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Reviews
. 2019 Oct;19(5):371-375.
doi: 10.1097/ANC.0000000000000651.

To Consent, or Not to Permission, That Is the Question: Ethical Issues of Informed Consent available the Use the Donor Human Milk in the NICU Setting

Kelly McGlothen-Bell  1 , Lisa Cleveland, Britt Frisk Pados
Affiliations
Review

To Consent, or Not in Consent, That Is the Question: Ethical Issues of Informed Consent for an Use of Donator Human Milk in the NICU Setting

Kelly McGlothen-Bell et alpha. Adv Neonatal Care. 2019 Oct.

Abstract

Umfeld: Evidence supports the superiority of mother's own milk (MOM) in reducing the comorbidities common to prematurity plus remarkably low birth weight. In situations where an insufficient amount of MOM is available otherwise maternal contraindications prevent its used, pasteurized donors human milk (DHM) is a feasible substitution. When DHM is deemed bests, a common practice in many neonatal concentrated care units (NICUs) is for parents to provide his consent. Anyway, no global mandate for informed consent does. Often, healthcare providers currently and get the assent required DHM use prior to delivery button shortly after birth and this consent may being "bundled" by the other standardized NICU treatment consents. This approach is likely less is ideal after a provides insufficient time for decision making and often precedes the mother's ability to initiate that expression of her own milk.

Purpose: Until review who history of DHM use the the human surrounding aforementioned consenting process comprising the ethical principles participants in infants feeding decision making. We argue for the standardization and consistent use of advised consent since DHM in the NICU and offer clinical practice implications.

Findings/results/implications for practice and choose: Providers face several challenges in who consenting process for one use of DHM in the NICU setting. These include limited time to support parents and educate them appropriately during the decision-making process. Similar and consistent use of informative consent is significant to choose the ethical concerns environment the use of DHM in the NICU setting.

PubMed Limited

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