September 2018, VOLUME 142 / ISSUE Supplement 1
Table of Contents
- Open AccessThe Swedish Approach to Management of Extreme Prematurity at the Borderline of Viability: A Historical and Ethical PerspectiveMagnus Domellöf, Baldvin JonssonPediatrics Sep 2018, 142 (Supplement 1) S533-S538; DOI: 10.1542/peds.2018-0478C
In this article, we describe the historical background and evidence that led to the 2016 Swedish guidelines for the care of extremely preterm infants.
- Open AccessDon’t Rush It: Conservative Care in DenmarkGorm Greisen, Tine Brink HenriksenPediatrics Sep 2018, 142 (Supplement 1) S539-S544; DOI: 10.1542/peds.2018-0478D
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.
- Open AccessNICU Dialects: Understanding Norwegian Practice VariationJanicke Syltern, Trond Markestad, Ola Didrik Saugstad, Ragnhild StøenPediatrics Sep 2018, 142 (Supplement 1) S545-S551; DOI: 10.1542/peds.2018-0478E
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.
- Open AccessShould Parents of Neonates With Bleak Prognosis Be Encouraged to Opt for Another Child With Better Odds? On the Notion of Moral ReplaceabilityTorbjörn TännsjöPediatrics Sep 2018, 142 (Supplement 1) S552-S557; DOI: 10.1542/peds.2018-0478F
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.
- Open AccessA Clinical Careography: Steering Life-and-death Decisions Through CareLaura E. Navne, Mette N. SvendsenPediatrics Sep 2018, 142 (Supplement 1) S558-S566; DOI: 10.1542/peds.2018-0478G
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.”
- Open AccessIn the Best Interest of the. . .Parents: Norwegian Health Personnel on the Proper Role of Parents in Neonatal Decision-makingLars Ursin, Janicke SylternPediatrics Sep 2018, 142 (Supplement 1) S567-S573; DOI: 10.1542/peds.2018-0478H
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.
- Open AccessThresholds for Resuscitation of Extremely Preterm Infants in the UK, Sweden, and NetherlandsDominic Wilkinson, Eduard Verhagen, Stefan JohanssonPediatrics Sep 2018, 142 (Supplement 1) S574-S584; DOI: 10.1542/peds.2018-0478I
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.
- Open AccessWhy Do Neonatologists in Scandinavian Countries and the Netherlands Make Life-and-death Decisions So Different?A.A. Eduard VerhagenPediatrics Sep 2018, 142 (Supplement 1) S585-S589; DOI: 10.1542/peds.2018-0478J
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.
- Open AccessJustified by What? Three Ways to Provide an Ethical Basis for Neonatal PoliciesLars UrsinPediatrics Sep 2018, 142 (Supplement 1) S590-S592; DOI: 10.1542/peds.2018-0478K
Three different ways of justifying neonatal policies are identified and situated, 1 in each of the Scandinavian countries.
- Open AccessFrom Prenatal Diagnosis to Preterm Infants: A Cultural Guide to Understand Scandinavian VariationBerge SolbergPediatrics Sep 2018, 142 (Supplement 1) S593-S599; DOI: 10.1542/peds.2018-0478L
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.
- Open AccessDo Sociocultural Factors Influence Periviability Counseling and Treatment More Than Science? Lessons From ScandinaviaJohn D. Lantos, Brian Carter, Jeremy GarrettPediatrics Sep 2018, 142 (Supplement 1) S600-S602; DOI: 10.1542/peds.2018-0478M
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.
- Open AccessIn Search of Consistency: Scandinavian Approaches to Resuscitation of Extremely Preterm InfantsDominic Wilkinson, Dean HaydenPediatrics Sep 2018, 142 (Supplement 1) S603-S606; DOI: 10.1542/peds.2018-0478N
There are differences in approaches to resuscitation decisions both within and between countries. We discuss the value of consistency in decisions.