Extreme Prematurity

Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth. The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.

Spis treści:
Part I. The Extremely Preterm Infant, Epidemiology, Perceptions and Practices
1. Introduction
2. Historical aspects
3. Survival
4. Influence of obstetric management
5. Effect of resuscitation in the delivery room
6. National comparisons
7. Prediction of outcome
8. Limit of viability
9. Morbidity
10. School age outcome
11. Adolescence
12. Perceptions and practices
13. Resource expenditure
Part II. Bioethics
14. Moral theory
15. Autonomy
16. Beneficence and non-maleficence
17. Justice
18. Sanctity of life
19. Active and passive euthanasia
20. Personhood
21. Quality of life and best interests
22. Futility
Part III. Reports, Official Opinions and Guidelines
23. United States of America
24. Canada
25. United Kingdom
26. France
27. Italy
28. Germany
29. International
Part IV. The Law
30. Introduction
31. United States of America
32. Canada
33. Australia
34. Japan
35. Italy, Germany, and Poland
36. France
37. The Netherlands
Part V. Epilogue, Truth, Trust and Boundaries.