By Frank A. Chervenak, Laurence B. McCullough
Perinatologists confront many moral demanding situations in scientific care and study for which they wish ethically sound, clinically sensible suggestions for medical judgment and determination making with their patients.This is the 1st e-book to handle those demanding situations in a clinically functional and accomplished means. the original characteristic of the ebook is its deployment of the pro accountability version of perinatal ethics and the moral inspiration of the fetus as a sufferer. The authors, a perinatologist and thinker, have collaborated
for greater than thirty years.
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Extra info for The Professional Responsibility Model of Perinatal Ethics
Example text
The fourth occurs in complications that threaten the woman’s health or life and salvage of the fetus is clinically hopeless. We will argue that recommendations are not ethically justified for the first three, but only for the fourth. The first and second categories can be addressed together. The first requires balancing the life and health of the pregnant woman against the health and life of the fetal patient in rare cases, such as some forms of cancer17 or mirror syndrome. The second category requires balancing the life and health of multiple fetal patients.
Well informed parental requests for such intervention should be implemented, emphasizing the concept of a trial of intervention. The patient populations for which such intervention may be worth considering can be defined more precisely by using the decision-making tool demonstrated by Tyson et al. to be reliable for neonatal patients14 but which Skupski et al. 15 Beneficence-based and justice-based considerations are relevant to setting ethically justified limits on neonatal intervention. It is well accepted that neonatal critical care may be discontinued when the patient has a terminal or irreversible condition, as defined in applicable advance directive legislation.
28 – – – – Induced abortion and feticide Before viability, it is appropriate to offer induced abortion when the pregnant woman requests it, she expresses concern about remaining pregnant, the fetus is diagnosed with an anomaly, a complication threatens the successful completion of the pregnancy, or when a complication jeopardizes the life or health of the pregnant woman. It is ethically permissible to perform induced abortion or feticide before viability. It is ethically permissible to perform feticide before induced abortion for a serious fetal anomaly diagnosed periviably or after viabilility.