Case of 24-week Fetus Delivered from Mother on Life Support with Brain-death from Suicide Attempt: Ethical Issues Associated with Severe Complications

• Nishimura Takeshi

• Kohama Keisuke

• Osako Takaaki

• Yamada Taihei

• Tanaka Hiroyuki

• Nakao Atsunori

• Kotani Joji

抄録

Advances in critical care medicine have made it possible to sustain vital organ systems in brain-dead patients. One clinical scenario besides donor organ retrieval in which a benefit may be gained from continuing life support is pregnancy. A pregnant woman in her late 30ʼs at 23 weeks gestation exhibiting worsening depression was referred to the Department of Psychiatry. One day after admission she attempted suicide by hanging and suffered a cardiopulmonary arrest. A fetal heart beat and fetal motion was confirmed immediately after resuscitation. Three days after admission, an emergency Cesarean section (CS) was performed because of her unstable hemodynamic situation. The baby was born and the mother died after delivery. The baby presented neurological complications. Such a case should be managed collaboratively among professional experts in several medical teams. Consensus and recommendations for the management of similar scenarios may also be adjusted.

収録刊行物

• Acta Medica Okayama

  Acta Medica Okayama 70 (5), 389-392, 2016-10

  Okayama University Medical School

キーワード

• brain-dead mother
• suicide
• somatic support

詳細情報

• CRID: 1390572174772748288
• NII論文ID: 120005859868
• NII書誌ID: AA00508441
• ISSN: 0386300X
• DOI: 10.18926/amo/54598
• PubMed: 27777432
• Web Site: https://ousar.lib.okayama-u.ac.jp/54598
• 本文言語コード: en
• データソース種別:
  • JaLC
  • IRDB
  • PubMed
  • CiNii Articles