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


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:

(Date:11/30/2015)... ... November 30, 2015 , ... 1Heart Caregiver Services’ Executive Team ... of Philippine American Chambers of Commerce held from November 6-8, 2015 at the ... Services, as an active delegate from the Philippine American Chamber of Commerce of ...
(Date:11/30/2015)... ... 2015 , ... Being a caregiver for someone you love ... Care System, the Caregiver Support Program promotes the health and wellbeing of family ... percent report that their role as a caregiver has created marital strain,” said ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... Foundation) released information for caregivers and held two webinars on topics of ‘Medical ... demand free of charge at http://www.curemeso.org/caregivers . , With a loved one's ...
(Date:11/30/2015)... ... ... According to research by the National Association of Dental ... certified or obtain continuing education. To increase awareness of the lack of standards ... inform dentists that the technicians they trust could lack the skills and knowledge ...
(Date:11/30/2015)... ... November 30, 2015 , ... An extensive directory ... specialized and only includes chiropractic clinics in the US. , The team at ... health practitioner when back pain sets in. When people are experiencing back and ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... , Dec. 1, 2015  Lexicon ... today that top-line data from its TELECAST ... etiprate in treating carcinoid syndrome in cancer ... the clinical benefit observed in its pivotal ... as a companion to TELESTAR primarily to ...
(Date:12/1/2015)... 2015 North America ... with analysis and forecast of revenue. --> ... segments the concerned market with analysis and forecast of ... Report "North American Orthobiologics Market by Type (Bone Allograft, ... Stem Cell Therapy, Viscosupplementation), by End-User (Hospitals, Point-of-Care Testing) ...
(Date:12/1/2015)... , December 1, 2015 ... the addition of the  "2016 Shigella ... Innovative Technologies, Competitive Strategies, Emerging Opportunities--US, ... Japan"  report to their offering. ... the addition of the  "2016 Shigella ...
Breaking Medicine Technology:
Cached News: