In high mortality conditions, who should make the decision about attempted resuscitation?

The appropriate decision-maker regarding attempted resuscitation in high mortality conditions is the parents of the newborn. This reflects the ethical principle of family-centered care, which acknowledges that parents have the most profound emotional connection and understanding of their child's individual circumstances. Engaging parents in the decision-making process helps ensure that their values and wishes are respected.

Parents are typically the most invested in their child's well-being and are considered essential partners in the care process. In difficult situations, parents can contribute valuable insights into the child's prognosis and quality of life. It is crucial for healthcare providers to communicate effectively with parents, providing all necessary information about the potential outcomes and implications of resuscitation efforts, so that parents can make informed choices aligned with their values.

While healthcare team members and physicians play significant roles in providing guidance and recommendations, especially based on clinical expertise, parents should ultimately have the autonomy to decide what they believe is best for their child. This collaborative approach fosters trust and respects the family's role in the nurturing and care of their newborn.