Clinical, Bioethical, and Regulatory Challenges in Pregnancy With Death by Neurological Criteria: An Analysis in the Colombian Context.

IF 1 3区哲学 Q3 ETHICS

Developing World Bioethics Pub Date : 2025-07-24 DOI:10.1111/dewb.70003

Boris Julián Pinto-Bustamante, María Carolina Abaunza-Barrero, Andrés José Vargas-Ardila, Ana Isabel Gómez-Córdoba, Liliana Paola Correa-Pérez, Julián Rodríguez-Cely, Habib Georges Moutran-Barroso, Diana Alejandra Alfonso-Ayala, Edna Margarita De la Hoz-Suárez, Laura Natalia Cabra-Rojas

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引用次数: 0

Abstract

This article explores the ethical and legal challenges of death by neurological criteria (DNC) in a 20-week pregnant patient, focusing on the tension between patient autonomy and fetal well-being. Through an educational clinical case, it analyzes the clinical, bioethical, and legal aspects, considering advance directives, family expectations, and biomedical possibilities. The case raises ethical concerns about the instrumentalization of the woman's body when prolonging life support during pregnancy. The analysis emphasizes the importance of respecting the patient's autonomy and ensuring posthumous dignity. It also highlights the role of interdisciplinary teams in balancing clinical, ethical, and emotional factors in decision-making. The discussion underscores principles such as autonomy, best interests, and proportionality, promoting ethical management aligned with individual values. Finally, it offers practical tools for healthcare professionals facing similar situations, fostering comprehensive family support and informed bioethical deliberation.

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临床，生物伦理和监管挑战怀孕与死亡的神经标准：在哥伦比亚背景下的分析。

本文探讨了一个20周怀孕患者的神经标准死亡（DNC）的伦理和法律挑战，重点是患者自主和胎儿健康之间的紧张关系。通过一个具有教育意义的临床案例，它分析了临床、生物伦理和法律方面，考虑到预先指示、家庭期望和生物医学的可能性。该案件引发了对怀孕期间延长生命支持时将女性身体工具化的伦理担忧。分析强调尊重病人的自主权和确保死后尊严的重要性。它还强调了跨学科团队在决策过程中平衡临床、伦理和情感因素的作用。讨论强调了自主、最佳利益和比例等原则，促进了与个人价值观相一致的道德管理。最后，它为面临类似情况的医疗保健专业人员提供实用工具，促进全面的家庭支持和知情的生物伦理审议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Developing World Bioethics 医学-医学：伦理

CiteScore

4.50

自引率

4.50%

发文量

审稿时长

>12 weeks

期刊介绍： Developing World Bioethics provides long needed case studies, teaching materials, news in brief, and legal backgrounds to bioethics scholars and students in developing and developed countries alike. This companion journal to Bioethics also features high-quality peer reviewed original articles. It is edited by well-known bioethicists who are working in developing countries, yet it will also be open to contributions and commentary from developed countries'' authors. Developing World Bioethics is the only journal in the field dedicated exclusively to developing countries'' bioethics issues. The journal is an essential resource for all those concerned about bioethical issues in the developing world. Members of Ethics Committees in developing countries will highly value a special section dedicated to their work.