Uncategorized December 11, 2022
3) How is sustainability defined? There is no clear line indicating the point at which an extremely premature baby can be considered viable. As the RCOG explains, legal limits to viability vary by country and have also been lowered in recent years “in line with advances in perinatal and neonatal medicine”: ACOG recommends using TMP and updating the due date with other measures such as ultrasound, as women can have irregular cycles and there are differences, how long a fertilized egg is implanted in the uterus (and therefore a pregnancy begins). Lawrence said in a statement, “The fact that federal legislation imposes restrictions on reproductive care based on a non-medical calculation of pregnancy is evidence of what happens when the legislature tries to legislate on women`s health.” The baby may also need help with eating and breathing. Some hospitals may consider this if a baby is born even earlier, despite the greater potential for complications, disability and death. Viability. Viable. A term used to refer to the power that a newborn baby possesses to pursue his or her independent existence. The stage of fetal development, at which the life of the unborn child can continue indefinitely outside the womb through natural or artificial life-sustaining systems. The constitutionality of this legal definition (V.A.M.S. (Mo.),188.015) was published in Planned Parenthood of Central Mo. v.
Danforth, 428 U.S. 52.96 S.Ct 2831, 49 L.Ed.2d 788. According to a Stanford University study of babies born in the most advanced U.S. hospitals between 2013 and 2018, 55 percent of infants survive a premature birth at 23 weeks long enough to be discharged from the hospital, usually months later.  Most of these infants have developed some form of significant neurodevelopmental disorder, such as cerebral palsy.  Most were rehospitalized in the first two years of life for respiratory or other medical problems.  Some used adaptive devices such as walking aids or feeding tubes, but most were able to feed themselves by age 2.  Most had typical eyesight and hearing.  The exact moment when a fetus becomes viable has been debated for decades. ACOG – a leading medical authority on women`s health and reproductive medicine – offers a range between 20 and 25 weeks of pregnancy that describes this period as “life-threatening”.
During this period, there is a high probability of death and almost certain disability for the child, Verma says. The argument often used to justify the 24-week limit is that this is where a fetus becomes “viable”; Therefore, according to the law, he is treated as a baby rather than a fetus. Ninety-nine per cent of all abortions in England and Wales take place at the 20th week of pregnancy. The stage of a pregnancy plays an important role in determining viability. The exact age of viability remains an ethical dilemma, particularly regarding the timing and duration of the intervention, because the earlier a baby is born, the higher the risk of death and morbidity. If your baby was born prematurely or you expect him to be born prematurely, talk to your baby`s doctor at length to be as prepared as possible and get the support you need. Parent support groups are invaluable to you and others. Between 22 and 25 weeks, clinicians are encouraged to base their decisions about resuscitating the baby on the “baby`s condition”, parents` wishes and their own clinical judgment.
At 22-23 weeks, “it should be usual not to resuscitate the baby”; At 24-25 weeks, the “normal practice” should be to provide “comprehensive intensive care and invasive support” unless the baby is very ill. At 23-24 weeks, “it is very difficult to predict the future outcome for a single baby,” and parents` wishes should take priority, unless the doctor deems the treatment unnecessary. These guidelines show how fragile and uncertain viability is in a 22- to 25-week pregnancy and how wrong it is to generalize from individual cases. The increase in survival rates for extremely premature babies is very good news that indicates the progress made in neonatal care. Many parents who spontaneously give birth to a desired pregnancy during these early pregnancies desperately hope that the baby will survive. Fertilization usually occurs about two weeks after the first day of MAID. The idea is that it`s hard to know exactly when you got pregnant, but you know when you started your last period. For this reason, proponents of the law say that the age of 20 weeks, measured by fertilization, is essentially the age measured by LMP of 22 weeks. Sustainability, as U.S. constitutional law has been said since Roe v. Wade, is the possibility for the fetus to survive outside the womb after birth, natural or induced when supported by modern medicine. The viability of the fetus depends largely on the maturity of the fetal organ and environmental conditions.
 According to Webster`s Encyclopedic Unabridged Dictionary of the English Language, the viability of a fetus means having reached a stage of development such that it can live outside the womb under normal conditions. Sustainability depends on biomedical and technological capabilities, which vary across the world. As a result, there is currently no comprehensive, uniform gestational age that defines viability.  A baby`s brain undergoes a lot of growth and development during the last weeks of pregnancy. Therefore, babies who are born very early and survive have a high probability of having some degree of long-term effects. A perishable birth is a birth that occurs near the viability limit – usually defined between the 23rd and 26th week of pregnancy. A birth before 23 weeks is generally considered presentable, meaning there is virtually no chance of survival. The ruthless politicization of improving the survival of extremely premature babies harms women who need abortions in the second trimester of pregnancy. It also hinders the discussion about how we, as a society, can better care for very preterm infants. Talking about how well survival of very premature babies has improved and ignoring the actual statistics and problems these babies are likely to face, parents of extremely premature babies may receive false hope.
Other factors that can affect the survival of premature babies are often ignored. “It`s really because of the abortion debate that we`re so obsessed for weeks when it comes to premature babies, and the shame of this study is that it didn`t go beyond that,” said John Wyatt, professor of ethics and perinatology at University College London. In a commentary on the 2010 study by Swamy et al.: To put it bluntly: Where a baby was born in grade 23. A baby born in the same pregnancy in rural India would not be viable. And for babies born on the verge of being viable, even in hospitals with the best facilities and neonatologists, the odds are not good.