Skip to main content

The decision to let a premature baby live

The New York Times published a thoughtful op-ed by doctor who works with severely premature babies. She raises the tricky ethical question of whether and when parents and their doctor should fight to save a severely premature baby. The column is an antidote, to an extent, to the simple "always save every baby, no matter what" thinking about children who are born severely premature (those hovering right at the edges of fetal viability).

The author, Dr. April R. Dworetz, suggests that doctors need to do a better job helping parents understand the consequences of engaging in heroic measures to perpetuate the life of some children. She also suggests, in some cases, a bit more:
Sometimes, I think we doctors need to do more than inform. On occasion, I’ve offered to make a life-or-death decision for parents. If they agree, they are essentially making the decision, but are shifting the burden to me. It’s harder for parents to say, “I unplugged my baby,” than to let the doctor do it.
Links:

Op-ed in The New York Times (August 4, 2013): End of Life, at Birth

Comments

Popular posts from this blog

Medically necessary abortions: The battle of the experts

Apparently, Representative Joe Walsh is not entirely alone! The assertion that an abortion is never medically necessary has been floating around in the pro-life universe for at least a little while. We are now witnessing a battle of the experts. One the one side is Joe Walsh and friends. Walsh himself released a pdf document with quotations from several doctors-- including some historically prominent pro-choice doctors, like Alan Guttmacher-- making the 'never medically necessary' claim seem quite reasonable. Also on Walsh's side are several doctors  who particpated in a recent "International Symposium on Maternal Health" in Dublin. Ireland, despite a European Court of Human Rights ruling in 1992 , has a total ban on abortion. Irish pro-lifers want the country's politicians to resist pressure to implement even a life exception, so the question of medical necessity is directly relevant there. The "Dublin Declaration," released after the S...

A Catholic EU health commissioner

The European Union Parliament approved a controversial choice for their top health official: The European Parliament backed a devout Catholic as EU health commissioner on Wednesday, brushing off critics who fear the Maltese politician could row back on EU policies on stem cell research, abortion and gay rights. Greens, Liberals and Socialists in the European Parliament had said they would vote against Tonio Borg, a former foreign and justice minister in Malta, saying his beliefs could influence EU policy. As commissioner, Borg's remit would include access to healthcare and contraception and the control of sexually transmitted diseases. Borg, who was in Malta on the day of the vote according to an EU Commission official, told EU lawmakers before the vote that his personal views wou...

Four ways the presidential election could change reproductive politics

Setting aside all of the claims and counterclaims of the candidates and all related white noise, there are four concrete ways that the 2012 presidential election could cause policy changes on abortion, contraception, and family planning. If Barack Obama is reelected, little will change. If Mitt Romney is elected, I predict the following: The contraceptive mandate, issued by the Department of Health and Human Services, would be withdrawn.  Barriers to defunding Planned Parenthood could be removed. As it is now, federal courts are stopping the complete defunding of the organization (i.e., withdrawing all federal funding) due to their interpretation of federal legislative language. With Romney as president, that language could be modified (assuming the changes could get past a Democratic Senate). The composition of the federal judiciary, particularly the United States Supreme Court, would be modified through appointments. If, say, Stephen Breyer or Ruth Bader Goldberg retired, ...