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Semin Fetal Neonatal Med. 2019 Dec;24(6):101029. doi: 10.1016/j.siny.2019.101029. Epub 2019 Sep 23.

Ethics and Medico-legal implications in delivery room emergencies.

Author information

1
Children's Mercy Hospital, University of Missouri - Kansas City, 2401 Gillham Road Kansas City, MO 64108, USA. Electronic address: jbrunkhorst@cmh.edu.
2
Children's Mercy Hospital, University of Missouri - Kansas City, 2401 Gillham Road Kansas City, MO 64108, USA. Electronic address: jlantos@cmh.edu.

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.

PMID:
31606328
DOI:
10.1016/j.siny.2019.101029

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