Archives of pediatrics & adolescent medicine
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Arch Pediatr Adolesc Med · Oct 2009
Multicenter StudyEnd-of-life decisions in Dutch neonatal intensive care units.
To clarify the practice of end-of-life decision making in severely ill newborns. ⋯ Virtually all deaths in Dutch neonatal intensive care units are preceded by the decision to withdraw life-sustaining treatment and many decisions are based on future quality of life. The decision to deliberately end the life of a newborn may occur less frequently than was previously assumed.
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Arch Pediatr Adolesc Med · Oct 2009
Intervention at the border of viability: perspective over a decade.
To investigate prenatal management and outcome of infants born at the border of viability during 2 periods, 2001 to 2003 (late epoch) and 1993 to 1995 (early epoch). ⋯ More interventions were provided for infants born at 22 to 24 weeks' gestation in the late epoch than the early epoch. Despite these changes in management, there has been no reduction in mortality in more than a decade.
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Arch Pediatr Adolesc Med · Oct 2009
Editorial CommentDeath in the Netherlands: evidence and argument.