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27th March 2006

Prem babies accused of hospital bed blocking

The Royal College of Obstetrics and Gynaecology (RCOG) have said that very premature babies who need months of expensive care are blocking beds that could be used by healthier babies.

In a report to the Nuffield Council on Bioethics the College said that the high demand from premature births means that some expectant mothers with potentially healthier babies are forced into other hospitals at a late stage.

The report also said, "One of the problems of the "success" of neo-natal intensive care is that the practitioners are always pushing the boundaries.

"There has been a constant need to expand numbers of cots to cover the increasing tendency to try and rescue babies at lower and lower gestations."

Premature baby campaigners and mothers attacked the language used as "insensitive" and "a disgrace".

However, the RCOG statement reflects growing opinion among doctors and specialists towards the withholding of treatment from babies born under 25 weeks.

Baroness Warnock, the leading medical ethics expert, has said that Britain should follow the example of Holland, the only European country that says such babies should die.

She believes that it would prevent doctors from competing to keep alive babies that may not survive in the long-term.

A spokesman for the RCOG said yesterday, "There is a proper professional concern around the death and handicap rate in babies born under 25 weeks."

The UK has the highest rate of low birthweight babies in western Europe and a neo-natal intensive care bed costs about £1,000 a day.

Very premature babies can require round-the-clock help for many months but aspokesman for Bliss, the premature baby charity said, "The care of premature babies is already an area that is under-resourced and overstretched, and it is not helpful to suggest that their worth can be calculated in terms of money."

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