Ethical issues in the asphyxiated newborn

Ethical issues are often encountered in asphyxiated neonates. They often involve making decisions that lead to the death of the neonate. They arise with the diagnosis of brain death or with the prognostication of dismal outcome. The diagnosis of persistent vegetative state can not be made in the neonatal period. The diagnosis of brain death should lead to discontinuation of any life support. The prognostication of a dismal outcome leads to different management options. The best interest of the neonate should be the main focus in choosing the best course of action. The parent, physician and ethics committees are involved in making these decisions.