Of the 200,000 children born in the Netherlands every year,about 1000 die during the first year of life. For approximately600 of these infants, death is preceded by a medical decisionregarding the end of life. Discussions about the initiationand continuation of treatment in newborns with serious medicalconditions are one of the most difficult aspects of pediatricpractice. Although technological developments have providedtools for dealing with many consequences of congenital anomaliesand premature birth, decisions regarding when to start and whento withhold treatment in individual cases remain very difficultto make. Even more difficult are . . . [Full Text of this Article]
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Dr. Verhagen is the clinical director and Dr. Sauer the chairman of the pediatrics department at University Medical Center Groningen, Groningen, the Netherlands. Dr. Verhagen is also an attorney.
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