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Neonatal Bioethics

The Moral Challenges of Medical Innovation

John D. Lantos, William L. Meadow (Autoren)

Buch | Softcover

192 Seiten

2008
Johns Hopkins University Press (Verlag)
978-0-8018-9089-5 (ISBN)

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Neonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights.
The second era, beginning with the Baby Doe case (a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life "futile"), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of "futility" and of "inhumane" treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges yet to be faced, the authors present neonatal bioethics as a paradigm of complex conversation among physicians, philosophers, policy makers, judges, and legislators which has led to responsible societal oversight of a controversial medical innovation.

John D. Lantos, M.D., is a professor of pediatrics at the University of Chicago and holds the John B. Francis Chair in Bioethics at the Center for Practical Bioethics in Kansas City. He is the author of The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care (Johns Hopkins University Press, 2001). William L. Meadow, M.D., Ph.D., is a board-certified neonatologist with twenty-five years of experience in neonatal intensive care and a professor of pediatrics and medicine and co-chief of neonatology at the University of Chicago.

Acknowledgments
1. Overview and Introduction
2. Some Facts about Infant Mortality and Neonatal Care
3. The Era of Innovation and Individualism, 1965–1982
4. The Era of Exposed Ignorance, 1982–1992
5. The End of Medical Progress, 1992 to the Present
6. Economics of the NICU
7. Four Discarded Moral Choices
8. The Possibility of Moral Progress
Notes
Index

Erscheint lt. Verlag	10.12.2008
Reihe/Serie	Bioethics
Zusatzinfo	9 Illustrations, black and white; 9 Line drawings, black and white
Verlagsort	Baltimore, MD
Sprache	englisch
Maße	152 x 229 mm
Gewicht	249 g
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Medizinethik
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Pädiatrie
	Studium ► Querschnittsbereiche ► Geschichte / Ethik der Medizin
ISBN-10	0-8018-9089-6 / 0801890896
ISBN-13	978-0-8018-9089-5 / 9780801890895
Zustand	Neuware