According to several recent surveys, around 50% of the deaths occurring now
adays in French neonatal intensive care units result from a medical decisio
n. This has led French neonatologists to set up guidelines for end-of-life
decisions and practice in the perinatal period, which are presented in this
paper. It covers definitions, clinical situations, ethical principles. obl
igations of the medical and nursing staff and specific conditions where dil
emmas occur. (C) 2001 Editions scientifiques et medicales Elsevier SAS.