Ethical Issues Related to Extreme Prematurity

Abstract

Advances in medical technology have increased treatment modalities for premature infants and have greatly improved their survival and clinical outcomes. However, saving the lives of extremely premature infants has become an ethical dilemma, considering the potential undesirable consequences on the baby and the family as a result of the intensive life-support efforts. The authors draw on 2 case scenarios to illustrate the limitations of advanced medical technology on extremely premature infants who experience significant morbidities and mortality. The ethical discussion concerns the doctrines of the sanctity of life and the quality of life, with emphasis on the best interest of the infant.