title: [Therapy in unfavorable prognosis. Ethical dilemma in the treatment of newborn infants with severe abnormalities].
abstract: The doctor treating a baby destined to be handicapped with certainty has to find a way between the two extremes of overtreatment and selective medicine. Medico-ethical directives cannot replace personal commitment in this process. The observation of the jargon used in team discussions can reveal tendencies to one or the other extreme position. An attitude is proposed that tries to balance the gain in joy of life, in possibilities for human relations and in experience of life, the start or pursuit of a therapeutic measure possibly allows against the pain, discomfort and deprivation it inevitably entails.
authors.affiliation: Frauenklinik Kantonsspital, St. Gallen.
authors.forename: C
authors.initials: C
authors.lastname: Kind
mesh_terms: D002651:Child Advocacy; D000013:Congenital Abnormalities / Q000628:therapy*; D003657:Decision Making; D006233:Persons with Disabilities / Q000523:psychology; D004992:Ethics, Medical; D006801:Humans; D007231:Infant, Newborn; D008020:Life Support Care; D011788:Quality of Life
vernacular_title: Therapie bei ungünstiger Prognose. Das ethische Dilemma in der Behandlung von Neugeborenen mit schweren Fehlbildungen.