Caring for Families at the Limits of Viability: The Education of Dr Green

Clin Perinatol. 2017 Jun;44(2):447-459. doi: 10.1016/j.clp.2017.01.007. Epub 2017 Mar 18.

Abstract

Resuscitation decisions for infants born at the edges of viability are complicated moral dilemmas, and the process of making these decisions is emotionally exhausting and morally distressful for families and physicians alike. An ethical approach to making these decisions requires input from physicians and parents; individuals tasked with facilitating such decisions must possess the communication and counseling skills needed to assist families with these painful and life-altering decisions. It is incumbent on all of us to continue our investigation into how we can better assist families in this process while providing care that is in their best interest.

Keywords: Antenatal counseling; End of life decision making; Gestational age–based resuscitation; Individualized decision making; Neonatal Ethics; Physician communication; Shared decision-making.

Publication types

  • Review

MeSH terms

  • Communication*
  • Counseling*
  • Decision Making*
  • Ethics, Medical
  • Fetal Viability*
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Neonatology / education*
  • Parents*
  • Prognosis
  • Resuscitation Orders / ethics
  • Resuscitation*
  • Terminal Care*