Inside Health Care: Neonatal Intensive Care -Who Decides? Who Pays? Who Can Afford It?

Indexed in: EBSCO.

Health care in the US is facing a crisis, but there is polarization and disagreement among policy makers and the public about how to solve this crisis. The overall outcome is ranked much lower than ...
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Complex Cases in Neonatal Care: Severe Birth Defects Involving Multiple Organs

Pp. 116-122 (7)

Brian S. Carter


In this chapter, we address the clinical and ethical issues that are operant in a case of an infant having severe birth defects that involve multiple organs. A single case is presented as a paradigm for alternative actions and the necessary points to consider in their evaluation, management and parental interactions.


Prenatal diagnosis, Birth defects, Congenital heart disease, HLHS, Child’s best interests, NICU, Fetus, Health care resources, Twin gestation, Ethics, Quality of life.


University of Missouri-Kansas City, Children’s Mercy Hospital & Clinics Bioethics Center and Section of Neonatology, 2401 Gillham Road, Kansas City, MO 64110, USA