Navigating the post-Dobbs landscape: ethical considerations from a perinatal perspective

被引：1
|
作者：
Pyle, Alaina [1 ,2 ]
Adams, Shannon Y. [3 ,4 ]
Cortezzo, DonnaMaria E. [5 ,6 ,7 ,8 ]
Fry, Jessica T. [3 ,9 ,10 ]
Henner, Natalia [3 ,9 ,10 ]
Laventhal, Naomi [11 ]
Lin, Matthew [12 ]
Sullivan, Kevin [13 ,14 ]
Wraight, C. Lydia [15 ]
机构：
[1] Connecticut Childrens Med Ctr, Dept Pediat, Div Neonatol, Hartford, CT 06106 USA
[2] Univ Connecticut, Sch Med, Farmington, CT 06269 USA
[3] Northwestern Univ, Feinberg Sch Med, Dept Pediat, Chicago, IL USA
[4] Ann & Robert H Lurie Childrens Hosp Chicago, Dept Pediat, Chicago, IL USA
[5] Cincinnati Childrens Hosp Med Ctr, Div Neonatal & Pulm Biol, Cincinnati, OH USA
[6] Cincinnati Childrens Hosp Med Ctr, Div Pain & Palliat Med, Cincinnati, OH USA
[7] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA
[8] Univ Cincinnati, Coll Med, Dept Anesthesiol, Cincinnati, OH USA
[9] Ann & Robert H Lurie Childrens Hosp Chicago, Div Neonatol, Chicago, IL USA
[10] Ann & Robert H Lurie Childrens Hosp Chicago, Div Palliat Care, Chicago, IL USA
[11] Univ Michigan, Dept Pediat, Med Sch, Michigan Med, Ann Arbor, MI USA
[12] Childrens Natl Med Ctr, Dept Pediat, Pediat Palliat Care Team, Washington, DC USA
[13] Nemours Childrens Hosp Delaware, Div Neonatol, Wilmington, DE USA
[14] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Dept Pediat, Philadelphia, PA USA
[15] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA
来源：
JOURNAL OF PERINATOLOGY | 2024年 / 44卷 / 05期
关键词：
DECISION-MAKING; INTENSIVE-CARE; UNITED-STATES; BORDERLINE VIABILITY; MORAL DISTRESS; INFANTS; TRISOMY-13; RESUSCITATION; CONTROVERSIES; MANAGEMENT;
D O I：
10.1038/s41372-024-01884-9
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Restrictive abortion laws have impacts reaching far beyond the immediate sphere of reproductive health, with cascading effects on clinical and ethical aspects of neonatal care, as well as perinatal palliative care. These laws have the potential to alter how families and clinicians navigate prenatal and postnatal medical decisions after a complex fetal diagnosis is made. We present a hypothetical case to explore the nexus of abortion care and perinatal care of fetuses and infants with life-limiting conditions. We will highlight the potential impacts of limited abortion access on families anticipating the birth of these infants. We will also examine the legally and morally fraught gray zone of gestational viability where both abortion and resuscitation of live-born infants can potentially occur, per parental discretion. These scenarios are inexorably impacted by the rapidly changing legal landscape in the U.S., and highlight difficult ethical dilemmas which clinicians may increasingly need to navigate.
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页码：628 / 634
页数：7
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