I don't know. I don't think there is ever likely to be a real case where you can be confident that you are choosing A over B.
It's easy to say "pick the wife over the child", but from an evolutionary point of view, my genes are better served picking the child (assuming it is mine) over my wife (who may not be able or desirous of having a second try at a child after this trauma).
Also there's the issue that the incidence of relationship failure after this sort of situation is vastly greater than in "ordinary" relationships; so you have the disaster of a dead baby, followed almost inevitably by the divorce.
Saving the baby means I don't have to deal with the recrimination and hurt of having to tell my wife that I killed her baby, I get the support of her family, my family, her insurance, the state...
I never ever want to be in this situation, and hope nobody I know is.
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Overhead, the Albatross hangs motionless upon the air,
And deep beneath the rolling waves,
In labyrinths of Coral Caves,
The Echo of a distant time
Comes willowing across the sand;
And everthing is Green and Submarine
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