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Pregnant, brain-dead woman kept on life support

Published on NewsOK Modified: January 3, 2014 at 6:58 pm •  Published: January 3, 2014
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DALLAS (AP) — Marlise Munoz lies in a North Texas hospital, 19 weeks pregnant but with no chance of seeing her child born.

Her husband, Erick Munoz, says a doctor told him she's brain dead, but John Peter Smith Hospital is refusing to allow him to take her off of life support. The hospital says Texas law prohibits it from following a family directive when a pregnancy is involved, although three experts say the hospital is misreading the law in question.

The case is raising questions about end-of-life care and stands in stark contrast to that of a 13-year-old girl in California whose family is trying to keep her on life support after she was declared brain dead. In that case, the hospital wants to disconnect her from a ventilator, saying the girl is legally dead.

In the Texas case, Munoz said he and his wife both worked as paramedics and have seen life and death up close.

"It's our decision that we didn't want to live in that condition," he said in a phone interview Friday from his wife's hospital room.

Munoz found his wife unconscious in the early morning hours of Nov. 26. The family says it doesn't know the exact cause, though a pulmonary embolism is a possibility. Marlise Munoz was 14 weeks pregnant at the time.

Erick Munoz described his personal conflict as the father of a 14-month-old boy who wanted another child, but as a medical professional who didn't know if the fetus could survive or how much it had suffered.

Marlise Munoz's case appears to be rare. A 2010 article in the journal BMC Medicine found 30 cases of brain-dead pregnant women over about 30 years. Of 19 reported results, the journal found 12 in which a viable child was born and had post-birth data for two years on only six of them — all of whom developed normally, according to the journal.

Hospital spokeswoman J.R. Labbe said she isn't permitted to confirm that Marlise Munoz had been declared brain-dead, only that she was pregnant and hospitalized in serious condition.

"We are following the law of the state of Texas," Labbe said. "This is not a difficult decision for us. We are following the law."

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