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Ethical Issues in Maternal-Fetal Medicine

Ethical Issues in Maternal-Fetal Medicine
Author: Donna Dickenson
Publisher: Cambridge University Press
Total Pages: 364
Release: 2002-02-07
Genre: Law
ISBN: 9780521664745

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This book addresses the ethical problems in maternal-fetal medicine which impact directly on clinical practice.


Biomedical Ethics and Fetal Therapy

Biomedical Ethics and Fetal Therapy
Author: Carl Nimrod
Publisher: Wilfrid Laurier Univ. Press
Total Pages: 137
Release: 2006-01-01
Genre: Medical
ISBN: 0889206651

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“Over the last two decades, medical researchers have become more comfortable with the idea that serious attention must be given to ethical issues when the tests of new technologies are being designed. They have come to see that experimental trials must meet certain standards, not only of scientific rigour, but also of moral acceptability.” (Introduction) Presented by an international group of experts, the eight essays included in this volume evaluate the new technologies in fetal care and also wrestle with the new problems, often moral ones, that have accompanied techonological advancement. The opening chapters review state-of-the-art ultrasound imaging and molecular genetics and focus on the new patient—the fetus. From here, the efficacy of fetal therapy, the problem of assessing long-term viability, the ethical issues involved in both clinical practice and medical research, and the legal rights of the new patients and their parents are examined. The final chapter “Are Fetuses Becoming Children?” brings a fresh philosophical perspective to the question of a fetus’s status and rights.


The Cambridge Textbook of Bioethics

The Cambridge Textbook of Bioethics
Author: Peter A. Singer
Publisher: Cambridge University Press
Total Pages: 477
Release: 2008-01-31
Genre: Medical
ISBN: 1139468219

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Medicine and health care generate many bioethical problems and dilemmas that are of great academic, professional and public interest. This comprehensive resource is designed as a succinct yet authoritative text and reference for clinicians, bioethicists, and advanced students seeking a better understanding of ethics problems in the clinical setting. Each chapter illustrates an ethical problem that might be encountered in everyday practice; defines the concepts at issue; examines their implications from the perspectives of ethics, law and policy; and then provides a practical resolution. There are 10 key sections presenting the most vital topics and clinically relevant areas of modern bioethics. International, interdisciplinary authorship and cross-cultural orientation ensure suitability for a worldwide audience. This book will assist all clinicians in making well-reasoned and defensible decisions by developing their awareness of ethical considerations and teaching the analytical skills to deal with them effectively.


Ethics in Reproductive and Perinatal Medicine

Ethics in Reproductive and Perinatal Medicine
Author:
Publisher: Yale University Press
Total Pages: 268
Release:
Genre: Human reproductive technology
ISBN: 9780300174243

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Advances in reproductive and perinatal medicine have given rise to difficult ethical issues. Do all women have the right to choose whether to reproduce? What is the moral status of the fetus during various stages of gestation and what obligations do parents have to the fetus during this period? In this book Carson Strong develops an ethical framework that helps resolve these and many other issues of vital concern to health professionals, policymakers, and the general public. Strong begins by exploring the significance of reproductive freedom, drawing on constitutional law and feminist writings, among other sources. Next he assesses the moral status of offspring during preembryonic, embryonic, fetal, and postnatal stages of development, discussing the obligations of procreators during gestation and offering a new perspective on the idea that the moral standing of the fetus increases as fetal development proceeds. He then suggests an approach to the question of how priorities should be assigned to conflicting values, one that draws on a version of casuistic reasoning. In the second half of the book, Strong applies this ethical framework to some of the problematic areas in reproductive and perinatal medicine. These include prenatal genetic testing for susceptibilities to common diseases and for "enhancement" of offspring; research using preembryos and embryos; nontraditional family arrangements, such as surrogate motherhood and ovum donation for older women; and treatment of fetuses with anomalies. His discussion takes into account the clinical dimensions of issues and reflects a thorough consideration of the ethical, legal, medical, and psychosocial literature.


Bioethics and the Fetus

Bioethics and the Fetus
Author: James M. Humber
Publisher: Springer Science & Business Media
Total Pages: 195
Release: 1991-12-16
Genre: Medical
ISBN: 159259445X

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Who has more rights-the mother or the fetus? Interdisciplinary in scope and character, this latest volume of Humana's classic series, Biomedical Ethics Reviews, focuses on the complex moral and legal problems involving human fetal life. Each article in Bioethics and the Fetus provides an up-to-date review of the literature and advances bioethical discussion in its field. The authors have avoided much of the technical jargon of philosophy and medicine in order to speak directly to a broad and general readership. Topics include: maternal-fetal conflict the disposition of aborted fetuses frozen embryos creating children to save sibling's lives fetal tissue transplantation moral implications of fetal brain integration the embryo as patient prenatal diagnosis. Probing deeply into these thorny issues, Bioethics and the Fetus offers thought-provoking reading-and paves the ground for new insight-for a host of healthcare and other professionals, as well as concerned laypersons.


Rights, Duties, and the Body

Rights, Duties, and the Body
Author: Rosamund Scott
Publisher:
Total Pages: 437
Release: 2002
Genre: Fetus
ISBN: 9781474200486

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If a pregnant woman refuses medical treatment needed by the fetus - for instance for religious reasons - or conducts some aspect of her life in a way which risks fetal harm, there may arise an instance of ""maternal-fetal conflict"". This is an unfortunate term, since pregant women are generally renowned for their self-sacrificing behaviour, but it may well reflect the reality of certain maternal choices and actions. Should a pregnant woman have the legal right to refuse medical treatment needed by the fetus, or should she owe it a legal duty of care which precludes her acting in ways which.


