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It would not lead to withdrawal of life support from infants with a reasonable chance of a good life.
It would not permit withdrawal of life support from infants with Down syndrome or milder forms of spina bifida.
These issues concern the termination of pregnancy, the management of childbirth and the withdrawal of life support from infants in special care.
Exercising agency in facilitating the death of a child was also a concern for four couples who consented to the withdrawal of life support from infants in special care.
The Threshold View explicitly acknowledges that it may be permissible to withdraw life support from infants who will probably have lives above the zero point, whereas some descriptions of the gray zone seem to extend only below the zero point.
Having more information about the circumstances in which Islam permits abortion and withdrawal of life support from infants in special care, and having more open discussion of the emotional and social significance of public recognition of stillbirth or miscarriage would be helpful for parents and health-service providers supporting parents in making fully-informed decisions.
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The paper also identifies parents' concerns and feelings of wrong-doing regarding the withdrawal of artificial life-support from infants with multiple abnormalities.
This awareness of a child's life underpinned parents' concerns about the permissibility of facilitating death when considering medical abortion for fetal abnormality and when their consent was sought for the withdrawal of life-support from infants with fatal abnormalities.
This paper presents ethical dilemmas concerning the termination of pregnancy, the management of childbirth, and the withdrawal of life-support from infants in special care, for a small sample of British Pakistani Muslim parents of babies diagnosed with fatal abnormalities.
On the basis of the guideline outlined earlier, it would be permissible to withdraw life support from newborn infants with predicted severe cognitive deficits, including infants like Henry who have had severe hypoxic ischemic brain injury, congenital brain malformations such as lissencephaly, or infants with trisomy 13 or 18.
The Threshold View provides a more consistent, more robust, and potentially more practical basis for the withdrawal of life support from newborn infants.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com