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[Legal aspects (with comparative reference to German Law)]

W Kapp

    Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
    |May 3, 1994
    PubMed
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    With advancements in medical technology, withdrawing life support from handicapped newborns is not a viable solution. Legal frameworks must mandate treatment for viable infants, with potential leniency in exceptional circumstances.

    Area of Science:

    • Medical Ethics
    • Neonatal Care
    • Legal Medicine

    Background:

    • Improved medico-technical capabilities present complex ethical considerations in neonatal care.
    • The question of 'letting die' handicapped newborns is a significant challenge for all involved parties.
    • Current medical and legal standards lack definitive tests for authorizing the withdrawal of vital treatment.

    Purpose of the Study:

    • To explore the ethical and legal implications of treating handicapped newborns.
    • To argue against the practice of 'letting die' in neonatal care.
    • To propose a legal framework for the treatment of viable, handicapped infants.

    Main Methods:

    • Ethical analysis of neonatal treatment decisions.
    • Review of legal precedents and ethical guidelines.

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  • Discussion of medical viability criteria.

    • Main Results:

    • 'Letting die' is ethically and legally untenable as a solution for handicapped newborns.
    • A reliable test for authorizing the withdrawal of vital treatment is not feasible.
    • Medical treatment must be legally mandated for all viable infants.

    Conclusions:

    • The law should mandate medical treatment for viable handicapped newborns.
    • Exceptional cases may warrant relinquishing prosecution of responsible individuals.
    • Ethical medical practice necessitates continued treatment for viable infants.