Published online February 1, 2007
PEDIATRICS Vol. 119 No. 2 February 2007, pp. 401-403 (doi:10.1542/10.1542/peds.2006-3180)
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POLICY STATEMENT

Noninitiation or Withdrawal of Intensive Care for High-Risk Newborns

Committee on Fetus and Newborn

Advances in medical technology have led to dilemmas in initiation and withdrawal of intensive care of newborn infants with a very poor prognosis. Physicians and parents together must make difficult decisions guided by their understanding of the child's best interest. The foundation for these decisions consists of several key elements: (1) direct and open communication between the health care team and the parents of the child with regard to the medical status, prognosis, and treatment options; (2) inclusion of the parents as active participants in the decision process; (3) continuation of comfort care even when intensive care is not being provided; and (4) treatment decisions that are guided primarily by the best interest of the child.

Key Words: treatment • resuscitation • withdrawal • newborn • neonate


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The following policy statement has been revised:

The Initiation or Withdrawal of Treatment for High-Risk Newborns

Pediatrics 96: 362-363.



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