Skip to main content
Erschienen in: Journal of Religion and Health 6/2020

27.11.2019 | Original Paper

Assessment of Somatic Support Process for Pregnant Brain Death Patients Occurring in a Transition Country Between Asia and Europe from Medical, Ethical, Legal and Religious Aspects

verfasst von: Ömer Faruk Boran, Fatih Mehmet Yazar, Murat Bakacak, Dilek Soylu, Nurullah Yazar, Hafize Öksüz

Erschienen in: Journal of Religion and Health | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

In spite of the fact that brain death during pregnancy is not a common occurrence, it is an important ethical problem for all cultures and religions can have a significant influence on the donation decision after brain death. Therefore, this study aimed to present the case of a pregnant patient developing brain death which occurred in our intensive care unit and to compare the medical, ethical and legal problems relating to pregnant cases developing brain death with 24 cases in the literature. A 21-year-old 19-week pregnant case with gestational diabetes was monitored in the anesthesia intensive care unit and developed brain death due to intracranial mass and intraventricular hemorrhage. Though brain death is a situation well understood by organ transplant professionals, brain death developing in pregnant patients still involves many medical, ethical and legal problems.
Literatur
Zurück zum Zitat Anstötz, C. (1993). Should a brain-dead pregnant woman carry her child to full term? The case of the “Erlanger baby”. Bioethics, 7(4), 340–350.PubMedCrossRef Anstötz, C. (1993). Should a brain-dead pregnant woman carry her child to full term? The case of the “Erlanger baby”. Bioethics, 7(4), 340–350.PubMedCrossRef
Zurück zum Zitat Antonini, C., Alleva, S., Campailla, M. T., Pelosi, G., Velle, E., & Verrua, M. (1992). Morte cerebrale e sopravvivenza fetale prolungata. Minerva Anestesiologica, 58, 1247–1252.PubMed Antonini, C., Alleva, S., Campailla, M. T., Pelosi, G., Velle, E., & Verrua, M. (1992). Morte cerebrale e sopravvivenza fetale prolungata. Minerva Anestesiologica, 58, 1247–1252.PubMed
Zurück zum Zitat Beca, J. P., Wells, W., & Rubio, R. (1998). Muerte cerebral materna durante el embarazo. Revista Medica de Chile, 126(4), 450–455.PubMed Beca, J. P., Wells, W., & Rubio, R. (1998). Muerte cerebral materna durante el embarazo. Revista Medica de Chile, 126(4), 450–455.PubMed
Zurück zum Zitat Béguin, F. (1993). Introduction: La mort cérébrale maternelle. In Verhandlungen der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe. Berlin: Springer. Béguin, F. (1993). Introduction: La mort cérébrale maternelle. In Verhandlungen der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe. Berlin: Springer.
