This paper explains that the threatened birth of an extremely preterm or anomalous infant
presents complex medical, social,
and ethical issues for the family and the involved physicians. The author points out that cardiopulmonary resuscitation in the delivery room is a modality that
presents clinicians with significant ethical issues because the decision to not resuscitate is made rapidly and most often without the advice of a bioethics committee. The author suggests the importance of
facilitating change in the care of pregnant women and marginally viable infants resulting in parents developing an understanding of the risks that their newborn faces if delivered and resuscitated. Table of Contents Introduction Media Legal Ethical Economics Facilitating Change