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Rev Med Inst Mex Seguro Soc. 2015 Sep-Oct;53(5):638-42.

[Controversy in the treatment of a critically ill neonate in a rural health service].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

Departamento de Cardiopatías Congénitas, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México .


in English, Spanish

Cardiopulmonary resuscitation of newborns with perinatal hypoxia faces serious ethical, moral, medical and legal problems, particularly in rural areas. Ethical and moral issues have to do with the medical-parents relationship; with values, preferences and priorities of each of these groups; and with the scarce resources situation. Medical-technical problems are related to asphyxia complications, and their prognostic and therapeutic implications. Legal considerations arising from the fact of killing or letting die. In this article is analyzed the real case of a neonate with severe perinatal hypoxia in order to enhance the understanding of the incorporation of ethics in everyday clinical practice.


Asphyxia neonatorum; Clinical ethics; Mexico; Newborn infant; Rural health services

[Indexed for MEDLINE]

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