Hastings Center Report 45 (6):13-14 (2015)

Abstract
Deborah is a thirty-three-year-old who presented to labor and delivery at thirty-seven weeks gestation with complaints of contractions. Upon arrival, she explained that her fetus, Nathan, had been diagnosed with a “lethal” condition by her primary obstetrician. At twenty-two weeks gestation, an amniocentesis confirmed trisomy 13, a chromosomal abnormality leading to miscarriage or stillbirth in nearly one-half of affected pregnancies. During the admission process, Deborah voices the worry that due to Nathan's brain and heart structure, vaginal delivery could be traumatic and cause him to suffer. Deborah wishes for him to have as painless and as dignified a death as possible; cesarean section, she feels, will achieve this. Yet with her history of three prior vaginal deliveries, normally progressing labor, and poor fetal prognosis that is unlikely to improve with cesarean delivery, there is no maternal or fetal indication for a cesarean section. Should the obstetrician proceed with a cesarean delivery despite knowing that it would expose the mother to surgical risks with little or no corresponding fetal or neonatal benefit?
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1002/hast.513
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 69,066
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Monterrey, C-Section Capital of Mexico: Examining the Ethical Dimensions.Martha Sañudo & Inmaculada de Melo-Martín - 2009 - International Journal of Feminist Approaches to Bioethics 2 (1):148-164.
Maternal–Fetal Conflicts: Cesarean Delivery on Maternal Request.Ruth Landau & Steve Yentis - 2010 - In G. A. van Norman, S. Jackson, S. H. Rosenbaum & S. K. Palmer (eds.), Clinical Ethics in Anesthesiology. Cambridge University Press. pp. 49.
Autonomy in Maternal Accounts of Birth After Cesarean.Elizabeth Soliday - 2012 - Techné: Research in Philosophy and Technology 16 (1):62-70.
Hooked Up.Tanya N. Cook - 2012 - Techné: Research in Philosophy and Technology 16 (1):45-61.

Analytics

Added to PP index
2015-11-10

Total views
16 ( #662,517 of 2,498,778 )

Recent downloads (6 months)
1 ( #422,193 of 2,498,778 )

How can I increase my downloads?

Downloads

My notes