Zurück zum Zitat Bernstein, I. M., Watson, M., Simmons, G. M., Catalano, P. M., Davis, G., & Collins, R. (1989). Maternal brain death and prolonged fetal survival. Obstetrics and Gynecology, 74(3), 434–437.PubMed Bernstein, I. M., Watson, M., Simmons, G. M., Catalano, P. M., Davis, G., & Collins, R. (1989). Maternal brain death and prolonged fetal survival. Obstetrics and Gynecology, 74(3), 434–437.PubMed
Zurück zum Zitat Burkle, C. M., Tessmer-Tuck, J., & Wijdicks, E. F. (2015). Medical, legal, and ethical challenges associated with pregnancy and catastrophic brain injury. International Journal of Gynecology & Obstetrics, 129(3), 276–280.CrossRef Burkle, C. M., Tessmer-Tuck, J., & Wijdicks, E. F. (2015). Medical, legal, and ethical challenges associated with pregnancy and catastrophic brain injury. International Journal of Gynecology & Obstetrics, 129(3), 276–280.CrossRef
Zurück zum Zitat Catanzarite, V. A., Willms, D. C., Holdy, K. E., Gardner, S. E., Ludwig, D. M., & Cousins, L. M. (1997). Brain death during pregnancy: Tocolytic therapy and aggressive maternal support on behalf of the fetus. American Journal of Perinatology, 14(07), 431–434.PubMedCrossRef Catanzarite, V. A., Willms, D. C., Holdy, K. E., Gardner, S. E., Ludwig, D. M., & Cousins, L. M. (1997). Brain death during pregnancy: Tocolytic therapy and aggressive maternal support on behalf of the fetus. American Journal of Perinatology, 14(07), 431–434.PubMedCrossRef
Zurück zum Zitat Christensen, B. (2000). Which antibiotics are appropriate for treating bacteriuria in pregnancy? Journal of Antimicrobial Chemotherapy, 46(suppl_1), 29–34.PubMedCrossRef Christensen, B. (2000). Which antibiotics are appropriate for treating bacteriuria in pregnancy? Journal of Antimicrobial Chemotherapy, 46(suppl_1), 29–34.PubMedCrossRef
Zurück zum Zitat Dillon, W. P., Lee, R. V., Tronolone, M. J., Buckwald, S., & Foote, R. J. (1982). Life support and maternal brain death during pregnancy. JAMA, 248(9), 1089–1091.PubMedCrossRef Dillon, W. P., Lee, R. V., Tronolone, M. J., Buckwald, S., & Foote, R. J. (1982). Life support and maternal brain death during pregnancy. JAMA, 248(9), 1089–1091.PubMedCrossRef
Zurück zum Zitat Erlinger, L. R. (2017). Guidelines for supporting a pregnant patient with brain death: A case discussion and literature review. Journal of Nursing Education and Practice, 7(8), 86–92.CrossRef Erlinger, L. R. (2017). Guidelines for supporting a pregnant patient with brain death: A case discussion and literature review. Journal of Nursing Education and Practice, 7(8), 86–92.CrossRef
Zurück zum Zitat Esmaeilzadeh, M., Dictus, C., Kayvanpour, E., Sedaghat-Hamedani, F., Eichbaum, M., Hofer, S., et al. (2010). One life ends, another begins: Management of a brain-dead pregnant mother-A systematic review. BMC Medicine, 8(1), 74.PubMedPubMedCentralCrossRef Esmaeilzadeh, M., Dictus, C., Kayvanpour, E., Sedaghat-Hamedani, F., Eichbaum, M., Hofer, S., et al. (2010). One life ends, another begins: Management of a brain-dead pregnant mother-A systematic review. BMC Medicine, 8(1), 74.PubMedPubMedCentralCrossRef
Zurück zum Zitat Farragher, R. A., & Laffey, J. G. (2005). Maternal brain death and somatic support. Neurocritical Care, 3(2), 99–106.PubMedCrossRef Farragher, R. A., & Laffey, J. G. (2005). Maternal brain death and somatic support. Neurocritical Care, 3(2), 99–106.PubMedCrossRef
