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首页> 外文期刊>Current pediatric reviews >Decisions About Periviable Babies in Dutch Neonatal Intensive Care Units; Quality-of-Life and Quality-of-Death Concerns
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Decisions About Periviable Babies in Dutch Neonatal Intensive Care Units; Quality-of-Life and Quality-of-Death Concerns

机译：关于荷兰新生儿重症监护病房中易感婴儿的决定;生活质量和死亡质量问题

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摘要

A substantial number of reports and studies in the last 10-15 years have described the physician's attitude towards neonatal EoL decisions and medical practice in the Netherlands. Legal developments have supported the concept that the decision to withholding and withdrawing life-sustaining treatment in newborns can be regarded normal medical practice. Deliberate ending of life, however, is labeled as an extraordinary category of medical actions, both medically and legally, that requires reporting and review as described in the Groningen Protocol. A recent study has indicated that reports have become increasingly rare. This might be because deliberate life-ending has become virtually non-existent, or it might still occur unreported because it's unclear to the physicians where the demarcation between 'good' palliative care and deliberate life-ending lies. The medical profession should and could work together to get this issue cleared up.
机译：在过去的10到15年中，大量的报告和研究描述了荷兰医师对新生儿EoL决策和医疗实践的态度。法律的发展支持了这样的观念，即决定将新生儿停药和撤回维持生命的治疗视为正常的医学实践。但是，故意终止生命被标记为医学行为和法律行为中的一类特殊的医学行为，需要按照格罗宁根议定书中的规定进行报告和审查。最近的一项研究表明，报告变得越来越罕见。这可能是因为故意的终生几乎不存在，或者可能仍未报告，因为医生不清楚“好的”姑息治疗与故意的终生之间的界限在哪里。医学界应该并且可以共同努力解决这个问题。

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