The birth of neonates at the limits of viability, or periviability, poses numerous challenges to health care providers and to systems of care, and the care of these pregnancies and neonates is fraught with ethical controversies. This statement summarizes the ethical principles involved in the care of periviable pregnancies and neonates, and provides expert clinical opinion about the numerous challenges posed by this problem around the world. Topics addressed include a summary of the published experience, an ethical framework, translating neonatal outcome data to the obstetric arena, management as a trial of intervention, referral to tertiary centers, neonatal resuscitation, cesarean delivery for fetal indication, and limits on life-sustaining neonatal treatment.

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LANGUAGE NOTE | Document text in Chinese有一種正統說法已然形成，它聲稱美國保健系統有危機，需要加以改革。本文挑戰這種正統說法，其方法是指出美國並沒有保健系統。我們有一個保健的非系統（a non-system of health care），正如同實質上我們所有基本的社會制度那樣。挑戰當前的正統說法，使一直都受忽略的兩個倫理議題浮出檯面：創造一個保健系統會（1）使家長主義再次檯頭並（2）威脅到道德多元論。DOWNLOAD HISTORY | This article has been downloaded 12 times in Digital Commons before migrating into this platform.