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Deciding for neonates: whose authority, whose interests?

Rosalind Ekman Ladd1, Mark R Mercurio

  • 1Program in Biomedical Ethics, Brown University, Providence, RI, USA.

Seminars in Perinatology
|January 27, 2004
PubMed
Summary
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Decision-making for critically ill newborns involves the patient's best interest and parental authority. This essay explores alternatives, considering the young mother's interests and shared decision-making models.

Area of Science:

  • Medical Ethics
  • Neonatal Care
  • Pediatric Decision-Making

Background:

  • Critically ill newborns present complex ethical challenges in decision-making.
  • Established principles include the patient's best interest and parental surrogate authority.
  • The unique context of adolescent mothers requires specific ethical considerations.

Purpose of the Study:

  • To examine decision-making principles for critically ill newborns with adolescent mothers.
  • To explore alternatives to the sole patient's best interest standard.
  • To discuss shared decision-making models involving young mothers and adult relatives.

Main Methods:

  • Ethical analysis of established decision-making principles.
  • Exploration of alternative ethical frameworks.

Related Experiment Videos

  • Discussion of shared decision-making models in a specific clinical context.

    • Main Results:

    • The patient's best interest standard may not fully encompass all relevant considerations.
    • Including the interests of young mothers and their families is crucial.
    • Shared decision-making models can empower adolescent mothers and involve supportive adults.

    Conclusions:

    • Decision-making for critically ill newborns with adolescent mothers requires a nuanced approach.
    • Alternative ethical frameworks beyond the patient's best interest are valuable.
    • Shared decision-making models offer a promising avenue for ethical and practical infant care.