What is the Church's position on withdrawing ventilation from this disabled baby

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ItrustJesus

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Hi. I’d like people to comment on this story from a Catholic moral theology perspective:

The father of a severely disabled baby at the centre of a landmark High Court right-to-life case says it is up to God to “give life and take it away”.

Baby MB, who cannot be named, has spinal muscular atrophy - a genetic condition which leads to almost total paralysis - and cannot breathe unaided.

His family are fighting a hospital’s bid for permission to withdraw ventilation from the 17-month-old.

Doctors say it would be better to let him die as his life is “intolerable”.

But the child’s father told the court he did not think it was right for anyone to decide if the baby should live or die.

Matters of life and death were up to God, he said, and nobody should interfere with that.

Earlier the child’s mother said she believed Baby MB, who has been in hospital since he was seven weeks old, has a “quality of life worth living”.

“Just because he is in a hospital doesn’t mean he has a poor quality of life, because his family is there,” she said.

She said he had favourite television programmes, and showed his like or dislike for them by either focusing on them or going to sleep.

She added: “He likes Barney, Toy Story 1 and 2, Nemo, Shark Tale, Shrek 1 and 2.”

Asked by her QC, Charles Foster, what he did not like, she said: “Soaps such as Eastenders. I do put them on and he’ll look away or go to sleep. He doesn’t like the news.”

‘Expressive’

She claimed he also liked certain nursery rhymes which his brother and sister sing to him.

And she said that when her son felt pain he would cry, although it was not possible to hear him because of the ventilation tube.

“His eyes go red a little bit and tears will come down,” she said.

She argued if he was given an operation which might allow him to breathe alone - a tracheotomy - his life would improve.

“I believe his quality of life, which he has now, will get better if he is able to go out with it, walking around the hospital grounds, to be outside which mostly he has never seen before.”

Genetic condition

Baby MB cannot chew or swallow and is fed through a tube.

And while he is not believed to be mentally impaired, he can only move his eyebrows.

His mother told the court that despite his very paralysed face, he expressed himself by moving his eyebrows and attempting to smile.

His condition, which affects one in 6,400 newborns, is incurable and is set to lead to almost full paralysis.

It is a recessive genetic condition passed to a baby when both its parents carry a certain gene.

‘Intolerable life’

Medics from the hospital caring for him have told the court they believe the invasive ventilation method they use to keep him alive caused him discomfort.

One unnamed doctor said he believed Baby MB had an “intolerable life”, and that he was troubled by the life-sustaining treatment he had been obliged to give to the child for some time.

Another expert neurologist Marie Louise Hughes told the court the child would never be able to communicate anything to anyone.

She said there was also no objective evidence the child had normal cognitive function.

Last week the judge, Mr Justice Holman who is hearing the case, said it could be a landmark one, as it was the first time a court had been asked to make a life or death ruling on a child who has near or full cognitive function.

He is expected to make a reserved judgement several days after the case closes.

(Source : BBC News)
 
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ItrustJesus:
But the child’s father told the court he did not think it was right for anyone to decide if the baby should live or die.
If he truly felt that, then the baby should never have been on a ventilator to begin with. Still, I’ll chalk it up to sloppy language skills.

Back to that question you asked, go read paragraphs 2276 through 2279 of the Catechism of the Catholic Church.
 
A person is not required to administer extraordinary medical measures. They are allowed, but not required.

Because it is not ordinary to keep someone alive by breathing for them, and because the child on the ventilator does not posess a significant probability of recovering, this looks like it would be considered an extraordinary measure, and the parents can choose whether to keep the child on the ventilator or take him off.

Josh
 
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Timidity:
If he truly felt that, then the baby should never have been on a ventilator to begin with. Still, I’ll chalk it up to sloppy language skills.

Back to that question you asked, go read paragraphs 2276 through 2279 of the Catechism of the Catholic Church.
do you know how many times people end up on ventilators because a doctor just doesnt read the chart or any advanced directives? sometimes, after a person goes into arrest they panic, perform resuscitation, intubate and then stabilize. they hook the ET tube up to a vent, and then read the chart and say “oh, they didnt want to be on a vent” OOPS".
 
Thanks for your answers. I’m gonna check out the Catechism paragraphs now.

Here is a link to Wesley J. Smith’s blog Second Smoke. He is clearly opposed to withdrawing ventilation.
 
The scenario seems to be this. There is a Child who has a genetic defect that will cause full paralysis. This child needs to be fed and kept breathing by means of a ventilator. The parents are the de facto and de iure guardians of the child. There is little to no hope of curing this child’s problem and the doctors feel it is better to allow the child to die naturally then keep him alive.

At first glance I would have agreed with the poster who noted that it seems that extraordinary means are being used to sustain this child’s life and since extraordinary means are never necessary it is not immoral to allow the child to die by removing the ventilator. However, on closer inspection the parents note that there is significant cognitive functions by the child in so far as being fully aware of all things around him. This being the case then the child is not brain dead and not even in a perpetual vegetative state but only has lost, through genetic defect, the ability to move. At this point with the information given it seems that the ventilator is not extraordinary means in this case but takes on the character of ordinary means as the feeding tube. I would parallel with with the case with Fr. Groschel who required a ventilator to live after his accident with a truck. For Fr. Groschel the ventilator became ordinary means because there was hope of him getting better or at least staying the same. In the case of the child the capacity to breath has not been lost through the death of the brain but rather through a genetic defect and thus his viability is substantial. Also, there is some hope that new medical procedures will allow him to breath on his own. This in itself is sufficient enough to deduce that it would not be moral to remove the ventilator from this child. It seems that all other life functions are working and are in order. In this case the ventilator does not constitute extraordinary means as it does not meet all the qualifying factors that define a procedure as extraordinary.
 
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