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allied
academies
August 16-17, 2018 | Paris, France
Primary Healthcare
12
th
International Conference on
International Conference and Medicare Expo on
&
Pediatrics Health Care
Joint Event
Journal of Current Pediatric Research | Volume: 22
Ethical considerations in NLS and limits of viability
Jellila Khatib Ait Abderrahim
and
Antonio Pardo
Universidad de Navarra, Spain
Aim:
To evaluate the limit of fetal viability by exploring the
ethical considerations in neonatal resuscitation (Neonatal Life
Support NLS)
Method:
Initial Synthesis of ethical concepts as applied to
neonatology. Followed by a systematic review of peer-reviewed
journals and/ or standard guidelines. Several European/N.
American Countries were reviewed as case studies: England
(UK), France, Belgium, Spain, Italy, United States and Canada.
Results:
Taking into account all ethical consideration the general
consensus is that the limit of viability are between 23-24 weeks
gestation. The results are shown in a table format to give an
overview of practices in the various countries studied.
Conclusion:
We concluded that the most important ethical
considerations are informed consent, overtreatment concerns
(whether it is adequate to start and stop NLS). As well as ethical
implications of limit of viability. Others concerns discovered
are quality of life, economic considerations, therapeutic futility
and physical suffering. In addition were able to set the limit of
viability at 23-24 weeks. Recent research have found the birth
weight and maturity in determining lower the limits of viability
to 22 weeks in some instance, namely in Canada and the US.
Speaker Biography
Jellila Khatib Ait Abderrahim was born in Palma de Mallorca-Isles Balears-Spain
to Algerian (kabyl) parents. Her family is based in Madrid, Spain. She studied her
undergraduate degree between Madrid and San Francisco, where she gained
admission to the pre-medical at the University of San Francisco. Here it was her goal
to work in pediatrics. While studying for her BS in Biology, her interest were in healthy
policy and neuroscience. After working several years in the UK, she achieved her
MS. Bioethics and a tesina on Ethical Considerations in NLS & Limits of Viability. Her
postgraduate work is on Hospital Systems and focuses on finding ways innovative to
improve healthcare, notably in child health services.
e:
jkhatib@alumni.unav.esNotes:
Jellila Khatib Ait Abderrahim et al.
, Pediatrics & Primary HealthCare 2018, Volume 22
DOI: 10.4066/0971-9032-C1-002