title: Decision-making at the borderline of viability: Who should decide and on what basis?
abstract: Parents and medical staff usually agree on the management of preterm labour at borderline viability, when there is a relatively high risk of long-term neurodevelopmental problems in survivors. If delivery is imminent and parents and staff cannot agree on the best management, however, who should decide what will happen when the baby is delivered? Should the baby be resuscitated? Should intensive care be initiated? Three ethicists, one of whom is also a neonatologist, discuss this complex issue.
authors.affiliation: Children's Bioethics Centre, Royal Children's Hospital, Melbourne, Victoria, Australia.|School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
authors.forename: Lynn
authors.initials: L
authors.lastname: Gillam
authors.affiliation: Oxford Uehiro Centre for Practical Ethics, Oxford, United Kingdom.|John Radcliffe Hospital, Oxford, United Kingdom.
authors.forename: Dominic
authors.initials: D
authors.lastname: Wilkinson
authors.affiliation: Clinical Ethics, Sydney Children's Hospital Network, Sydney, New South Wales, Australia.|Centre for Values Ethics and the Law in Medicine, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Vicki
authors.initials: V
authors.lastname: Xafis
authors.affiliation: Clinical Ethics, Sydney Children's Hospital Network, Sydney, New South Wales, Australia.|Centre for Values Ethics and the Law in Medicine, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.|Discipline of Child Health, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Isaacs
mesh_terms: D000328:Adult; D003422:Critical Care / Q000941:ethics*; D003657:Decision Making / Q000941:ethics*; D036861:Delivery, Obstetric / Q000941:ethics*; D005260:Female; D005865:Gestational Age; D006801:Humans; D062071:Infant, Extremely Premature; D011247:Pregnancy