Hindu and Sikh Bioethics  

Oleh:

Coward, Harold ; Sidhu, Tejinder

Jenis: Article from Books - E-Book
Dalam koleksi: The Cambridge Textbook of Bioethics, page 403-407.
Topik: Hindu; Sikh; Bioethics
Fulltext: Hindu and Sikh Bioethics.pdf (272.31KB)

Isi artikel

Mrs. E is a married 35-year-old Hindu woman expecting her fourth child. She has three daughters and on several occasions has expressed her desire to have a son. Because of her age, she is referred for amniocentesis to rule out genetic anomalies. A healthy female fetus is reported, whereupon Mrs. E requests a termination of pregnancy. The pregnancy is now at 20 weeks. Mr. and Mrs. E are referred for counseling. Mr. and Mrs. F, an orthodox Sikh couple, are happily anticipating the birth of their ?rst child. The pregnancy is uneventful until 32 weeks, when gestational hypertension is diagnosed. Over the next two weeks, Mrs. F’s condition continues to deteriorate despite bed rest, hospital care, and intensive medical management. Mr. and Mrs. F consent to cesarean section to save the lives of mother and child. At 34 weeks, a female infant is delivered by cesarean section under general anesthetic. The baby is grossly edematous, looks dysmorphic, and has an Apgar score of 1 at one minute. Her birth weight is 1000 g, and the placenta is small and calci?ed. Mrs. F is still under general anesthetic, and Mr. F is not in the operating room. The physicians need to decide on the degree of intervention. Fortunately, the infant responds to basic stimulation from toweling and drying under a prewarmed radiant heater and to resuscitation with oxygen by facemask. Her Apgar score is 6 at ?ve minutes and 8 at ten minutes. The baby is transferred to the neonatal intensive care unit, and a buccal smear is sent for karyotyping to rule out chromosomal abnormality. Following the surgery, the physicians meet with Mr. F to discuss the baby’s condition. The neonatal specialist, considering the baby’s condition to be grave and irremediable, advises against intensive intervention.

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