Litcius/Paper detail

Should a Patient Who Is Pregnant and Brain Dead Receive Life Support, Despite Objection From Her Appointed Surrogate?

Daniel Sperling

2020The AMA Journal of Ethic22 citationsDOIOpen Access PDF

Abstract

This article considers whether and when a physician is obligated to offer life support to the point of fetal viability to a patient who is brain dead and pregnant. Lack of ethical, legal, and clinical consensus about best practice in managing this kind of case; a poor clinical evidence base; and the fact that offering life support violates the patient's autonomy and human dignity, as expressed in her advance directive, are sources of ethical, legal, and clinical complexity analyzed here. To claim one AMA PRA Category 1 Credit TM for the CME activity associated with this article, you must do the following: (1) read this article in its entirety, (2) answer at least 80 percent of the quiz questions correctly, and (3) complete an evaluation. The quiz, evaluation, and form for claiming AMA PRA Category 1 Credit TM are available through the AMA Ed Hub TM .

Topics & Concepts

Brain deadSurrogate endpointPsychologyMedicinePsychoanalysisInternal medicineTransplantationOrgan Donation and TransplantationGrief, Bereavement, and Mental HealthPalliative Care and End-of-Life Issues