@article{3111892, title = "Ethical dimensions of periviability", author = "Skupski, D.W. and Chervenak, F.A. and McCullough, L.B. and Bancalari, E. and Haumont, D. and Simeoni, U. and Saugstad, O. and Donn, S. and Arabin, B. and Greenough, A. and Donzelli, G. and Levene, M. and Sen, C. and Carbonell, X. and Dudenhausen, J.W. and Vladareanu, R. and Antsaklis, A. and Papp, Z. and Aksit, M. and Carrapato, M.", journal = "Journal of Perinatal Medicine", year = "2010", volume = "38", number = "6", pages = "579-583", issn = "0300-5577, 1619-3997", doi = "10.1515/JPM.2010.098", keywords = "article; beneficence; birth weight; cesarean section; decision making; gestational age; health care personnel; human; intrauterine growth retardation; justice; medical ethics; morbidity; patient autonomy; patient care; patient referral; prematurity; priority journal; resuscitation; survival; tertiary health care, Decision Making; Ethics, Medical; Female; Fetal Viability; Humans; Infant, Newborn; Infant, Premature; Pregnancy", abstract = "The birth of neonates at the limits of viability, or periviability, poses numerous challenges to health care providers and to systems of care, and the care of these pregnancies and neonates is fraught with ethical controversies. This statement summarizes the ethical principles involved in the care of periviable pregnancies and neonates, and provides expert clinical opinion about the numerous challenges posed by this problem around the world. Topics addressed include a summary of the published experience, an ethical framework, translating neonatal outcome data to the obstetric arena, management as a trial of intervention, referral to tertiary centers, neonatal resuscitation, cesarean delivery for fetal indication, and limits on life-sustaining neonatal treatment. Copyright © by Walter de Gruyter, Berlin, New York.." }