Skip to main content

Ethical issues in the neonatal unit

  • Chapter
Neonatal Nursing
  • 209 Accesses

Abstract

The field of neonatology is full of paradoxes. The delight and awe of new life are juxtaposed against disease, malformation, pain and premature death. Yet premature babies are born, some alive and some with such a tenuous hold on life that only a mother could dare hope that the child would survive.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Ackerman, T.F. (1992) Innovative lifesaving treatments: do children have a moral right to receive them? in Contemporary Issues in Paediatric Ethics (ed M.M. Burgess), Edwin Mallen Press, Lewisten, Chapter 3.

    Google Scholar 

  • Allmark, P. (1992) The ethical enterprise of nursing. Journal of Advanced Nursing 17, 16–20.

    Article  PubMed  CAS  Google Scholar 

  • Bailey, C.F. (1986) Withholding or withdrawing treatment on handicapped newborns. Paediatric Nursing 12 (6), 413–6.

    CAS  Google Scholar 

  • Berseth, C.L., Kenny, J.D. and Durand, R. (1984) Newborn ethical dilemmas: intensive care and intermediate care nursing attitudes. Critical Care Medicine 12, (6), 508.

    Article  PubMed  CAS  Google Scholar 

  • Cameron, N. (1991) The margins of the human race, in The New Medicine, The Revolution in Technology and Ethics, Hodder and Stoughton, London, pp. 92–108.

    Google Scholar 

  • Campbell, A.G.M. (1992) Neonatal intensive care: where and how do we draw the line? in Philosophy and Health Care (eds E. Matthews and M. Menlowe), Avebury, Aldershot, pp. 155–75.

    Google Scholar 

  • Campbell, A., Gillett, G. and Jones, G. (1992) Neonatal and childhood issues, in Practical Medical Ethics, OUP, Oxford, pp. 69–80.

    Google Scholar 

  • Clarke, J.B. and Wheeler, S. J.(1992) A view of the phenomenon of caring in nursing practice. Journal of Advanced Nursing 17, 1283–90.

    Article  PubMed  CAS  Google Scholar 

  • Cooper, A. and Harpin, V. (1991) (eds) This is our Child, OUP, Oxford. cummings, e.e. (1960) Selected Poems1923–1958, Faber and Faber, London.

    Google Scholar 

  • Darbyshire, P. (1989) Ethical issues in the care of the profoundly multiply handicapped child, in Ethics in Paediatric Nursing, (ed. G. M. BrykczyƄska), Chapman and Hall, London pp. 100–18.

    Chapter  Google Scholar 

  • Drane, J.F. (1984) The defective child: ethical guidelines for painful dilemmas. Journal of Obstetrics, Gynaecology and Neonatal Nursing, 13, (1), 42–8.

    Article  CAS  Google Scholar 

  • Duff, R.S. and Campbell, A.G.M. (1973) Moral and ethical dilemmas in the special care nursery. New England Journal of Medicine 289 (7), 890–1.

    Article  PubMed  CAS  Google Scholar 

  • Dunn, P.M. (1985) Age of foetal viability. Maternal and Child Health, 10, (4), 102, 104.

    Google Scholar 

  • Elsea, S.B. (1985) Ethics in maternal-child nursing. Maternal and Child Nursing 10, 303–4, 308.

    Article  CAS  Google Scholar 

  • Engelhardt, H.T. (1977) Some persons are humans, some humans are persons and the world is what we persons make of it, in Philosophical Medical Ethics: its Nature and Significance, (eds. S.F. Spicker and H.T. Engelhardt), D. Reidel Publishing Company, Dordrecht, Holland, pp. 183–94.

    Chapter  Google Scholar 

  • Fost, N. (1982) Putting Hospitals on Notice. The Hastings Centre Report Aug, pp. 5–8.

    Google Scholar 

  • Fry, S. T.(1990) Brave new world: removing body parts from infants . Nursing Outlook 38, (3), 152.

    PubMed  CAS  Google Scholar 

  • Goldenring, J.M. (1985) The brain life theory: towards a consistent biological definition of humanness. Journal of Medical Ethics 11, 198–209.

    Article  PubMed  CAS  Google Scholar 

  • Hack, M. and Fanaroff, A. A.(1989) Outcomes of extremely low birth weight infants between 1982–1988. New England Journal of Medicine 321, 1642–7.

    Article  PubMed  CAS  Google Scholar 

  • Hewitt, J. (1990) The sibling response to hospitalisation. Paediatric Nursing 2, (10), 12–3.

    Google Scholar 

  • Iglesias, T. (1986) What kind of being is the human embryo? Ethics and Medicine 2 (1), 2–7.

    Google Scholar 

  • IME (1988) Foetal brain tissue transplants in Parkinson’s. IME Bulletin, 37, pp. 12–14.

    Google Scholar 

  • Johnstone, M. J.(1988) Law, professional ethics and the problem of conflict with personal values. International Journal of Nursing Studies 25 (2), 147–57.

    Article  PubMed  CAS  Google Scholar 

  • Jonsen, A. (1981) Justice and the defective newborn, in Justiceand Health Care (ed E.E. Shelp), D. Reidel Publishing Co., Dordrecht, pp. 95–107.

