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

The irony of the inquiry into Dr. Halappanavar's death

The Associated Press (via  The Washington Post ) reports that the composition of the panel that is investigating Dr. Savita Halappanavar's death in Ireland has changed: Prime Minister Enda Kenny told lawmakers he hoped the move — barely 24 hours after Ireland unveiled the seven-member panel — would allow the woman’s widower to support the probe into why Savita Halappanavar, a 31-year-old Indian dentist, died Oct. 28 while hospitalized in Galway.   Kenny’s U-turn came hours after her husband, Praveen Halappanavar, said he would refuse to talk to the investigators and would not consent to their viewing his wife’s medical records because three of the Galway hospital’s senior doctors had been appointed as investigators. Kenny said that the three doctors would be replaced by other officials “who have no connection at all with University Hospital Galway. In that sense the investigation will be completely and utterly independent.”   This makes sense. Why conduct an inquiry at all

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