Ethical Dilemmas & Palliative Care in Neonatology

The rapid evolution of neonatal and pediatric medicine brings with it complex ethical dilemmas, particularly in cases involving extremely premature or critically ill infants. Decisions surrounding life-sustaining interventions, withdrawal of care, and resource allocation often challenge clinicians, families, and healthcare systems alike. Advances in technology have extended the boundaries of viability, but they also raise profound questions about quality of life and long-term outcomes. Palliative care in neonatology is increasingly recognized as an essential component of compassionate care, focusing on symptom relief, dignity, and support for families navigating difficult decisions. Multidisciplinary teams, including ethicists, neonatologists, nurses, and psychologists, play a crucial role in guiding these sensitive discussions. Clear communication, cultural sensitivity, and respect for family values are central to ethical practice. Training healthcare providers in ethics and palliative approaches ensures that decisions are made with empathy, transparency, and balance. By embracing ethical frameworks and integrating palliative care principles, neonatology is striving to provide not only advanced medical interventions but also humane, family-centered support during the most critical moments of care.

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