Show simple item record

dc.contributor.authorSyltern, Janicke
dc.contributor.authorUrsin, Lars Øystein
dc.contributor.authorSolberg, Berge
dc.contributor.authorStøen, Ragnhild
dc.date.accessioned2021-08-10T10:48:51Z
dc.date.available2021-08-10T10:48:51Z
dc.date.issued2021-05-17
dc.description.abstractAdvances in neonatology have led to improved survival for periviable infants. Immaturity still carries a high risk of short- and long-term harms, and uncertainty turns provision of life support into an ethical dilemma. Shared decision-making with parents has gained ground. However, the need to start immediate life support and the ensuing difficulty of withdrawing treatment stands in tension with the possibility of a fair decision-making process. Both the parental “instinct of saving” and “withdrawal resistance” involved can preclude shared decision-making. To help health care personnel and empower parents, we propose a novel approach labeled “postponed withholding.” In the absence of a prenatal advance directive, life support is started at birth, followed by planned redirection to palliative care after one week, unless parents, after a thorough counseling process, actively ask for continued life support. Despite the emotional challenges, this approach can facilitate ethically balanced decision-making processes in the gray zone.en_US
dc.identifier.citationSyltern J, Ursin LU, Solberg B, Støen R. Postponed Withholding: Balanced Decision-Making at the Margins of Viability. American Journal of Bioethics. 2021en_US
dc.identifier.cristinIDFRIDAID 1912417
dc.identifier.doi10.1080/15265161.2021.1925777
dc.identifier.issn1526-5161
dc.identifier.issn1536-0075
dc.identifier.urihttps://hdl.handle.net/10037/21973
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalAmerican Journal of Bioethics
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titlePostponed Withholding: Balanced Decision-Making at the Margins of Viabilityen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record