Zurück zum Zitat Field, D. R., Gates, E. A., Creasy, R. K., Jonsen, A. R., & Laros, R. K. (1988). Maternal brain death during pregnancy: Medical and ethical issues. JAMA, 260(6), 816–822.PubMedCrossRef Field, D. R., Gates, E. A., Creasy, R. K., Jonsen, A. R., & Laros, R. K. (1988). Maternal brain death during pregnancy: Medical and ethical issues. JAMA, 260(6), 816–822.PubMedCrossRef
Zurück zum Zitat Gopčević, A., Rode, B., Vučić, M., Horvat, A., Širanović, M., Gavranović, Ž., et al. (2017). Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation. International Journal of Obstetric Anesthesia, 32, 82–86.PubMedCrossRef Gopčević, A., Rode, B., Vučić, M., Horvat, A., Širanović, M., Gavranović, Ž., et al. (2017). Ethical and medical management of a pregnant woman with brain stem death resulting in delivery of a healthy child and organ donation. International Journal of Obstetric Anesthesia, 32, 82–86.PubMedCrossRef
Zurück zum Zitat Gramm, H. J., Meinhold, H., Bickel, U., Zimmermann, J., Keller, F., Dennhardt, R., et al. (1992). Acute endocrine failure after brain death? Transplantation, 54(5), 851–857.PubMedCrossRef Gramm, H. J., Meinhold, H., Bickel, U., Zimmermann, J., Keller, F., Dennhardt, R., et al. (1992). Acute endocrine failure after brain death? Transplantation, 54(5), 851–857.PubMedCrossRef
Zurück zum Zitat Heikkinen, J. E., Rinne, R. I., Alahuhta, S. M., Lumme, J. A., Koivisto, M. E., Kirkinen, P. P., et al. (1985). Life support for 10 weeks with successful fetal outcome after fatal maternal brain damage. British Medical Journal, 290(6477), 1237–1238.PubMedCrossRef Heikkinen, J. E., Rinne, R. I., Alahuhta, S. M., Lumme, J. A., Koivisto, M. E., Kirkinen, P. P., et al. (1985). Life support for 10 weeks with successful fetal outcome after fatal maternal brain damage. British Medical Journal, 290(6477), 1237–1238.PubMedCrossRef
Zurück zum Zitat Holliday, S., & Magnuson-Woodward, B. (2017). Somatic support following cardiac arrest for 90 days leading to a healthy baby boy: A case report. Heart & Lung: The Journal of Acute and Critical Care, 46(5), 397–400.PubMedCrossRef Holliday, S., & Magnuson-Woodward, B. (2017). Somatic support following cardiac arrest for 90 days leading to a healthy baby boy: A case report. Heart & Lung: The Journal of Acute and Critical Care, 46(5), 397–400.PubMedCrossRef
Zurück zum Zitat Howlett, T. A., Keogh, A. M., Perry, L., Touzel, R., & Rees, L. H. (1989). Anterior and posterior pituitary function in brain-stem-dead donors. A possible role for hormonal replacement therapy. Transplantation, 47(5), 828–834.PubMedCrossRef Howlett, T. A., Keogh, A. M., Perry, L., Touzel, R., & Rees, L. H. (1989). Anterior and posterior pituitary function in brain-stem-dead donors. A possible role for hormonal replacement therapy. Transplantation, 47(5), 828–834.PubMedCrossRef
Zurück zum Zitat Hussein, I. Y., Govenden, V., Grant, J. M., & Said, M. R. (2006). Case report: Prolongation of pregnancy in a woman who sustained brain death at 26 weeks of gestation. BJOG: An International Journal of Obstetrics & Gynaecology, 113(1), 120–122.CrossRef Hussein, I. Y., Govenden, V., Grant, J. M., & Said, M. R. (2006). Case report: Prolongation of pregnancy in a woman who sustained brain death at 26 weeks of gestation. BJOG: An International Journal of Obstetrics & Gynaecology, 113(1), 120–122.CrossRef
Zurück zum Zitat Iriye, B. K., Asrat, T., Adashek, J. A., & Carr, M. H. (1995). Intraventricular haemorrhage and maternal brain death associated with antepartum cocaine abuse. BJOG: An International Journal of Obstetrics & Gynaecology, 102(1), 68–69.CrossRef Iriye, B. K., Asrat, T., Adashek, J. A., & Carr, M. H. (1995). Intraventricular haemorrhage and maternal brain death associated with antepartum cocaine abuse. BJOG: An International Journal of Obstetrics & Gynaecology, 102(1), 68–69.CrossRef
