Book contents
- Frontmatter
- Contents
- Foreword
- Preface
- Acknowledgments
- Contributors
- Part I ANTEPARTUM
- Part II INTRAPARTUM AND POSTPARTUM
- Part III SURGICAL PROCEDURES
- Part IV SPECIAL ISSUES
- Chapter 22 Fetal Assessment
- Chapter 23 Birth Injuries
- Chapter 24 Midwives and Operative Obstetrics
- Chapter 25 Education and Certification
- Chapter 26 Ethical Issues
- Chapter 27 Perinatal Loss
- Chapter 28 Birth Injury: Legal Commentary IV
- APPENDIX
- Index
- Plate section
- References
Chapter 26 - Ethical Issues
from Part IV - SPECIAL ISSUES
Published online by Cambridge University Press: 07 May 2010
Book contents
- Frontmatter
- Contents
- Foreword
- Preface
- Acknowledgments
- Contributors
- Part I ANTEPARTUM
- Part II INTRAPARTUM AND POSTPARTUM
- Part III SURGICAL PROCEDURES
- Part IV SPECIAL ISSUES
- Chapter 22 Fetal Assessment
- Chapter 23 Birth Injuries
- Chapter 24 Midwives and Operative Obstetrics
- Chapter 25 Education and Certification
- Chapter 26 Ethical Issues
- Chapter 27 Perinatal Loss
- Chapter 28 Birth Injury: Legal Commentary IV
- APPENDIX
- Index
- Plate section
- References
Summary
The moral conflicts that surround abortion, prenatal diagnosis, invasive fetal therapy, and maternal refusal of recommended care all carry an implied concern for the dependent variable in the choices made, the fetus. The social context is important in understanding the maternal-fetal relationship; however, genetic linkages that have traditionally been called on in this context are being challenged by surrogacy and other reproductive technologies. Continued fetal existence depends on an intact maternal circulation. Access to the fetus is possible only by accepting varying levels of maternal risk. Physicians can also be, secondarily, advocates for fetal well-being, but not at the expense of their obligation to the mother. If physicians can maintain this ethical focus, it is likely to encourage use of the medical care system by those wary of implied police activities of healthcare givers.
Keywords
- Type
- Chapter
- Information
- Operative Obstetrics , pp. 810 - 819Publisher: Cambridge University PressPrint publication year: 2008
References
, : Does obstetrics ethics have any role in the obstetrician's response to the abortion controversy?Am J Obstet Gynecol 1990; 163:1425–1429.CrossRefGoogle Scholar
: Abortion or motherhood, suicide and madness. Am J Obstet Gynecol 1992;Apr;166(4): 1029–1036.CrossRefGoogle Scholar
Curran C: Contemporary debate in philosophy and religious ethics. In: (ed): Encyclopedia of Bioethics. New York: Macmillan, 1978, pp. 17– 26.Google Scholar
Viability, abortion, and the difference between a fetus and an infant.Am J Obstet Gynecol 1973 Jun 1;116(3):429–434.CrossRefGoogle Scholar
Rethinking maternal fetal conflict: Gender and equality in perinatal ethics. Obstet Gynecol 2000 Nov; 96(5 Pt 1):786–791.Google Scholar
The Human Genome Project and the social contract: a law policy approach. J Med Philos 1992 Aug;17(4):371–380.CrossRefGoogle Scholar
Ethics of reproductive technology: the deconstruction of a paradigm. Logos (Santa Clara) 1988;9:3–9.Google Scholar
, Implementation of first-trimester risk assessment for trisomy 21: Ethical considerations. Am J Obstet Gynecol 2005 Jun; 192(6):1777–1781.CrossRefGoogle Scholar
, , : Ethical considerations of early (first vs. second trimester) risk assessment disclosure for trisomy 21 and patient choice in screening versus diagnostic testing. Am J Med Genet C Semin Med Genet 2007 Feb 15; 145(1):99–104.CrossRefGoogle Scholar
: Life's Dominion: An Argument About Abortion, Euthanasia and Individual Freedom. New York: Alfred Knopf, 1993.Google Scholar
: Life Before Birth: The Moral and Legal Status of Embryos and Fetuses. Boston: Oxford University Press, 1992.Google Scholar
Casey and the resuscitation of Roe v. Wade. Hastings Cent Rep 1992 Sep–Oct;22(5):24–28.CrossRefGoogle Scholar
, , , The clinical relevance of sex selection techniques. Fertil Steril 1989 Dec;52(6):891–905. Review.CrossRefGoogle Scholar
, Ethical issues in prenatal diagnosis. Clin Obstet Gynecol 1988 Jun;31(2): 408–417.CrossRefGoogle Scholar
, : Fatal knowledge? Prenatal diagnosis and sex selection. Hastings Cent Rep 1989;19: 21–27.CrossRefGoogle ScholarPubMed
Regulating Reproduction, 1st ed. New York: Columbia University Press, 1990. pp. 45–91.Google Scholar
, , , , , Selective first-trimester termination in octuplet and quadruplet pregnancies: Clinical and ethical issues. Obstet Gynecol 1988 Mar;71(3 Pt 1):289–296.Google Scholar
American College of Obstetricians and Gynecologists: Multifetal pregnancy reduction in Ethics in Obstetrics and Gynecology, Second Edition. Washington, DC. American College of Obstetricians and Gynecologists Epubwww.acog.org 2007.
