Ethical Decisions in Pregnancy
Decision-making for pregnant women or fetuses who suffer brain injury is emotionally difficult and conceptually challenging. When both the pregnant woman and the fetus have suffered an injury with a poor neurological prognosis, and decisions about one of them will have implications for the other—decision-making is even more difficult. Decision-making standards and principles are reviewed for both pregnant women and for fetuses, using a real case from the author’s institution. Practical suggestions are made regarding deliberative processes and consultative models that can help with these difficult cases.
KeywordsEthics Brain injury End-of-life decisions Pregnancy Life-sustaining therapy
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