title: Case of 24-week Fetus Delivered from Mother on Life Support with Brain-death from Suicide Attempt: Ethical Issues Associated with Severe Complications.
abstract: Advances in critical care medicine have made it possible to sustain vital organ systems in brain-dead patients. One clinical scenario besides donor organ retrieval in which a benefit may be gained from continuing life support is pregnancy. A pregnant woman in her late 30's at 23 weeks gestation exhibiting worsening depression was referred to the Department of Psychiatry. One day after admission she attempted suicide by hanging and suffered a cardiopulmonary arrest. A fetal heart beat and fetal motion was confirmed immediately after resuscitation. Three days after admission, an emergency Cesarean section (CS) was performed because of her unstable hemodynamic situation. The baby was born and the mother died after delivery. The baby presented neurological complications. Such a case should be managed collaboratively among professional experts in several medical teams. Consensus and recommendations for the management of similar scenarios may also be adjusted.
authors: Department of Emergency, Disaster and Critical Care Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo 663-8501, Japan.
authors: Takeshi
authors: T
authors: Nishimura
authors: Keisuke
authors: K
authors: Kohama
authors: Takaaki
authors: T
authors: Osako
authors: Taihei
authors: T
authors: Yamada
authors: Hiroyuki
authors: H
authors: Tanaka
authors: Atsunori
authors: A
authors: Nakao
authors: Joji
authors: J
authors: Kotani
mesh_terms: D000328:Adult; D001926:Brain Death; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008020:Life Support Care / Q000941:ethics*; D008297:Male; D009422:Nervous System Diseases / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications; D047928:Premature Birth; D013406:Suicide, Attempted