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Chapter 3 - But How Can We Choose?

from Part I - Starting at the Beginning

Published online by Cambridge University Press:  17 May 2025

Paul J. Ford
Affiliation:
The Cleveland Clinic Foundation, Cleveland
Denise M. Dudzinski
Affiliation:
University of Washington School of Medicine, Seattle
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Summary

In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author explores the misunderstandings that can arise when there are no good options but a decision must be made. Zaner discusses the complex emotions faced by a pregnant woman carrying a fetus at 22 weeks gestational age and neural tube defect. She is referred to the maternal-fetal unit. She faced a decision about whether to terminate the pregnancy based on uncertain information and a two-week deadline to make a decision. The author reflects on the ethical dimensions so many parents face when either decision is irreversible and information is tenuous, but a treatment decision must still be made.

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