母と子の医療から学ぶあたたかい心(最終講義)

概要

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Our center was established under the concept that the perinatal period is in fact a time when mothers and infants face one of the greatest hardships in life, but is also a time when a life-long bond between the mother andchild is established. Our first neonates were extremely low birth weight (ELBW) twins born on the openingday of our center, and medical care for ELBW infants which requires good team work among specialists became the mainstream of our medical practice. The survival rate of ELBW infants at the Center has become one of the highest in the world and has been recognized in Avery's Neonatdgy (6th edition), one of the most prestigious neonatology textbooks in English. In spite of this achievement, we have had to deal with infants with poor prognosis such as congenital anomalies, severe birth asphyxia and others abnormalities. Treatment of such infants needs to be discussed not only from medical but also ethical aspects. In this presentation, I will talk about a case of 18 trisomy to demonstrate our approach in medical and socio-economical care from bioethical viewpoints. Behind such bioethical considerations, we believe that it is essential to have "warm-heartedness" and compassion to understand the pain and sorrow of the patient and family.