The Fetus as a Patient

The Fetus as a Patient
Author: Dagmar Schmitz
Publisher: Routledge
Total Pages: 334
Release: 2018-04-17
Genre: Law
ISBN: 1351692771

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Due to new developments in prenatal testing and therapy the fetus is increasingly visible, examinable and treatable in prenatal care. Accordingly, physicians tend to perceive the fetus as a patient and understand themselves as having certain professional duties towards it. However, it is far from clear what it means to speak of a patient in this connection. This volume explores the usefulness and limitations of the concept of ‘fetal patient’ against the background of the recent seminal developments in prenatal or fetal medicine. It does so from an interdisciplinary and international perspective. Featuring internationally recognized experts in the field, the book discusses the normative implications of the concept of ‘fetal patient’ from a philosophical-theoretical as well as from a legal perspective. This includes its implications for the autonomy of the pregnant woman as well as its consequences for physician-patient-interactions in prenatal medicine.


The Professional Responsibility Model of Perinatal Ethics

The Professional Responsibility Model of Perinatal Ethics
Author: Frank A. Chervenak
Publisher: Walter de Gruyter GmbH & Co KG
Total Pages: 208
Release: 2014-09-12
Genre: Medical
ISBN: 3110389746

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This book provides the first clinically comprehensive and practical approach to ethical challenges in perinatal medicine. The first chapter introduces and explains the professional responsibility model of perinatal ethics. The professional responsibility model is based on the medical ethics of two major physician-ethics in the history of Western medical ethics, Dr. John Gregory (1724-1773) of Scotland and Dr. Thomas Percival (1740-1804) of England. The professional responsibility model is used to articulate the ethical concept of the fetus as a patient and to operationalize the ethical principles of beneficence and respect for autonomy. The book provides practical guidance for clinical judgment and decision making with patients about the responsible clinical management of the wide range of issues encountered by perinatologists in clinical practice and research. Topics included: periviability; feticide; intrapartum management; maternal-fetal conflict; innovation for fetal benefit; research for fetal benefit; non-aggressive obstetric management; managing the transition from pregnancy to birth; destructive procedures such as cephalocentesis; critical care for the pregnant patient; home birth; patient-choice cesarean delivery; neonatal care as a trial of management; and setting limits on neonatal care on the basis of clinical judgments of futility.


Ethics in Obstetrics and Gynecology

Ethics in Obstetrics and Gynecology
Author: Laurence B. McCullough
Publisher: Oxford University Press, USA
Total Pages: 300
Release: 1994
Genre: Gynecology
ISBN: 9780195060058

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This book offers a comprehensive and clinically practical approach to ethics in the everyday practice of obstetrics and gynecology. The topics the authors address include: contraception, abortion, selective termination of multifetal pregnancies, gynecologic cancer, in vitro fertilization, surrogacy, prenatal diagnosis, fetal therapy, cephalocentisis, prematurity, HIV infection, and court ordered cesarean delivery. The issues involved in making decisions in many of these areas are a source of conflict, and lead to crisis between the physician and patient. One of the book's strengths is its emphasis on prevention and, if prevention fails, management, of the conflicts and crises which arise in these areas of medicine. The authors develop their preventative and management strategies on the basis of a framework for bioethics in the clinical setting. This framework is rigorously established and defended. The authors argue that four virtues -- self effacement, self sacrifice, compassion, and integrity -- generate the physician's obligation to protect and promote the patient's interest. They then identify the three types of patient's interests -- social role interests, subjective interests, and deliberative interests -- and they reinterpret the ethical principles of beneficence and respect for autonomy in terms of these. The concept of the fetus as patient, the physician's obligation to third parties, and the moral standing of fathers and family members are also addressed. The implications of their argument sets the stage for the discussions of prevention and management in the remaining sections of the book. Ethics in Obstetrics and Gynecology is a unique addition to the literature in both biomedical ethics and obstetrics and gynecology. It demonstrates that ethics should be regarded as an essential part of obstetrics and gynecology, and that clinical practice is incomplete without i


OB/GYN Hospital Medicine: Principles and Practice

OB/GYN Hospital Medicine: Principles and Practice
Author: Jennifer Butler
Publisher: McGraw Hill Professional
Total Pages: 487
Release: 2018-12-22
Genre: Medical
ISBN: 1259861708

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A complete guide to making a successful OB/GYN Hospital Medicine program a reality This authoritative text delivers a complete evidence-based blueprint clarifying every aspect of OB/GYN Hospital Medicine. Encompassing clinical practice as well as program development and business models, the book takes physicians, nurses, administrators, and staff through the necessary steps to start and successfully run OB/GYN hospitalist programs. Readers will also benefit from an efficient approach to managing OB/GYN emergencies, which includes valuable guidance for physicians and physician extenders working in labor and delivery and ERs/ICUs. Utilizing a cohesive 3-part organization, the book begins with an insightful overview of the OB/GYN Hospital Medicine specialty, then explores related healthcare system issues and the full range of obstetric clinical conditions, from asthma in pregnancy to preterm labor. Finally, an essential review of fundamental gynecologic topics, such as pelvic pain, is provided, along with in-depth coverage of modern OB/GYN Hospital Medicine procedures. Taken together, this innovative text represents the definitive introduction to the OB/GYN hospitalist speciality—one that no hospital should be without. Features: •A focus on accessible, high-yield medical education illuminates the burgeoning field of OB/GYN Hospital Medicine •Practical, turnkey coverage of OB/GYN Hospital Medicine and its successful implementation is designed to optimize OB/GYN practice and enhance patient care •Outstanding chapter pedagogy includes learning objectives, clinical case presentations, key patient hand-off points, and abundant clinical images and illustrations