A full term neonate with Down syndrome

(C). Pediatrician is a child advocate; he must take decision always to the "best interest" of the child that what is called beneficent paternalism in pediatrics which is the obligation to act in a younger child's best interest that takes moral precedence over the Wishes of the child's parent(s), so in such a scenario arrangement with the surgeon to do the operation and calling the local hospital committee to protect the child is the best choice but this action is still need legislation in the third world. In a such Situation the Pediatrician must explain the benefit of treatment to the parents (baby best interest) trying best efforts to save the baby keeping in mind Down syndrome babies are not DNAR status