Indian J Med Ethics
. 2026 Jan-Mar;XI(1):55-59.
doi: 10.20529/IJME.2025.095. Epub 2025 Dec 17. https://pubmed.ncbi.nlm.nih.gov/41800767/
To treat or not to treat: A toolkit-based ethics consultation in a newborn
Smriti Khanna 1, Shruti Vyas 2, Veronique Dinand 3, Roop Gursahani 4, Kiran More 5
Affiliations Expand
- PMID: 41800767
- DOI: 10.20529/IJME.2025.095
Free article
Abstract
Congenital Diaphragmatic Hernia (CDH) is usually diagnosed prenatally. Despite advances, the prognosis remains poor for severe CDH in many healthcare settings, and many require transition to palliative care. This transition can be an ethical dilemma especially in cases of conflict between stakeholders. A resolution can be accomplished with clinical ethics consultations, but these are rarely available in India. This case report describes how such ethical dilemmas can be resolved by applying paediatric ethics principles in conjunction with Jonsen’s four-box model.
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