In 2021, the Court of Protection made a third anticipatory declaration that it was lawful for a capacitous pregnant woman to be subject to possible forcible treatment contingent on her losing capacity before or during birth. North Middlesex University Hospital v SR raises three interesting questions for discussion which this commentary will explore. First, it is submitted that there is a growing, yet alarming, trend in the use of anticipatory or contingent declarations to manage such challenging cases of future loss of, or fluctuating, capacity in pregnant women. This trend now seems to have been widened by SR and could potentially capture any pregnant woman, rather than those in narrower, exceptional circumstances. Secondly, this commentary discusses the judge’s justification of basing the issuing of anticipatory or contingent declarations on a ‘real risk’ P will lose capacity in the future, highlighting the potential problems with framing such controversial powers on ‘risk’. Finally, it provides an exploration of the alternative option of utilising advance care plans to better deal with these types of matters, in the name of giving back the power to pregnant women to decide on what should happen to them in labour in the event that they do lose capacity before or during delivery.

中文翻译：

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一种新兴模式？怀孕期间预期能力丧失的进一步案例：北米德尔塞克斯大学医院 NHS Trust V SR [2021] EWCOP 58

2021 年，保护法院作出了第三次预期性声明，即根据她在出生前或出生时失去能力的情况，对大容量孕妇进行可能的强制治疗是合法的。North Middlesex University Hospital v SR 提出了三个有趣的问题供讨论，本评论将探讨这些问题。首先，有人提出，在使用预期或或有声明来管理此类具有挑战性的未来孕妇能力丧失或波动情况的情况下，存在一种不断增长但令人担忧的趋势。现在，这种趋势似乎已经被 SR 扩大了，并且可能会捕获任何孕妇，而不是那些处于狭窄、特殊情况的孕妇。第二，本评论讨论了法官基于“实际风险”发布预期或或有声明的理由 P 将在未来失去能力，强调将此类有争议的权力置于“风险”之上的潜在问题。最后，它探索了利用预先护理计划更好地处理这些类型的问题的替代选择，以赋予孕妇权力来决定在分娩时应该发生什么在交付之前或交付期间确实会失去容量。