title: Caregivers' role in maternal-fetal conflict.
abstract: The case, which occurred in a public hospital in Turkey in 2005, exhibits a striking dilemma between a mother's and her fetus' interests. For a number of reasons, the mother refused to cooperate with the midwives and obstetrician in the process of giving birth, and wanted to leave the hospital. The care providers evaluated the case as a matter of maternal autonomy and asked the mother to give her consent to be discharged from the hospital, which she did despite the fact that her cervix was fully open. She left the hospital and gave birth shortly thereafter. Subsequently, the baby died two days later. In light of the contemporary ethical principles, the mother's competency could be debatable due to the physical and psychological conditions the mother confronted. Furthermore, protection of the fetus' life should have been taken into account by the caregivers when making a decision concerning discharging of the mother.
authors.forename: Ercan
authors.initials: E
authors.lastname: Avci
mesh_terms: D000328:Adult; D004992:Ethics, Medical; D005260:Female; D006806:Human Rights; D006801:Humans; D007231:Infant, Newborn; D007258:Informed Consent / Q000941:ethics*; D008425:Maternal Behavior; D033261:Maternal-Fetal Relations; D016743:Mental Competency; D028681:Moral Obligations; D010351:Patient Discharge; D026684:Personal Autonomy; D011247:Pregnancy; D016312:Treatment Refusal; D014421:Turkey