2026年9月22日 美国东部时间下午4:45 / 美国有线电视新闻网（CNN）
作者：约翰·弗里茨
更新于17分钟前
更新时间：2026年9月22日，美国东部时间晚上7:50
发布时间：2026年9月22日，美国东部时间下午4:45
麦肯纳·韦斯特（右）于8月25日在达拉斯的家庭法院听证会结束后走过走廊。
LM·奥特罗/美联社
美国最高法院周二驳回了一名代孕母亲的请求，该母亲正为一名患有严重心脏缺陷的男婴的监护权而斗争，最高法院避开了这场卷入堕胎和代孕更广泛全国性辩论的复杂法律战。
阿拉斯加护士麦肯纳·韦斯特为奥马尔·艾哈迈德和瑙欣·吉尔卡尔孕育了这名孩子。当早期扫描发现孩子患有左心发育不良综合征——一种危及生命的病症时，艾哈迈德和吉尔卡尔决定终止妊娠。但韦斯特拒绝了，前往德克萨斯州并生下了孩子。
这起案件引发了令人揪心且极具个人色彩的争议，并被卷入了关于堕胎和代孕的更广泛辩论中。今年正在参选美国参议员的共和党籍德克萨斯州总检察长肯·帕克斯顿曾代表韦斯特介入，争取到要求为婴儿提供医疗护理的法院命令，但随后又退出了此案。
尽管如此，最高法院通常不愿插手家庭纠纷，尤其是在争议主要涉及州法律的情况下。
艾哈迈德和吉尔卡尔称韦斯特违反了代孕合同，加利福尼亚州一家法院已认定他们是孩子的合法父母。韦斯特于9月9日敦促最高法院介入这场法律纠纷，并暂停该州法院的命令，以便她有时间在联邦法院继续抗争。
负责处理加利福尼亚州紧急案件的大法官埃琳娜·卡根未作解释便驳回了该请求。由于卡根未正式将此案提交全体大法官审理，没有记录在案的异议。目前尚不清楚卡根是否非正式地征询了同事们的意见。
这名男婴于8月12日出生，已经接受了一次手术，还可能需要接受更多手术。
根据美国疾病控制与预防中心的说法，如果不接受治疗，左心发育不良综合征可能会在数天或数周内导致死亡。手术是必要的，但无法治愈该病症，可能还需要额外的手术或心脏移植。
艾哈迈德和吉尔卡尔给孩子取名为鲁米，韦斯特则给孩子取名为加布里埃尔。
韦斯特向最高法院声称，艾哈迈德和吉尔卡尔可能不会支持孩子的治疗，称“尽管孩子的病情可以治疗，但他可能会被从德克萨斯州的医院转移到加利福尼亚州接受临终关怀”。
吉尔卡尔和艾哈迈德否认拒绝为孩子提供治疗。
他们的律师亚当·沃尔夫在一份声明中表示：“我们很高兴鲁米能够继续接受维持生存所需的治疗，也很高兴他不会被从确保孩子获得顶级医疗护理的父母身边带走。韦斯特女士在三个州、多个上诉法院乃至美国最高法院提起的法律诉讼，都试图破坏鲁米的父母为其提供所需护理的权利。每一家法院都驳回了这些诉求。”
美联社对本报道亦有贡献。
本文已更新补充最新进展。
Supreme Court rejects surrogate’s request to have a say in sick baby’s care
2026-09-22 4:45 PM ET / CNN
By John Fritze
Updated 17 min ago
Updated Sep 22, 2026, 7:50 PM ET
PUBLISHED Sep 22, 2026, 4:45 PM ET
McKenna West, right, walks in a hallway at family court after a hearing in Dallas, on August 25.
LM Otero/AP
The Supreme Court on Tuesday declined a request from a surrogate who is fighting for custody of a baby boy who was born with a serious heart defect, steering clear of a complicated legal battle that has become wrapped up in broader national debates over abortion and surrogacy.
McKenna West, an Alaska nurse, carried the child for Omar Ahmed and Nausheen Gilkar. When an early scan found hypoplastic left heart syndrome, a life-threatening condition, Ahmed and Gilkar decided to have an abortion. But West declined, traveled to Texas and gave birth.
The case raised wrenching and deeply personal questions and was caught up in broader debates over abortion and surrogacy. Texas Attorney General Ken Paxton, a Republican who is running for the US Senate this year, intervened on behalf of West to secure a court order requiring medical treatment for the baby, but then withdrew from the case.
Despite that, the Supreme Court is generally loath to engage in family disputes, especially when the issues deal largely with state law.
Ahmed and Gilkar say West violated the surrogacy contract and a California court recognized them as the baby’s legal parents. West urged the Supreme Court to step into the legal fight on September 9 and to pause that state court order to give her time to continue fighting in federal court.
Justice Elena Kagan, who handles emergency cases rising from California, denied the request without explanation. Because Kagan did not formally refer the case to the entire court, there were no noted dissents. It’s not clear if Kagan informally polled her colleagues.
The boy, born on August 12, has already undergone one surgery and more are likely.
Without treatment, hypoplastic left heart syndrome can lead to death within days or weeks. Surgery is necessary but will not cure the condition, and additional procedures or a heart transplant may be needed, according to the US Centers for Disease Control and Prevention.
Ahmed and Gilkar named the boy Rumi. West named the child Gabriel.
West has claimed that Ahmed and Gilkar may not support treatment for the child, telling the Supreme Court that “the child could be removed from the Texas hospital and taken to California for hospice — despite his treatable condition.”
Gilkar and Ahmed have denied refusing care for the child.
“We are grateful that Rumi can continue receiving the treatment he needs to survive, and that he will not be stripped away from his parents, who are ensuring their child receives top-notch medical care,” their attorney Adam Wolf said in a statement. “Ms. West’s legal filings across three states, numerous courts of appeals, and now the U.S. Supreme Court have sought to undermine Rumi’s parents’ right to provide him with the care he needs. Those efforts have been rejected by every single court.”
The Associated Press contributed to this report.
This story has been updated with additional developments.
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