The French Society of Neonatology's proposals for neonatal end-of-life decision-making.

Détails

ID Serval
serval:BIB_D7D7A70A424A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
The French Society of Neonatology's proposals for neonatal end-of-life decision-making.
Périodique
Neonatology
Auteur(s)
Dageville C., Bétrémieux P., Gold F., Simeoni U.
Collaborateur(s)
Working Group on Ethical Issues in Perinatology
Contributeur(s)
Simeoni U., Altavilla AG., Andrini P., Aujard Y., Azria E., Bétrémieux P., Caeymaex L., Collet M., Dageville C., Danan C., Debillon T., Dehan M., Denizot S., Dommergues M., Farnoux C., Fournié A., Gold F., Gouyon J., Grassin M., Guidicelli B., Huillery ML., Jarreau PH., Kuhn P., Le Coz P., Lequien P., Mahieu-Caputo D., Moriette G., Oriot D., Parat S., Puech F., Rameix S., Rozé JC., Storme L.
ISSN
1661-7819 (Electronic)
ISSN-L
1661-7800
Statut éditorial
Publié
Date de publication
2011
Peer-reviewed
Oui
Volume
100
Numéro
2
Pages
206-214
Langue
anglais
Notes
Publication types: Consensus Development Conference ; Journal Article Publication Status: ppublish
Résumé
BACKGROUND: Opinions and practice regarding end-of-life decisions in neonatal medicine show considerable variations between countries. A recent change of the legal framework, together with an ongoing debate among French neonatologists, led the French Society of Neonatology to reconsider and update its previous recommendations.
OBJECTIVES: To propose a set of recommendations on the ethical principles to be respected in the making and application of end-of-life decisions.
METHODS: A multidisciplinary working group on ethical issues in perinatal medicine composed of neonatologists, obstetricians and ethicists.
RESULTS: Withholding or withdrawing life-sustaining treatment may be acceptable, and unreasonable therapeutic obstinacy is condemned. This implies that the child's best interests must always be the central consideration. Although the parents must be involved in the decision process so that they form an alliance with the healthcare team, and a collegial approach is of utmost importance, any crucial decision affecting the patient's life calls for individual medical responsibility. Because every newborn is rightfully an integral member of a human family, his or her dignity must be preserved. The goal of palliative care is to preserve the quality of a life, also at its end. The intention underlying an act has to be analyzed perceptively. Euthanasia, i.e. to perform an act with the deliberate intention to cause or hasten a patient's death, is legally and morally forbidden. Conversely, to withhold or withdraw a life-sustaining treatment can be justified when the intention is to cease opposing, in an unreasonable manner, the natural course of a disease.
CONCLUSIONS: This statement provides the principles identified by French neonatologists on which to base their decisions concerning the ending of life. Arguments are set forth, discussed and compared with international statements and previously published considerations.
Mots-clé
Decision Making/ethics, Ethics, Medical, hic" UI="D005602">France, Humans, Infant, Newborn, Neonatology, Palliative Care, Quality of Life, Societies, Medical, Terminal Care/ethics, Terminal Care/trends
Pubmed
Web of science
Création de la notice
22/02/2015 10:07
Dernière modification de la notice
20/08/2019 16:57
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