By Frank A. Chervenak, Laurence B. McCullough
ISBN-10: 3110316609
ISBN-13: 9783110316605
ISBN-10: 3110316722
ISBN-13: 9783110316728
Perinatologists confront many moral demanding situations in scientific care and learn for which they wish ethically sound, clinically functional information for scientific judgment and choice making with their patients.This is the 1st e-book to handle those demanding situations in a clinically useful and accomplished approach. the original characteristic of the ebook is its deployment of the pro accountability version of perinatal ethics and the moral suggestion of the fetus as a sufferer. The authors, a perinatologist and thinker, have collaborated
for greater than thirty years.
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Sample text
The second category requires balancing the life and health of multiple fetal patients. These judgments, at first, appear to be purely beneficence-based, and therefore within the scope of the physician’s professional competence to make recommendations, but on closer examination are not. This is because these judgments involve deciding which health or life is more important. This is ultimately not a beneficence-based judgment but autonomy-based, appealing to the cultural, religious, and other individual beliefs of the pregnant woman.
16. 17. 18. 19. 20. 35 MacDonald H, American Academy of Pediatrics, Committee on the Fetus and Newborn. Perinatal care at the threshold of viability. Pediatrics 2002;110:1024–1027. Higgins RD, Delivoria-Papadopoulos M, Raju TNK. Executive summary of the workshop on the border of viability. Pediatrics 2005;115:1392–1396. Skupski DW, Greenough A, Donn SM, Arabin B, Bancalari E, Vladareanu R. Delivery mode for the extremely premature fetus: a statement of the prematurity working group of the World Association of Perinatal Medicine.
7,8 As explained in Chapter 1, preventive ethics uses the informed consent process to anticipate, prevent, and responsibly manage the potential for ethical conflict between the pregnant woman and her perinatologist. The absence of a preventive ethics approach to decision making with patients about cesarean delivery unwittingly fosters the misperception of the “perfect baby”9 and misses important opportunities to prepare the pregnant woman for rush of decision making about cesarean delivery documented by Salmeen and Brincat, so that it does not overwhelm her autonomy or birth experience.
The Professional Responsibility Model of Perinatal Ethics by Frank A. Chervenak, Laurence B. McCullough
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