Firstly, should have mentioned that I'm not sure where the father sits in all of this. I'm assuming he knew and was complicit. Not sure though, should find out and report back if anyone is interested. If was was also told the lie, it would be an added conundrum.
Systematic stated: source post
Depends on the functionality and disability of the affected twin. If the child has promising hope of being competent as a regular human being, I'd do nothing. If however the child was guaranteed a life without standard mental faculties, I'd follow through with the wishes of the mother. I'd want the same if they were my children.
As is, doctors (here) have no say in the validity of an abortion (aside from time, of course). She was free to abort as she saw fit. I don't disagree with this process, but I'm not an obstetrician.
Xena stated: source post
Dildo Faggins stated: source post
Because when it's known that you're carrying twins and only one comes home someone is going to want to know what happened to the other twin.
By telling the relatives the other twin has died you effectively stop them from wondering too much because the death of a child hurts, and it would be insensitive to ask the mother. loved ones often want to know what's happening to the mother and the children and they'll go to the doctor or nurses for updates.
This mother didn't want her family knowing that she was giving one twin up so she asked the clinicians to lie.
^ This. This is the meat and bones of the dilemma. However, my opinion of who ought to know, why the mother wants to hide the messy business from her family, and how to handle it is different from yours.
Childbirth is a hideously painful, messy, humiliating and degrading experience under the best of circumstances. When you're shackled to that labour table, it's close to absolute helplessness and fucking torture. Most people know this. But what most people don't quite grasp is what childbirth hormones can do to a woman's head throughout the process. Your entire body, mind and emotional presence are on fire with the hormone rush. The emotional (psychic?) pain is almost unbearable as well.
Any situation that presents itself during the ordeal as a disappointment fucking HURTS like 5 times more than it would when you're in a normal headspace bc of the stupid childbirth hormones. I started to cry over my missing dessert when I was in hospital with my daughter. lol
I can't imagine having to make a choice like that girl did.
I understand why she wouldn't want to listen to her nagging relatives after being forced (by nature) to make those awful choices. I mean, everybody and their uncle... people who have never even had kids... always want to tell women what to do with their kids. Like it's any of their fucking business.
Wanting to hide her decision from her family is probably her way of maintaining what likely feels to her like her last shred of personal dignity and autonomy.
@ haart: Ignore what I said this morning. That was me trying to multitask through a nicotine jones and too little time. lol. This is why your field never interested me. Blah. Ethical conundrums. I hate them :P
Is there a way for your colleague to do what his/her peers expect to be done (honesty and transparency) while still protecting the mother's privacy? Where I am, there are strict confidentiality laws. Doctors don't have to lie for patients bc patients' families are not allowed to know what happens in delivery rooms unless consent forms are signed.
This would be a non-issue where I am bc the family would not be allowed to ask wth happened to the other twin. The mother would be able to tell them w/e she wants.
Our laws RE: confidentiality are similarly strict. That wasn't the problem here. Doctors are under legal obligation to deny information (as requested - given capacity to do so - meaning that there are exceptions when a person is without the cognitive capacity to privilege their medical information). BUT, this was a situation where the mother requested the doctors give false information. That isn't a legally protected area. Obviously, there's no legislation obligating doctors to lie, but similarly, there's no obligation that they don't. It was a choice.
Incidentally, this is all retrospective. The decision was made to "passively" support the mother's story. I.e. No elaboration, but no denial.
Moreover, it's complicated because - particularly in childbirth - there will inevitably be a million unavoidable questions from family. If they were to say "I'm not allowed to tell you" x50, suspicions would be raised. This was their justification for tacitly supporting the mother's lie.