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Review of literature on preterm birth
Effects of preterm birth
Lifespan development in pre natal and babies
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The “art”, as one doctor put it, of treating a very premature baby is an ethical grey area with no clear moral regulation. Doctors are all too eager to employ modern technology that could potentially save babies lives, but at the cost of prolonged suffering, for the baby and their family, and the risk of severe lifelong disabilities for the child. Parenting is also a selfish endeavor that is uselessly optimistic when confronted with the harrowing facts that the quality of life of their child, if they survive, may greatly diminish. While much is still unknown about the nature of premature births, the facts are published and grim. Around 30,000 babies are born before the third trimester annually in the United States. Half of those babies survive, and of the surviving babies some of them will suffer physical ailments or mental impairment (Frey, 1995). However, many of the “preemie” babies will grow into full-functioning adults, which is why the moral code on this matter is ambiguous and decided case-by-case between doctors and parents. …show more content…
Because there is not much evidence stating how specific procedures affect premature babies doctors must decide what is best for their own practice. For one doctor the use of epinephrine is a fine choice, if the baby is exhibiting signs of life, but for another doctor the use of epinephrine is never justified. The medical team in the article “Does Anyone Here Think This Baby Can Live?” where constantly debating over the use of technology to prolong an uncertain life. Should technology be used just because it exists? Even if it may save a life? The article points out how there is no clear answer to this question, “Was it right to withhold potentially life-saving therapy because two doctors drew an arbitrary line in the sand?” (Fey,
This case was taken into the British court system where, after a long trial, a judge upheld the doctor’s decision not to resuscitate. The reasoning was that the judge felt he could not order the doctors to perform actions that would cause increased suffering for the child. After considering the doctrines of the sanctity of life and the...
Research on human fetal life involves numerous complex medical, moral, and legal aspects. It is not always easy, nor desirable, to seal off one aspect from another. Both sides of fetal tissue use will be equally focused on as a moral issue. The topic is a timely and important one because research on human fetal life is reportedly a growing industry and the subject of legal developments both in the United States and around the world.
Ethical issues are present in every aspect of healthcare. Ethical dilemmas in the Neonatal intensive care unit (NICU) are especially difficult because the patient cannot express him/herself. It is therefore the responsibility of the parents to make the decisions regarding treatment. It is the nurse’s job to advocate for the patient to ensure that they are receiving the best possible care. The cost of care, termination of treatment, and the nurses’ role in the termination of treatment are all factors that are included in the care of patients that are suffering in the NICU.
...edical technology advancing the way it is and the ability to keep someone’s body alive after death has been declared than the definition of death needs to be changed accordingly. While there are upside o keeping the body alive, in the case of giving the fetus a chance to live, there are still too many downsides.
A divergent set of issues and opinions involving medical care for the very seriously ill patient have dogged the bioethics community for decades. While sophisticated medical technology has allowed people to live longer, it has also caused protracted death, most often to the severe detriment of individuals and their families. Ira Byock, director of palliative medicine at Dartmouth-Hitchcock Medical Center, believes too many Americans are “dying badly.” In discussing this issue, he stated, “Families cannot imagine there could be anything worse than their loved one dying, but in fact, there are things worse.” “It’s having someone you love…suffering, dying connected to machines” (CBS News, 2014). In the not distant past, the knowledge, skills, and technology were simply not available to cure, much less prolong the deaths of gravely ill people. In addition to the ethical and moral dilemmas this presents, the costs of intensive treatment often do not realize appreciable benefits. However, cost alone should not determine when care becomes “futile” as this veers medicine into an even more dangerous ethical quagmire. While preserving life with the best possible care is always good medicine, the suffering and protracted deaths caused from the continued use of futile measures benefits no one. For this reason, the determination of futility should be a joint decision between the physician, the patient, and his or her surrogate.
Aiding the death of infants is a much disputed controversy in healthcare. H. Tristram Engelhardt Jr. provides an ethical view that there is a moral duty not to treat an impaired infant when this will only prolong a painful life or would only lead to a painful death. It is these individuals, like Engelhardt, who must defend this position against groups who consider that we have the ability to prolong the lives of impaired infants, thus we are obligated to do so.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
A. A. The "Best Possible Child" Journal of Medical Ethics 33.5 (2007): 279-283. Web.
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
Even if their baby is not able to live, they want to give another baby that opportunity. They want to give another family the opportunity to see their child grow. Sometimes the parents of an anencephalic infant want to donate the infant 's organs to other babies who need healthy organs. They say that, “by donating the newborn 's organs, they feel that the pregnancy would at least have had some value: their own loss can be another family 's gain.” In the United States, about 2000 babies each year need organs, and the only suitable organs for tiny babies are those from other tiny babies. However, there are also some parents who wish to keep their baby alive. ("3. ANENCEPHALIC BABIES
foetus or an embryo, an infant or an adult, an old person, or one suffering from an incurable
Critics to the idea of providing dying patients with lethal doses, fear that people will use this type those and kill others, “lack of supervision over the use of lethal drugs…risk that the drugs might be used for some other purpose”(Young 45). Young explains that another debate that has been going on within this issue is the distinction between killings patients and allowing them die. What people don’t understand is that it is not considered killing a patient if it’s the option they wished for. “If a dying patient requests help with dying because… he is … in intolerable burden, he should be benefited by a physician assisting him to die”(Young 119). Patients who are suffering from diseases that have no cure should be given the option to decide the timing and manner of their own death. Young explains that patients who are unlikely to benefit from the discovery of a cure, or with incurable medical conditions are individuals who should have access to either euthanasia or assisted suicide. Advocates agreeing to this method do understand that choosing death is a very serious matter, which is why it should not be settled in a moment. Therefore, if a patient and physician agree that a life must end and it has been discussed, and agreed, young concludes, “ if a patient asks his physician to end his life, that constitutes a request for
...t’s family should be able decide for the patient whether or not prolonging their life is moral.
In our society, there are many ethical dilemmas that we are faced with that are virtually impossible to solve. One of the most difficult and controversial issues that we are faced with is abortion. There are many strong arguments both for and against the right to have an abortion which are so complicated that it becomes impossible to resolve. The complexity of this issue lies in the different aspects of the argument. The essence of a person, rights, and who is entitled to these rights, are a few of the many aspects which are very difficult to define. There are also issues of what circumstances would justify abortion. Because the issue of abortion is virtually impossible to solve, all one can hope to do is understand the different aspects of the argument so that if he or she is faced with that issue in their own lives, they would be able to make educated and thoughtful decisions in dealing with it.