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. 2005 Feb;10(2):87-94.

Discuter de la prématurité : une conduite éthique possible

[Article in French]
Thierry Daboval  1
Affiliations

Discuter de la prématurité : une conduite éthique possible

[Article in French]
Thierry Daboval. Paediatr Child Health. 2005 Feb.

Abstract
in English, French

The ethical context of prematurity is a special one. Today, patient care involves many players. In addition, parents are better informed and demand that their opinions be considered in the therapeutic options available to their prematurely born infant. Such a situation brings into play a number of ethical principles, including the central notion of the child's best interest. In the case of a premature infant whose viability is borderline, more importance should be placed on discovering how to achieve consensus among the parties concerned than deciding who should make the decisions. The present article proposes a description of the steps that might lead to a consensus decision.

Le contexte éthique de la prématurité est particulier. Aujourd’hui, plusieurs intervenants s’engagent dans les soins des patients. De plus, les parents sont de mieux en mieux informés et demandent que l’on tienne compte de leurs opinions dans le choix thérapeutique offert à leur enfant prématuré naissant. Dans une telle situation, plusieurs principes éthiques entrent en jeu, dont la notion centrale de l’intérêt primordial de l’enfant. Il devrait être plus important de découvrir comment arriver à prendre une décision consensuelle entre les différents intervenants que de décider qui doit prendre la décision dans le contexte de la naissance à la limite de la viabilité. Cet article propose une description des étapes pouvant permettre une décision consensuelle.

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References

RÉFÉRENCES

    1. Harrisson H. The principles for family-centered neonatal care. Pediatrics. 1993;92:643–50. - PubMed
    1. Kymlicka W. Comtempory Political Philosophy: An Introduction. Oxford; Oxford University Press; 1997. p. 321.

    1. Société canadienne de pédiatrie, Comité d’étude du foetus et du nouveau-né, la Société des obstétriciens et gynécologues du Canada, Comité de médecine foeto-maternelle. Démarche thérapeutique auprès de la mère qui risque d’accoucher d’un bébé très prématuré. <www.cps.ca/francais/enonces/FN/fn94-01.htm> (version à jour le 26 janvier 2005).

    1. Doyle LW Victorian Infant Collaborative Study Group. Outcome at 5 years of age of children 23 to 27 weeks’ gestation: Refining the prognosis. Pediatrics. 2001;108:134–41. - PubMed
    1. Donohue PK. Health-related quality of life of preterm children and their caregivers. Ment Retard Dev Disabil Res Rev. 2002;8:293–7. - PubMed
LECTURES RECOMMANDÉES
    1. American Academy of Pediatrics, Committee on Fetus and Newborn. American College of Obstetricians and Gynecologists, Committee on Obstetric Practice. Perinatal care at the threshold of viability. Pediatrics. 1995;96:974–6. - PubMed
    1. Hack M, Friedman H, Fanaroff AA. Outcomes of extremely low birth weight infants. Pediatrics. 1996;98:931–7. - PubMed
    1. O’Shea TM, Preisser JS, Klinepeter KL, Dillard RG. Trends in mortality and cerebral palsy in a geographically based cohort of very low birth weight neonates born between 1982 to 1994. Pediatrics. 1998;101:642–7. - PubMed
    1. Grunau RE, Whitfield MF, Davis C. Pattern of learning disabilites in children with extremely low birth weight and broadly average intelligence. Arch Pediatr Adolesc Med. 2002;156:615–20. - PubMed
    1. Saigal S, Szatmari P, Rosenbaum P, Campbell D, King S. Cognitive abilities and school performance of extremely low birth weight children and matched term control children at age 8 years: A regional study. J Pediatr. 1991;118:751–60. - PubMed

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