Extreme Prematurity: Practices, Bioethics and the Law
  • Extreme Prematurity: Practices, Bioethics and the Law
  • Extreme Prematurity: Practices, Bioethics and the Law

Extreme Prematurity: Practices, Bioethics and the Law

by Geoffrey Miller
     
 

Extreme Prematurity: Practices, Bioethics, and the Law examines the controversial issues surrounding the clinical management of this group of neonates through the intervention of modern neonatal intensive care. The forgoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and… See more details below

Overview

Extreme Prematurity: Practices, Bioethics, and the Law examines the controversial issues surrounding the clinical management of this group of neonates through the intervention of modern neonatal intensive care. The forgoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, caused by the increase in women 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; and the last section covers medical law aspects in the United States and around the world.

About the Author:
Geoffrey Miller is Professor of Pediatrics and Neurology at Yale University School of Medicine

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Product Details

ISBN-13:
9780521680530
Publisher:
Cambridge University Press
Publication date:
03/28/2006
Pages:
232
Product dimensions:
5.98(w) x 8.98(h) x 0.59(d)

Table of Contents


The Extremely Preterm Infant: Epidemiology, Perceptions, and Practices
Introduction     3
Historical Aspects     9
Survival     11
Influence of Obstetric Management     16
Effect of Resuscitation in the Delivery Room     18
National Comparisons     20
Prediction of Outcome     23
Limit of Viability     24
Morbidity     25
School Age Outcome     29
Adolescence     32
Perceptions and Practices     34
Resource Expenditure     45
Bioethics
Moral Theory     51
Autonomy     59
Beneficence and Nonmaleficence     62
Justice     68
Sanctity of Life     70
Active and Passive Euthanasia     72
Personhood     74
Quality of Life and Best Interests     80
Futility     86
Reports, Official Opinions, and Guidelines
United States     91
Canada     106
United Kingdom (UK)     110
France     116
Italy     121
Germany     122
International     123
The Law
Introduction     135
U.S. Law     138
The United Kingdom     160
Canada     168
Australia     173
Japan     176
Italy, Germany, and Poland     177
France     179
The Netherlands     181
Epilogue: Truth, Trust, and Boundaries
Epilogue: Truth, Trust, and Boundaries     187
References     197
Index     221

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