title: Anesthetic management during labor and delivery of a multiparous patient terminally ill with metastatic breast cancer.
abstract: Multiple ethical issues arise when caring for a terminally ill patient who is also pregnant. We present the management of labor and delivery of a 35-year-old multiparous patient with stage 4 metastatic breast cancer. The ethical challenges in treating a mother and fetus when a terminal illness complicates pregnancy is also included.
authors.affiliation: From the Department of Anesthesia, Baylor College of Medicine, Houston, Texas.
authors.forename: Lisa
authors.initials: L
authors.lastname: Mouzi
authors.forename: Wali
authors.initials: W
authors.lastname: Ashutosh