Canarelli Jean-Pierre, Haraux Elodie
Pôle pédiatrie, centre hospitalier universitaire d'Amiens, 80054 Amiens Cedex 1.
Rev Prat. 2010 Jun 20;60(6):827-9.
Since many years age for pregnancy in women is increasing with elderly parents whose possibility to get others child is improbable. Diagnosis of major congenital anomalies during a prenatal test or severe surgical complication in neonate period, sometimes on a premature newborn, will be a very difficult problem for parents to make the good choice. Relationship between parents and paediatric surgeon must be clear with good explanations but the own point of view of the surgeon must not interfere with parents choice when vital prognosis or severe aftereffects are expected. The review of literature show in many papers that age of parents do not have any influence on their choice to continue or not with treatment child's.
多年来,女性的怀孕年龄在增加,而高龄父母生育其他孩子的可能性不大。产前检查时诊断出重大先天性异常或新生儿期出现严重手术并发症,有时是早产儿出现这些情况,这对父母来说将是一个非常难以做出正确选择的问题。父母与小儿外科医生之间的关系必须明确,要有良好的解释,但当预期有生命预后或严重后遗症时,外科医生自己的观点绝不能干扰父母的选择。文献综述表明,许多论文指出父母的年龄对他们是否继续治疗孩子的选择没有任何影响。