Neonatal euthanasia in the context of palliative and EoL care

被引:2
|
作者
Verhagen, A. A. Eduard [1 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Pediat, POB 30-001, NL-9700 RB Groningen, Netherlands
关键词
NICU; End -of -life care; Neonatal euthanasia; Palliative care; Ethics; Decision-making; OF-LIFE DECISIONS; SELF-REPORTED PRACTICES; GRONINGEN PROTOCOL; SLIPPERY SLOPE; INTENSIVE-CARE; END; ATTITUDES; NEWBORNS; DEATH;
D O I
10.1016/j.siny.2023.101439
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Neonatal deaths can be categorized in 5 modes along the dimension of intervention and physiology. This classification can be helpful to analyze the choices that can be made in end-of-life care in the NICU. In the Netherlands, neonatal euthanasia became an optional 6th mode of death since publication and legalization of the Groningen Protocol. This paper summarizes the history, legal status and ethical justification of the Groningen Protocol, and describes end-of-life practice in the subsequent years. Since the implementation of the Groningen Protocol, the practice of neonatal euthanasia has almost disappeared. Simultaneously, there has been spectacular growth in neonatal palliative care programs in the Netherlands. Is there still a need for this last-resort option?
引用
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页数:4
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