C-Section for Organ Donation
Berkowitz, Sheldon T.
Newman, Louis E.
Mathieu, Deborah R.
Hastings Center Report. 1990 Mar/Apr; 20(2): 22-24.
A woman carrying a fetus with anencephaly requests a cesarean delivery when signs of fetal distress are detected. Her intention is to donate the organs for transplantation if the child is born alive. Commentators are asked if the woman's physician should accede to her request, and if the risks to the patient of a cesarean section are justified in this case. Berkowitz and Newman argue against surgical intervention as not medically indicated for mother or fetus, and as posing greater risks than offering benefits. Mathieu argues that while the chances are slight of obtaining transplantable organs in this case, the physician is not justified in overriding a competent patient's request for cesarean delivery. (KIE abstract)
Abortion; Altruism; Anencephaly; Autonomy; Beneficence; Case Studies; Cesarean Section; Childbirth; Consent; Decision Making; Fetal Tissue Donation; Fetuses; Informed Consent; Intention; Moral Policy; Morbidity; Motivation; Newborns; Organ Donation; Parental Consent; Paternalism; Patients; Physicians; Pregnant Women; Prognosis; Risks and Benefits; Selective Abortion; Tissue Donation; Transplantation; Values;
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