: Maternal choice, will it work both ways?Women's Health Issues 1990;1:25–27.CrossRefGoogle ScholarPubMed
: First fruits: genetic screening. Hastings Cent Rep 1992;22(suppl):S2–S4.CrossRefGoogle ScholarPubMed
American College of Obstetricians and Gynecologists. Maternal Decision Making, Ethics, and the Law: Committee Opinion. Washington, DC: American College of Obstetricians and Gynecologists, 321, November 2005.
American College of Obstetricians and Gynecologists: Using Preimplantation Embryos for Research. Committee Opinion. Washington, DC: American College of Obstetricians and Gynecologists, 347, November 2006.
American College of Obstetricians and Gynecologists: Code of Professional Ethics. Washington, DC: American College of Obstetricians and Gynecologists. January, 2004.
American College of Obstetricians and Gynecologists: Ethical Decision Making in Obstetrics and Gynecology Committee Opinion, 390, 2007. Washington, DC: American College of Obstetricians and Gynecologists.
American College of Obstetricians and Gynecologists: Ethics in Obstetrics and Gynecology, Second Edition., Washington, DC: American College of Obstetricians and Gynecologists. (www.acog.org), Epub, 2007.
, , Understanding patients' decisions. Cognitive and emotional perspectives. JAMA 1993 Jul 7;270(1):72–76. Review.CrossRefGoogle Scholar
, Perspectives on fetal surgery. Am J Obstet Gynecol 1983 Apr 1;45(7):807–812. No abstract available.CrossRefGoogle Scholar
American College of Obstetricians and Gynecologists: Neural Tube Defects, Number 44, July 2003. Washington, DC: American College of Obstetricians and Gynecologists.
American Academy of Pediatrics Committee on Bioethics: Fetal therapy — ethical considerations. Pediatrics 1999 May;103(5 Pt 1):1061–1063.CrossRef
Drug addiction and pregnancy: Policy crossroads. Am J Public Health 1990 Apr;80 (4):483–487. Review.CrossRefGoogle Scholar
: Court-ordered treatment in obstetrics: The ethical views and the legal framework. Obstet Gynecol 1991 Nov;78(5 Pt 1):861–868.
Beyond abortion: Refusal of caesarean section. Bioethics 1989 Apr;3(2):106–121.CrossRefGoogle Scholar
, . Ethics of maternal-fetal surgery. Semin Fetal Neonatal Med 2007 Dec; 12(6):426–431. Epub 2007 Aug 2.CrossRefGoogle Scholar
Committee on Ethics, ACOG Committee Opinion Number 369, June 2007. Multifetal pregnancy reduction. Obstet Gynecol 2007 Jun;109(6):1511–1515.CrossRef
, , An ethically justified, clinically comprehensive approach to peri-viability: Gynaecological, obstetric, perinatal and neonatal dimensions. J Obstet Gynaecol 2007 Jan;27(1):3–7. Review.CrossRefGoogle Scholar
, , : Consensus statements on the borderlands of neonatal viability: From uncertainty to grey areas. Ir Med J 2007 Sep;100 (8):561–564.Google Scholar
, , , , , , , , , , , , , , , , , , , , NICHD EATA Trial Group: Late first-trimester invasive prenatal diagnosis: Results of an international randomized trial. Obstet Gynecol 2004 Jun;103(6):1164–1173.Google Scholar
, , , , , , , , Chorionic villus sampling safety. Report of World Health Organization/EURO meeting in association with the Seventh International Conference on Early Prenatal Diagnosis of Genetic Diseases, Tel-Aviv, Israel, May 21, 1994. Am J Obstet Gynecol 1996 Mar;174(3):807–811.CrossRefGoogle Scholar
, , , , , , , , , , et al: A randomized comparison of transcervical and transabdominal chorionic-villus sampling. The U. S. National Institute of Child Health and Human Development Chorionic-Villus Sampling and Amniocentesis Study Group. N Engl J Med 1992 Aug 27;327 (9):594–598. PMID: 1640952.Google Scholar
Natarajan G, Klein MD: The fetus as a patient: Prenatal diagnosis and fetal therapy. emedicine, 2006 (www.imedicine.com topic = 2953).