Two Infants, Same Prognosis, Different Parental Preferences

Author:

Antommaria Armand H. Matheny1,Collura Christopher A.2345,Antiel Ryan M.6,Lantos John D.78

Affiliation:

1. Ethics Center and Division of Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio;

2. Departments of Pediatric and Adolescent Medicine, and

3. Palliative Care Fellow, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts;

4. Department of Medicine, Boston Children’s Hospital, Boston, Massachusetts;

5. Center for Bioethics, University of Minnesota, Minneapolis, Minnesota;

6. Surgery, Mayo Clinic; Rochester, Minnesota;

7. Department of Pediatrics, University of Missouri, Kansas City, Missouri; and

8. Children’s Mercy Hospital Bioethics Center, Kansas City, Missouri

Abstract

A central principle of justice is that similar cases should be decided in similar ways. In pediatrics, however, there are cases in which 2 infants have similar diagnoses and prognoses, but their parents request different treatments. In this Ethics Rounds, we present such a situation that occurred in a single NICU. Three physician-ethicists analyze the issues.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

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