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:4/18/2014)... lead to potential new treatments for breaking the cycle ... Fibrosis, or scarring, is a hallmark of the disease, ... lead to serious organ damage and, in some cases, ... on findings made by Swati Bhattacharyya, PhD, research assistant ... specific protein plays in promoting fibrosis. , "Our ...
(Date:4/17/2014)... most popular vaccine brands for children may not be ... some cost factors when choosing vaccines, driving the market ... to a new study by University of Illinois researchers. ... driven by numerous factors," says Sheldon H. Jacobson, a ... science and of mathematics at the U. of I. ...
(Date:4/17/2014)... published in the April issue of Immunity , ... for Medical Research, says it,s time to take a ... treating sepsis, which kills millions worldwide every year, ... molecules released into the bloodstream to fight an injury ... necessary for maintaining good health without inflammation, wounds ...
(Date:4/17/2014)... that as many as 10 million older Americans suffer ... and isolation. , However, new research a project ... Americans for six years found that Internet use ... by more than 30 percent. , "That,s a very ... professor of telecommunication, information studies and media who led ...
(Date:4/17/2014)... EcoHealth Alliance, a nonprofit organization that focuses on ... review today examining the current state of knowledge of ... for improved global surveillance strategies to combat the emergence ... Ebola in West Africa that has claimed the lives ... Liberia. According to the World Health Organization (WHO), ...
Breaking Medicine News(10 mins):Health News:New clues on tissue scarring in scleroderma 2Health News:Study recalculates costs of combination vaccines 2Health News:Feinstein Institute researcher publishes new perspective on sepsis 2Health News:Internet use can help ward off depression among elderly 2Health News:Re-emergence of Ebola focuses need for global surveillance strategies 2Health News:Re-emergence of Ebola focuses need for global surveillance strategies 3
(Date:1/15/2014)... , Jan. 15, 2014  Humberto C. Antunes,  Galderma  worldwide ... from the Journal of Drugs in Dermatology ... Conference (ODAC). The event is January 17-20, 2014, at the Omni ... . The ODAC is a distinguished ...
(Date:1/15/2014)... , Jan. 15, 2014  In an unprecedented effort to curb ... in ambulances and other transport vehicles, an advanced and portable UV ... personnel for the first time. In order to ... these deadly pathogens, West Palm Beach Fire ...
(Date:1/15/2014)... , Jan. 15, 2014  Echo Therapeutics, Inc. (Nasdaq: ... its Symphony® CGM System as a non-invasive, wireless continuous ... Doman , Executive Chairman and Interim CEO of Echo ... Tenth Annual Equity Conference. Mr. Doman ...
Breaking Medicine Technology:Galderma's global leader honored with a "Lifetime in Dermatology Achievement Award" by Journal of Drugs in Dermatology 2Galderma's global leader honored with a "Lifetime in Dermatology Achievement Award" by Journal of Drugs in Dermatology 3Galderma's global leader honored with a "Lifetime in Dermatology Achievement Award" by Journal of Drugs in Dermatology 4Superbugs No Longer Ride In Rescue Vehicles 2Echo Therapeutics to Present at the Noble Financial Capital Markets' Tenth Annual Equity Conference 2Echo Therapeutics to Present at the Noble Financial Capital Markets' Tenth Annual Equity Conference 3
Cached News: