{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:48:13Z","timestamp":1791906493635,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Developing World Bioethics"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This article explores the ethical and legal challenges of death by neurological criteria (DNC) in a 20\u2010week pregnant patient, focusing on the tension between patient autonomy and fetal well\u2010being. Through an educational clinical case, it analyzes the clinical, bioethical, and legal aspects, considering advance directives, family expectations, and biomedical possibilities. The case raises ethical concerns about the instrumentalization of the woman's body when prolonging life support during pregnancy. The analysis emphasizes the importance of respecting the patient's autonomy and ensuring posthumous dignity. It also highlights the role of interdisciplinary teams in balancing clinical, ethical, and emotional factors in decision\u2010making. The discussion underscores principles such as autonomy, best interests, and proportionality, promoting ethical management aligned with individual values. Finally, it offers practical tools for healthcare professionals facing similar situations, fostering comprehensive family support and informed bioethical deliberation.<\/jats:p>","DOI":"10.1111\/dewb.70003","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:18:56Z","timestamp":1753352336000},"page":"58-65","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical, Bioethical, and Regulatory Challenges in Pregnancy With Death by Neurological Criteria: An Analysis in the Colombian Context"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2463-4214","authenticated-orcid":false,"given":"Boris Juli\u00e1n","family":"Pinto\u2010Bustamante","sequence":"first","affiliation":[{"name":"Bioethics, Life Sciences Research Group, Bioethics Department Universidad El Bosque Bogot\u00e1 Colombia"},{"name":"Medical and Health Sciences Education Research Group, School of Medicine and Health Sciences Universidad del Rosario  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7845-159X","authenticated-orcid":false,"given":"Mar\u00eda Carolina","family":"Abaunza\u2010Barrero","sequence":"additional","affiliation":[{"name":"Bioethics and Medical Law Research Group, School of Medicine and Health Sciences Universidad del Rosario  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0406-1326","authenticated-orcid":false,"given":"Andr\u00e9s Jos\u00e9","family":"Vargas\u2010Ardila","sequence":"additional","affiliation":[{"name":"Bioethics and Medical Law Research Group, School of Medicine and Health Sciences Universidad del Rosario  Bogot\u00e1 Colombia"},{"name":"Instituto Roosevelt  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6328-917X","authenticated-orcid":false,"given":"Ana Isabel","family":"G\u00f3mez\u2010C\u00f3rdoba","sequence":"additional","affiliation":[{"name":"Medical and Health Sciences Education Research Group, School of Medicine and Health Sciences Universidad del Rosario  Bogot\u00e1 Colombia"},{"name":"Rector of Universidad del Rosario  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6953-3556","authenticated-orcid":false,"given":"Liliana Paola","family":"Correa\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Colsanitas\u2014Cl\u00ednica Reina Sof\u00eda, Member of the Women's Health Research Group (Colsanitas), Critical Medicine Research Group (Colsanitas) Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9376-3565","authenticated-orcid":false,"given":"Juli\u00e1n","family":"Rodr\u00edguez\u2010Cely","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cardiolog\u00eda Ignacio Ch\u00e1vez UNAM Mexico City Mexico"},{"name":"Instituto Nacional de Neurolog\u00eda y Neurocirug\u00eda Manuel Velasco Su\u00e1rez UNAM Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0716-8167","authenticated-orcid":false,"given":"Habib Georges","family":"Moutran\u2010Barroso","sequence":"additional","affiliation":[{"name":"Department of Medicine and Humanities Universidad El Bosque Bogot\u00e1 Colombia"},{"name":"Los Cobos Medical Center  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1367-0400","authenticated-orcid":false,"given":"Diana Alejandra","family":"Alfonso\u2010Ayala","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Medicine and Fetal Therapy Units at Cl\u00ednica del Country Cl\u00ednica La Colina, and Cl\u00ednica Colsubsidio Calle 94 Bogot\u00e1 Colombia"},{"name":"Head of the Ethics Committee of the National Federation of Gynecology and Obstetrics (FECOLSOG)  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7099-1877","authenticated-orcid":false,"given":"Edna Margarita","family":"De la Hoz\u2010Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Presentes Palliative Care Unit (Versania)\u2014Barranquilla Branch. 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