Zurück zum Zitat Lane, A., Westbrook, A., Grady, D., O’Connor, R., Counihan, T. J., Marsh, B., et al. (2004). Maternal brain death: Medical, ethical and legal issues. Intensive Care Medicine, 30(7), 1484–1486.PubMedCrossRef Lane, A., Westbrook, A., Grady, D., O’Connor, R., Counihan, T. J., Marsh, B., et al. (2004). Maternal brain death: Medical, ethical and legal issues. Intensive Care Medicine, 30(7), 1484–1486.PubMedCrossRef
Zurück zum Zitat Lewis, A., Varelas, P., & Greer, D. (2016). Pregnancy and brain death: Lack of guidance in US hospital policies. American Journal of Perinatology, 33(14), 1382–1387.PubMedCrossRef Lewis, A., Varelas, P., & Greer, D. (2016). Pregnancy and brain death: Lack of guidance in US hospital policies. American Journal of Perinatology, 33(14), 1382–1387.PubMedCrossRef
Zurück zum Zitat Lewis, D. D., & Vidovich, R. R. (1997). Organ recovery following childbirth by a brain-dead mother: A case report. Journal of Transplant Coordination, 7(3), 103–105.PubMedCrossRef Lewis, D. D., & Vidovich, R. R. (1997). Organ recovery following childbirth by a brain-dead mother: A case report. Journal of Transplant Coordination, 7(3), 103–105.PubMedCrossRef
Zurück zum Zitat Mallampalli, A., & Guy, E. (2005). Cardiac arrest in pregnancy and somatic support after brain death. Critical Care Medicine, 33(10), 325–331.CrossRef Mallampalli, A., & Guy, E. (2005). Cardiac arrest in pregnancy and somatic support after brain death. Critical Care Medicine, 33(10), 325–331.CrossRef
Zurück zum Zitat Mejia, R., Badariotti, G., De, B. D., Ridruejo, O., & O’Flaherty, E. (2008). Brain death in a pregnant woman and fetus survival. Medicina, 68(6), 447–452.PubMed Mejia, R., Badariotti, G., De, B. D., Ridruejo, O., & O’Flaherty, E. (2008). Brain death in a pregnant woman and fetus survival. Medicina, 68(6), 447–452.PubMed
Zurück zum Zitat Mollaret, P., & Goulon, M. (1959). Le coma dépassé. Rev Neurol (Paris), 101, 3–15. Mollaret, P., & Goulon, M. (1959). Le coma dépassé. Rev Neurol (Paris), 101, 3–15.
Zurück zum Zitat Nettina, M., Santos, E., Ascioti, K. J., & Barber, M. A. (1993). Sheila’s death created many rings of life. Nursing, 23(3), 44–48.PubMed Nettina, M., Santos, E., Ascioti, K. J., & Barber, M. A. (1993). Sheila’s death created many rings of life. Nursing, 23(3), 44–48.PubMed
Zurück zum Zitat Powner, D. J. (2005). Variables during care of adult donors that can influence outcomes of kidney transplantation. Progress in Transplantation, 15(3), 219–225.PubMedCrossRef Powner, D. J. (2005). Variables during care of adult donors that can influence outcomes of kidney transplantation. Progress in Transplantation, 15(3), 219–225.PubMedCrossRef
Zurück zum Zitat Said, A., Al Jundi Amer, U. R. M., Dirar, A., & Faris, C. (2013). A brain-dead pregnant woman with prolonged somatic support and successful neonatal outcome: A grand rounds case with a detailed review of literature and ethical considerations. International Journal of Critical Illness and Injury Science, 3(3), 220.PubMedPubMedCentralCrossRef Said, A., Al Jundi Amer, U. R. M., Dirar, A., & Faris, C. (2013). A brain-dead pregnant woman with prolonged somatic support and successful neonatal outcome: A grand rounds case with a detailed review of literature and ethical considerations. International Journal of Critical Illness and Injury Science, 3(3), 220.PubMedPubMedCentralCrossRef
