Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth. The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.
Part I. The Extremely Preterm Infant: Epidemiology, Perceptions and Practices: 1. Introduction; 2. Historical aspects; 3. Survival; 4. Influence of obstetric management; 5. Effect of resuscitation in the delivery room; 6. National comparisons; 7. Prediction of outcome; 8. Limit of viability; 9. Morbidity; 10. School age outcome; 11. Adolescence; 12. Perceptions and practices; 13. Resource expenditure; Part II. Bioethics: 14. Moral theory; 15. Autonomy; 16. Beneficence and non-maleficence; 17. Justice; 18. Sanctity of life; 19. Active and passive euthanasia; 20. Personhood; 21. Quality of life and best interests; 22. Futility; Part III. Reports, Official Opinions and Guidelines: 23. United States of America; 24. Canada; 25. United Kingdom; 26. France; 27. Italy; 28. Germany; 29. International; Part IV. The Law: 30. Introduction; 31. United States of America; 32. Canada; 33. Australia; 34. Japan; 35. Italy, Germany, and Poland; 36. France; 37. The Netherlands; Part V. Epilogue: Truth, Trust and Boundaries.