Ethics in neonatal intensive care

Česká verzia

Authors: J. Macko
Authors place of work: Novorozenecké oddělení, Krajská nemocnice T. Bati, a. s., Zlín, primář MUDr. J. Macko
Published in the journal: Ceska Gynekol 2010; 75(4): 268-274

Summary

Work summarises current data ideas of problems of ethical thinking and decision making in neonatology. Primary objective ethical questions of administration resuscitative and intensive care are outlined, as well as administration of care for babies, delivered on limit of viability, in the same way for children with high probability of serious damage in case of survival. Role of parents in decision making about to other administration care is discussed, some recommendation and instructions for communication with parents are handed up. Findings of extensive european study named EURONIC are shortly mentioned, study concerns problems of ethical dilemmas in neonatology in 8 European countries. Finally the categorization of newborns in ethical thinking is mentioned and present circumstances in Czech republic are remarked.

Key words:
neonatal intensive care, ethics, withholding of care, withdrawing of care.

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