Cochrane Thomas I
Division of Neuroethics, Department of Neurology, Center for Bioethics, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Semin Neurol. 2017 Dec;37(6):724-728. doi: 10.1055/s-0037-1607311. Epub 2017 Dec 21.
Decision making for pregnant women and fetuses who suffer brain injuries is emotionally difficult and conceptually challenging. Occasionally, both the pregnant woman and the fetus have suffered an injury that confers a poor neurological prognosis, and decisions about one of them will have implications for the other-making the process of decision making even more problematic. In this article, decision-making standards and principles are reviewed for both pregnant women and fetuses, using a real case from the author's institution. Practical suggestions are made regarding deliberative processes and consultative models that can help with these difficult cases.
为脑损伤的孕妇和胎儿做决策在情感上是困难的，在概念上也具有挑战性。偶尔，孕妇和胎儿都受到了损伤，导致神经预后不良，而关于其中一方的决策会对另一方产生影响，这使得决策过程更加棘手。在本文中，通过作者所在机构的一个真实案例，对孕妇和胎儿的决策标准及原则进行了综述。针对有助于处理这些棘手案例的审议过程和咨询模式提出了实用建议。
