Development of Russia, 2011 No. 1687n (amended on September 13, 2019) “About medical criteria for birth, the form of a birth document and the procedure for its issuance” (Registered in the Ministry of Justice of Russia, 2012 No. 23490) Available from SPS “Consultant Plus”. URL: http://www.consultant.ru/document/cons_doc_ LAW_127424/. Russian.

3. Webb MS, Passmore D, Cline G, Maguire D. Ethical issues related to caring for low birth weight infants. Nursing Ethics. 2014; 21(6): 731–741. PubMed PMID: 24464951.

4. Letter of the Ministry of Health of Russia No.15-4/10/2-9480 “On the direction of clinical recommendations Premature birth (together with Clinical recommendations (treatment protocol) …, approved by the Russian Society of Obstetricians and Gynecologists) Available from SPS “Consultant Plus”. URL: http://www.consultant.ru/document/cons_doc_LAW_320458/. Russian.

5. Pignotti MS and Donzelli G. Perinatal care at the threshold of viability: an international comparison of practical guidelines for the treatment of extremely preterm births. Pediatrics 2008; 121(1): 193–198. PubMed PMID: 18166538.

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