Zurück zum Zitat Souza, J. P., Oliveira-Neto, A., Surita, F. G., Cecatti, J. G., Amaral, E., & e Silva, J. L. P. (2006). The prolongation of somatic support in a pregnant woman with brain-death: A case report. Reproductive health, 3(1), 3.PubMedPubMedCentralCrossRef Souza, J. P., Oliveira-Neto, A., Surita, F. G., Cecatti, J. G., Amaral, E., & e Silva, J. L. P. (2006). The prolongation of somatic support in a pregnant woman with brain-death: A case report. Reproductive health, 3(1), 3.PubMedPubMedCentralCrossRef
Zurück zum Zitat Spike, J. (1999). Brain death, pregnancy, and posthumous motherhood. Journal of Clinical Ethics, 10, 57–65.PubMed Spike, J. (1999). Brain death, pregnancy, and posthumous motherhood. Journal of Clinical Ethics, 10, 57–65.PubMed
Zurück zum Zitat Suddaby, E. C., Schaeffer, M. J., Brigham, L. E., & Shaver, T. R. (1998). Analysis of organ donors in the peripartum period. Journal of Transplant Coordination, 8(1), 35–39.PubMedCrossRef Suddaby, E. C., Schaeffer, M. J., Brigham, L. E., & Shaver, T. R. (1998). Analysis of organ donors in the peripartum period. Journal of Transplant Coordination, 8(1), 35–39.PubMedCrossRef
Zurück zum Zitat Vives, A., Carmona, F., Zabala, E., Fernandez, C., Cararach, V., & Iglesias, X. (1996). Maternal brain death during pregnancy. International Journal of Gynecology & Obstetrics, 52(1), 67–69.CrossRef Vives, A., Carmona, F., Zabala, E., Fernandez, C., Cararach, V., & Iglesias, X. (1996). Maternal brain death during pregnancy. International Journal of Gynecology & Obstetrics, 52(1), 67–69.CrossRef
Zurück zum Zitat Wawrzyniak, J. (2015). Continuation of pregnancy in a woman with critical brain injury. Anaesthesiology Intensive Therapy, 47(1), 40–44.PubMedCrossRef Wawrzyniak, J. (2015). Continuation of pregnancy in a woman with critical brain injury. Anaesthesiology Intensive Therapy, 47(1), 40–44.PubMedCrossRef
Zurück zum Zitat Wood, N. S., Marlow, N., Costeloe, K., Gibson, A. T., & Wilkinson, A. R. (2000). Neurologic and developmental disability after extremely preterm birth. New England Journal of Medicine, 343(6), 378–384.PubMedCrossRef Wood, N. S., Marlow, N., Costeloe, K., Gibson, A. T., & Wilkinson, A. R. (2000). Neurologic and developmental disability after extremely preterm birth. New England Journal of Medicine, 343(6), 378–384.PubMedCrossRef
Zurück zum Zitat Wuermeling, H. B. (1994). Brain-death and pregnancy. Forensic Science International, 69(3), 243–245.PubMedCrossRef Wuermeling, H. B. (1994). Brain-death and pregnancy. Forensic Science International, 69(3), 243–245.PubMedCrossRef
Zurück zum Zitat Yeung, P., Jr., McManus, C., & Tchabo, J. G. (2008). Extended somatic support for a pregnant woman with brain death from metastatic malignant melanoma: A case report. The Journal of Maternal-Fetal & Neonatal Medicine, 21(7), 509–511.CrossRef Yeung, P., Jr., McManus, C., & Tchabo, J. G. (2008). Extended somatic support for a pregnant woman with brain death from metastatic malignant melanoma: A case report. The Journal of Maternal-Fetal & Neonatal Medicine, 21(7), 509–511.CrossRef
Metadaten
Titel
Assessment of Somatic Support Process for Pregnant Brain Death Patients Occurring in a Transition Country Between Asia and Europe from Medical, Ethical, Legal and Religious Aspects
verfasst von
Ömer Faruk Boran
Fatih Mehmet Yazar
Murat Bakacak
Dilek Soylu
Nurullah Yazar
Hafize Öksüz
Publikationsdatum
27.11.2019
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 6/2020
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-019-00952-1

Weitere Artikel der Ausgabe 6/2020

Journal of Religion and Health 6/2020 Zur Ausgabe