    Chapter  Google Scholar 

  • Klaus, M. and Kennell, J.H. (1970) Mothers separated from their newborn infants. Paediatric Clinics of North America 13, 1015–37.

    Google Scholar 

  • Kohner, M. (1992) A Dignified Ending, SANDS, London.

    Google Scholar 

  • Kuhse, H. (1985) Interests. Journal of Medical Ethics11, 146–9.

    Article  PubMed  CAS  Google Scholar 

  • Kuhse, H. and Singer, P. (1989) The quality/quantity of life distinction and its moral importance for nurses. International Journal of Nursing Studies 26 (3), 203–17.

    Article  PubMed  CAS  Google Scholar 

  • Kushner, T. and Belloitti, R. (1985) Baby Fae, a beastly business. Journal of Medical Ethics 11, 178–83.

    Article  PubMed  CAS  Google Scholar 

  • Lamb, D. (1992) Organ transplants and anacephalic infants, in Philosophy and Health Care, (eds E. Matthews and M. Menlowe), Avebury, Aldershot, pp. 124–34.

    Google Scholar 

  • LappĂ©, M. (1981) Justice and prenatal life, in Justice and Health Care (ed E. Shelp), D. Reidel Publishing Co., Dordrecht, pp. 83–94.

    Chapter  Google Scholar 

  • Lorber, J. (1971) Results of treatment of myelomeningocele. Developmental Medical Child Neurology 13, 279–303.

    Article  CAS  Google Scholar 

  • Ludman, J. (1992) Emotional development after major neonatal surgery. Paediatric Nursing 4 (4), 20–2.

    Google Scholar 

  • Lyall, J. (1989) A human reaction. Nursing Times 85, (38), 19.

    PubMed  CAS  Google Scholar 

  • Matthews, E. (1992) The ethics of rationing, in Philosophy and Health Care, (eds E. Matthews and M. Melowe), Avebury, Aldershot, pp. 28–43.

    Google Scholar 

  • Mehren, E. (1992) Born too soon. Readers Digest 140, (841), 149–84.

    Google Scholar 

  • Nelson, J.L. (1988) Animals, handicapped children and the tragedy of marginal cases. Journal of Medical Ethics 14, 191–3.

    Article  PubMed  CAS  Google Scholar 

  • Pettit, J. (1992) Establishing successful breast feeding in special care. Paediatric Nursing 4, (7), 24–5.

    Google Scholar 

  • Polkinghorne, J. (1989) Review of the Guidance on the Research use of Foetuses and Foetal Material, HMSO, London.

    Google Scholar 

  • Salk, L., Lipsitt, L.P., Sturner, W.G., et al. (1988) Relationship of maternal and perinatal conditions to eventual adolescent suicide. Lancet 98, 624–7.

    Google Scholar 

  • Savage, T.A., Cullen, D.L., Kirchhoff, K.T. et al. (1987) Nurses’ response to do not resuscitate orders in the neonatal intensive care unit. Nursing Research 36, (6), 307–73.

    Article  Google Scholar 

  • Shea, M.C. (1985) Ensoulment and IVF embryos. Journal of Medical Ethics 13, (2), 95–7.

    Article  Google Scholar 

  • Singer, P. (1992) Embryo experimentation and the moral status of the embyro, in Philosophy and Health Care, (eds E. Matthews and M. Menlowe), Avebury, Aldershot, pp. 81–91.

    Google Scholar 

  • Spinks, P. and Bowering, P. (1990) Staff support. Paediatric Nursing 2, (2), 19–20.

    Google Scholar 

  • Tindall, C. (1992) Public attitudes and the treatment of neomorts, in Philosophy and Health Care (eds E. Matthews and M. Menlowe), Avebury, Aldershot, pp. 135–45.

    Google Scholar 

  • Tooley, M. (1983) The relevance of the moral status of the fetus; Persons and human beings; The Concept of Person, in Abortion and Infanticide, Oxford University Press, Oxford, Chapters 3, 4 and 5, pp. 40–105.

    Google Scholar 

  • Trammell, R.L. (1975) Saving life and taking life. Journal of Philosophy 72, 131–7.

    Article  Google Scholar 

  • Van Maanen, M. (1990) Nursing in transition: an analysis of the state of the art in relation to the conditions of practice and society’s expectations. Journal of Advanced Nursing 15, 914–24.

    Article  PubMed  Google Scholar 

  • Warnock, M. (1992) The good of the child, in The Uses of Philosophy, Blackwell, Oxford, Chapter 5.

    Google Scholar 

  • Whyte, D. (1989) Ethics in neonatal nursing, in Ethics in Paediatric Nursing (ed. G.M. BrykczyƄska), Chapman and Hall, London, pp. 23–41.

    Chapter  Google Scholar 

  • Yu, V.Y.M., Loke, H.L., Bajok, B. et al. (1986) Prognosis for infants born at 23–28 weeks’ gestation. British Medical Journal 293, 1200–3.

    Article  PubMed  CAS  Google Scholar 

  • Zachary, R.B. (1968) Ethical and social aspects of treatment of spina bifida. Lancet 2, 274–6.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

BrykczyƄska, G. (1994). Ethical issues in the neonatal unit. In: Crawford, D., Morris, M. (eds) Neonatal Nursing. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3101-6_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-3101-6_17

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-48730-9

  • Online ISBN: 978-1-4899-3101-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics