Ethics and Medico-legal implications in delivery room emergencies.

Document Type

Article

Publication Date

12-2019

Identifier

DOI: 10.1016/j.siny.2019.101029

Abstract

There is very little law-either case law or statutory law - that regulates delivery room decisions about resuscitation of critically ill newborns. Most of the case law that exists is decades old. Thus, physicians cannot look to the law for much guidance about what is permissible or prohibited. Local hospital policies and professional society statements provide some guidance, but they cannot be all-inclusive and encompass all potentially encountered scenarios. Ultimately, the physician, the medical team, and the parents must try to reach a shared decision about the best course of action for each individual infant and each unique family. In this paper, we review some of the case law that may be applicable to such decisions and make recommendations about how decisions should be made.

Journal Title

Seminars in fetal & neonatal medicine

Volume

24

Issue

6

First Page

101029

Last Page

101029

MeSH Keywords

Adult; Critical Illness; Decision Making, Shared; Delivery Rooms; Delivery, Obstetric; Emergencies; Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Liability, Legal; Obstetric Labor Complications; Physician-Patient Relations; Pregnancy; Resuscitation

Keywords

Adult; Critical Illness; Decision Making, Shared; Delivery Rooms; Delivery, Obstetric; Emergencies; Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Liability, Legal; Obstetric Labor Complications; Physician-Patient Relations; Pregnancy; Resuscitation

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