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Original Question

ANSWER ALL QUESTIONS ASKED AND PROVIDE SUBSTANTIAL EXPLANATION. CASE STUDY: Miss Ganda is pregnant, 25 years old, unmarried, and the mother of five (5) children by three different fathers. She has been an insulin- dependent diabetic since the age of 12 but had no complications from the disease during the earlier pregnancies. During clinic visits, Miss Ganda has been advised of the risks of uncontrolled diabetes for her unborn child (increased risk for congenital deformities, premature birth, and being still born) but does not seem to take the advice seriously. When questioned about how she is monitoring her blood sugar, she complain that she is too poor to buy the test strips, and even when she has the supplies, she often forgets. At 15 weeks gestation, following an office visit, she is admitted to the hospital as an inpatient to treat her diabetes. The next day, against her physician’s advice, she checks herself out of the hospital even though the diabetes has not been fully brought under control. Once at home, she again fails to monitor her blood sugar adequately. At 22 weeks gestation, Miss Ganda is again admitted to the hospital as her diabetes is again out of control. The next morning, she again announces that she wishes to checkout. The physician and unit staff advise her that her actions are clearly not in the best interest of the fetus. Miss Ganda responds negatively to the advice and become belligerent, demanding to be released. QUESTION: In this case, who has rights? Whose rights should prevail? Miss Ganda? The fetus? The hospital staff’s? Should the physician attempt to get a court order to keep Ganda hospitalized? In our culture we often talk of special rights for those whom we consider innocent, such as babies and children. How might such rights have evolved and become justified?

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