Advocating for the best interests of critically ill newborn infants

Abstract

This bioethics article deals with the conflict and difficulty in quality of life judgements. The importance and roles of the various stakeholders in determining the management of critically ill infants are described. This is an in-depth insider perspective of one of the most difficult medical decision making processes when dealing with infants with poor prognoses. The complex treatment options often fraught with ethical dilemmas and conflict are discussed from the viewpoints of patient, family, and physician. The role of the ethics committee and legislation in the decision making process is discussed.