Document Detail


Neonatologists judge the "Baby Doe" regulations.
MedLine Citation:
PMID:  3344019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The federal regulations now in effect governing the treatment of severely handicapped infants--the so-called Baby Doe regulations--are based on the 1984 amendments to the Child Abuse Prevention and Treatment Act; these regulations require that, except under certain specified conditions, all newborns receive maximal life-prolonging treatment. We sent questionnaires to the 1007 members of the Perinatal Pediatrics Section of the American Academy of Pediatrics to determine their views on the Baby Doe regulations and on whether the regulations had affected their practices; 494 of the members (49 percent) responded. Of the respondents, 76 percent believed that the current regulations were not necessary to protect the rights of handicapped infants; 66 percent believed that the regulations interfered with parents' right to determine what course of action was in the best interest of their children; and 60 percent believed that the regulations did not allow adequate consideration of infants' suffering. In responding to the three hypothetical cases of severely handicapped newborns, up to 32 percent of the respondents said that maximal life-prolonging treatment was not in the best interests of the infants described but that the Baby Doe regulations required such treatment. The responding neonatologists' concerns about the current Baby Doe regulations were similar to those expressed by the United States Supreme Court in rejecting an earlier set of Baby Doe regulations. This similarity suggests that the current Baby Doe regulations should be reevaluated.
Authors:
L M Kopelman; T G Irons; A E Kopelman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The New England journal of medicine     Volume:  318     ISSN:  0028-4793     ISO Abbreviation:  N. Engl. J. Med.     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-04-07     Completed Date:  1988-04-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0255562     Medline TA:  N Engl J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  677-83     Citation Subset:  AIM; IM    
Affiliation:
Department of Medical Humanities, East Carolina University School of Medicine, Greenville 27858-4354.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple*
Attitude of Health Personnel
Child Abuse / legislation & jurisprudence*
Child Advocacy / legislation & jurisprudence*
Euthanasia, Passive
Humans
Infant, Newborn
Neonatology*
Parents
Questionnaires
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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