Paris John J, Schreiber Michael D, Moreland Michael P
Boston College, Chestnut Hill, MA 02167, USA.
Theor Med Bioeth. 2007;28(5):427-41. doi: 10.1007/s11017-007-9046-9.
When there is a conflict between parents and the physician over appropriate care due to an infant whose decision prevails? What standard, if any, should guide such decisions?This article traces the varying standards articulated over the past three decades from the proposal in Duff and Campbell's 1973 essay that these decisions are best left to the parents to the Baby Doe Regs of the 1980s which required every life that could be salvaged be continued. We conclude with support for the policy articulated in the 2007 guidelines of the American Academy of Pediatrics on non-intervention or withdrawal of intensive care for high-risk newborns.
当因婴儿的适当护理问题导致父母与医生之间存在冲突时,谁的决定占上风?如果有的话,应该用什么标准来指导此类决定?本文追溯了过去三十年来所阐明的不同标准,从1973年达夫和坎贝尔文章中提出的将这些决定最好留给父母,到20世纪80年代的《婴儿 Doe 法规》,该法规要求挽救每一个可能挽救的生命。我们最后支持美国儿科学会2007年指南中关于对高危新生儿不进行干预或停止重症监护的政策。