Delivery room hospice.
Advances in perinatal science over the past five decades have reduced the practical 'threshold of viability' by approximately one week every 10 years such that survivors are expected as early as 22 weeks. Ethical standards regarding treatment of this periviable patient population remain enigmatic.


CONCLUSIONS
We review limitations in the current ethical rationale for caring for these infants in the delivery room and introduce an alternative utilising a delivery room hospice care approach involving the administration of opioids.
The Regional NICU at Maria Fareri Children's Hospital, Westchester Medical Center - New York Medical College, Valhalla, New York, USA.
Lyndsey R
LR
Garbi
The Regional NICU at Maria Fareri Children's Hospital, Westchester Medical Center - New York Medical College, Valhalla, New York, USA.
Shetal
S
Shah
The Regional NICU at Maria Fareri Children's Hospital, Westchester Medical Center - New York Medical College, Valhalla, New York, USA. edmund_lagamma@nymc.edu.
Edmund F
EF
La Gamma
D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000592:standards; D002543:Cerebral Hemorrhage / Q000628:therapy; D003657:Decision Making / Q000941:ethics; D003696:Delivery Rooms; D026690:Ethics, Clinical; D005260:Female; D017051:Hospice Care / Q000941:ethics* / Q000379:methods; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D009035:Mothers / Q000523:psychology; D028701:Patient Rights / Q000941:ethics; D011247:Pregnancy; D019727:Proxy / Q000331:legislation & jurisprudence* / Q000523:psychology; D012151:Resuscitation / Q000941:ethics*; D015996:Survival Rate / Q000639:trends*; D059246:Tachypnea / Q000628:therapy
D000701:Analgesics, Opioid
Ethical issues; Limit of viability; Opiates; Palliative care