Abstract

There is some evidence that the withdrawal or non-provision of life-sustaining medical treatment takes place in neonates who have severe physical impairments but no brain injury. Clinicians dealing with these cases have to work within the existing broad legal and ethical frameworks. There is very little help in the form of clinical guidelines that specifically address the issues of primary physical impairment and suffering. These issues, by their nature, are complex and require the clinician to determine the infant's best interests, by accurately assessing the prognosis and likely quality of life. This involves consultation with parents and other members of the healthcare team.

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