Confronting ambiguity: identifying options for infants with trisomy 18

J Clin Ethics. Winter 2011;22(4):338-44; author reply 358-62.


Identifying ethically allowable options for infants with trisomy 18 has become more challenging as medical standards of practice shift, based on emerging scientific data and changing societal perceptions of disability. Lack of a stable professional standard of practice ought not prevent ethicists from facilitating a consensus; rather, these "unsettled cases" require an individualized, narrative approach that allows the values of the family and the particularities of each case to provide the necessary additional moral grounding.

Publication types

  • Comment

MeSH terms

  • Chromosomes, Human, Pair 18
  • Consensus*
  • Decision Making / ethics*
  • Ethics Consultation*
  • Female
  • Humans
  • Moral Obligations*
  • Organizational Policy*
  • Palliative Care / ethics*
  • Trisomy*

Supplementary concepts

  • Chromosome 18, trisomy 18p
  • Chromosome 18, trisomy 18q