A pregnant woman has received delayed prenatal care. At 28 weeks' gestation she
undergoes her first ultrasound. The findings are consistent with anencephaly. The mother
wishes to continue to pregnancy to term in hopes that the condition will correct itself.
Which factors make this a case of "heroic measures?" Select all that apply.
The child will most certainly die before birth.
Maintaining the pregnancy will be very costly.
Efforts to keep the child alive are ultimately futile.
The child cannot have any reasonable quality of life.
The birth will cause exceptional pain for the mother.
E

Question

10-05-2024
Medicine

Answered

A pregnant woman has received delayed prenatal care. At 28 weeks' gestation she
undergoes her first ultrasound. The findings are consistent with anencephaly. The mother
wishes to continue to pregnancy to term in hopes that the condition will correct itself.
Which factors make this a case of "heroic measures?" Select all that apply.
The child will most certainly die before birth.
Maintaining the pregnancy will be very costly.
Efforts to keep the child alive are ultimately futile.
The child cannot have any reasonable quality of life.
The birth will cause exceptional pain for the mother.
E

Answer :

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GinnyAnswer GinnyAnswer · Answer 1 · 2024-05-10T04:52:45-04:00

In this scenario, the factors that make this case a situation involving "heroic measures" are:

1. The child will most certainly die before birth: Anencephaly is a serious neural tube defect where a major portion of the brain, skull, and scalp is missing. It is a fatal condition, and infants with anencephaly typically do not survive long after birth. Continuing the pregnancy to term knowing the condition is not compatible with life can be seen as a heroic measure.

2. Efforts to keep the child alive are ultimately futile: Due to the severity of anencephaly, medical interventions are unable to change the outcome or improve the condition. Continuing the pregnancy with the hope of a miraculous change goes against medical understanding and may be considered a heroic measure.

3. The child cannot have any reasonable quality of life: Anencephaly is incompatible with a good quality of life due to the absence of a fully developed brain. The child would not be able to survive independently or have any meaningful cognitive function.

These factors combined make the decision to continue the pregnancy to term in the presence of anencephaly a situation where heroic measures are being considered. It involves emotional, financial, and physical challenges for the mother and the family, as well as ethical and moral dilemmas regarding the best course of action for all involved.