HOME >> MEDICINE >> NEWS
Making the best decisions when faced with the risks of premature delivery

Mothers who give birth to premature babies must often make critical and difficult decisions. Because premature babies have lower survival rates and could suffer long term disabilities, the decision to resuscitate can be complex. Doctors typically converse with parents about treatment options and the need for resuscitation for premature babies. A study in the November issue of The Journal of Pediatrics shows that what happens in the delivery room is not always reflective of these conversations.

Keith Barrington, MB, CHB, and Annie Janvier, MD, from the Royal Victoria Hospital in Canada, reviewed the hospital records of 72 babies who were at risk for preterm delivery between 1999 and 2002. They found that the conversations between doctors and parents were often not well-documented. Women who are at risk of delivering a premature baby are usually presented with three options: 1) resuscitate the baby or initiate intensive care if necessary with the opportunity to withdraw the request if the prognosis at birth is poor; 2) comfort care only (keep the baby comfortable without medical care procedures); 3) resuscitate if the baby's condition is good, but only comfort care if the prognosis is poor. However, parents may have the misconception that resuscitation counseling and procedures are the same at different hospitals. The authors were surprised to find that all 27 infants who were delivered at 23 to 24 weeks gestation were resuscitated. They point out that this finding is not because resuscitation occurred against the wishes of the parents, but rather that the atmosphere and policies of the hospital may have an effect on the parents' final decision. The experience, expectations, and training of the hospital staff could also play a role in the outcomes of neonatal counseling. Dr. J.M. Lorenz concurs with this idea in his editorial, stating that some doctors may impose their own values on parents rather than acting on their medical knowledge, expertise, an
'"/>


1-Dec-2005


Page: 1 2

Related medicine news :

1. Making science personal: Lilly Oncology to unveil 76 studies at ASCO 2007
2. Making old hearts young again
3. Making sense of the world through a cochlear implant
4. Making headway against hepatitis C: SLU study shows new drug combo effective in nonresponders
5. Making heart surgery intervention safer
6. Making a healthy lunch a greater national priority
7. Making multiple lifestyle changes is beneficial, achievable in lowering high blood pressure
8. Making the most of our precious nursing resources
9. Making primary health care work: New research
10. Sports concussion research using fMRI provides insight for safe return-to-play decisions
11. Nurse cells make life and death decisions for infection-fighting cells

Post Your Comments:
*Name:
*Comment:
*Email:
TAG: Making the best decisions when faced with the risks premature delivery

(Date:7/31/2015)... ... July 31, 2015 , ... The 2015 ALS Ice Bucket ... Baseball and the Boston Red Sox honor Ice Bucket co-founders Pat Quinn and Pete ... donating $100,000 to further collaborative efforts among the ALS organizations to find treatments and ...
(Date:7/31/2015)... ... July 31, 2015 , ... The Heart Fit Clinic has increased a patient's ... heart rate of 150 beats versus 100 beats, this is a big deal," says ... give life back to patients with heart disease," he adds. People with angina are ...
(Date:7/31/2015)... (PRWEB) , ... July 31, 2015 , ... Ticket Down ... in Birmingham. The U.S. Women's National Soccer Team will face the Australia Women's ... on Thursday, September 17th at Ford Field in Detroit and the second match will ...
(Date:7/31/2015)... ... July 31, 2015 , ... Healthpointe , a multidisciplinary ... website at Healthpointe.net. The new website will feature a sleek and streamlined design ... to provide smoother interactions between patients and the Healthpointe clinics and ensures that ...
(Date:7/31/2015)... ... ... Physical therapy for knee osteoarthritis is an important part of knee ... patient from doing what they want or need to do. The patient may have trouble ... The patient's exercise regime may be limited by the pain in their knee. When a ...
Breaking Medicine News(10 mins):Health News:Major League Baseball Joins MDA and Fourteen Other ALS Organizations to Launch ALS Ice Bucket Challenge 2015 2Health News:Major League Baseball Joins MDA and Fourteen Other ALS Organizations to Launch ALS Ice Bucket Challenge 2015 3Health News:Major League Baseball Joins MDA and Fourteen Other ALS Organizations to Launch ALS Ice Bucket Challenge 2015 4Health News:Heart Fit Clinic Helps Patient Increase Fitness Level with External Counterpulsation 2Health News:Cheap USA vs. Australia Tickets at Legion Field in Birmingham, AL: Ticket Down Slashes Ticket Prices for Australia vs. USWNT at Legion Field 2Health News:Healthpointe Announces Newly Redesigned Website 2Health News:NYDNRehab Is the First Clinic in NYC to Provide APOS Therapy Based on Results of Complete Gait Analysis 2Health News:NYDNRehab Is the First Clinic in NYC to Provide APOS Therapy Based on Results of Complete Gait Analysis 3
(Date:7/31/2015)... CHICAGO , July 31, 2015 ... a press release on July 28, 2015, "Surviving ... Safety Launches Fundraising for Patient Safety." ... last sentence should read: "PPAHS is ... of Patients on Opioids. For more information on the ...
(Date:7/31/2015)... Quietly, sedately, Morocco,s pharmaceutical sector ... pharmaceutical industry is strong, with a well-developed base of ... standards. One place where the quality of ... Morocco has quietly become the second largest African exporter ... . Indeed, Moroccan pharma companies have been making inroads ...
(Date:7/31/2015)... -- Xencor, Inc. (NASDAQ: XNCR ), a clinical-stage biopharmaceutical ... autoimmune diseases, asthma and allergic diseases, and cancer, today ... to its board of directors. "Yujiro,s ... a tremendous asset to our board," said Bassil ... Xencor. "Xencor faces a range of opportunities for our ...
Breaking Medicine Technology:PharmaBoardroom Releases New Morocco Pharmaceuticals Report 2PharmaBoardroom Releases New Morocco Pharmaceuticals Report 3Xencor Appoints Yujiro S. Hata to Board of Directors 2Xencor Appoints Yujiro S. Hata to Board of Directors 3
Cached News: