September 2018, VOLUME 142 / ISSUE Supplement 1
Table of Contents
Supplement Article
- The Swedish Approach to Management of Extreme Prematurity at the Borderline of Viability: A Historical and Ethical Perspective
In this article, we describe the historical background and evidence that led to the 2016 Swedish guidelines for the care of extremely preterm infants.
- Don’t Rush It: Conservative Care in Denmark
The Danish conservative approach was consolidated by a consensus conference in 1990, confirmed by the Danish Council on Ethics, and supported by population-based research.
- NICU Dialects: Understanding Norwegian Practice Variation
We describe current variation of thresholds for resuscitation and non-resuscitation of extremely preterm infants in Norway and discuss the need for a new consensus-based guideline.
- Should Parents of Neonates With Bleak Prognosis Be Encouraged to Opt for Another Child With Better Odds? On the Notion of Moral Replaceability
Replaceability in neonatal care is defended; parents should be encouraged to go for another child who is healthy when the prognosis for their neonate is bleak.
- A Clinical Careography: Steering Life-and-death Decisions Through Care
In this ethnographic study of how staff navigate life-and-death decisions in a Danish NICU, we suggest conceptualizing such decision-making as an art of “careography.”
- In the Best Interest of the. . .Parents: Norwegian Health Personnel on the Proper Role of Parents in Neonatal Decision-making
In this interview study, we found that Norwegian health personnel consistently argued that doctors, not parents, should have the final say in neonatal life-and-death decisions.
- Thresholds for Resuscitation of Extremely Preterm Infants in the UK, Sweden, and Netherlands
In this survey, we identify differences in thresholds for resuscitation and nonresuscitation of EPIs that are applied by neonatologists in the United Kingdom, Sweden, and the Netherlands.
- Why Do Neonatologists in Scandinavian Countries and the Netherlands Make Life-and-death Decisions So Different?
A comparison of practice and of policies regarding neonatal end-of-life care between Scandinavian countries and the Netherlands reveals interesting differences, which are summarized in 3 topics.
- Justified by What? Three Ways to Provide an Ethical Basis for Neonatal Policies
Three different ways of justifying neonatal policies are identified and situated, 1 in each of the Scandinavian countries.
- From Prenatal Diagnosis to Preterm Infants: A Cultural Guide to Understand Scandinavian Variation
This is an attempt to explain Scandinavian variation in neonatal practice and policy by a reference to small but important cultural differences between the countries.
- Do Sociocultural Factors Influence Periviability Counseling and Treatment More Than Science? Lessons From Scandinavia
To our surprise, we found markedly distinct policies regarding the treatment of infants who were born at the borderline of viability in Sweden, Norway, and Denmark.
- In Search of Consistency: Scandinavian Approaches to Resuscitation of Extremely Preterm Infants
There are differences in approaches to resuscitation decisions both within and between countries. We discuss the value of consistency in decisions.