title: The ethics and practice of neonatal resuscitation at the limits of viability: an international perspective.
abstract: Premature infants at the limits of viability raise difficult ethical, legal, social and economic questions. Neonatologists attending an international Collegium were surveyed about delivery room behaviour, and the approach taken by selected countries practicing 'modern' medicine was explored.
  
  
  CONCLUSIONS
  There were strong preferences for comfort care at 22 weeks and full resuscitation at 24 weeks. Resuscitation was a grey area at 23 weeks. Cultural, social and legal factors also had a considerable impact on decision-making.
authors.affiliation: Department of Pediatrics and the Rainbow Center for Pediatric Ethics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Fanaroff
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Hascoët
authors.forename: Thor Willy Ruud
authors.initials: TW
authors.lastname: Hansen
authors.forename: Malcolm
authors.initials: M
authors.lastname: Levene
authors.forename: Mikael
authors.initials: M
authors.lastname: Norman
authors.forename: Apostolos
authors.initials: A
authors.lastname: Papageorgiou
authors.forename: Eric
authors.initials: E
authors.lastname: Shinwell
authors.forename: Margot
authors.initials: M
authors.lastname: van de Bor
authors.forename: David K
authors.initials: DK
authors.lastname: Stevenson
mesh_terms: D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000941:ethics / Q000592:standards*; D038622:Internationality; D009359:Neonatology / Q000941:ethics / Q000592:standards*; D012151:Resuscitation / Q000941:ethics / Q000592:standards*
keywords: Ethics; Extremely premature infants; International perspectives; Neonatology; Resuscitation