The Professional Responsibility Model of Perinatal Ethics

Name: The Professional Responsibility Model of Perinatal Ethics | Professional Responsibility Model of Perinatal Ethics
Brand: De Gruyter
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Professional Responsibility Model of Perinatal Ethics

Frank A. Chervenak Laurence B. McCullough(Autor*in)

De Gruyter (Verlag)

1. Auflage

Erschienen am 12. September 2014

XII, 135 Seiten

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978-3-11-031672-8 (ISBN)

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Inhalt

Intro
Contents
Preface
1 The professional responsibility model of perinatal ethics
1.1 Introduction
1.2 Ethics, medical ethics, and perinatal ethics
1.2.1 Ethics
1.2.2 Medical ethics
1.2.3 Perinatal ethics
1.3 The professional responsibility model of perinatal ethics
1.3.1 Rights-based reductionism
1.3.2 The ethical concept of medicine as a profession
1.4 Conclusion
1.5 References
1.6 Summary points
2 Induced abortion and feticide
2.1 Introduction
2.2 Terminology
2.3 Offering induced during abortion or feticide
2.3.1 After viability
2.3.2 Before viability
2.4 Recommending induced abortion or feticide
2.5 Performing induced abortion or feticide
2.6 Referring for induced abortion or feticide
2.7 Conclusion
2.8 References
2.9 Summary points
3 Periviability
3.1 Introduction
3.2 Clinical outcomes data
3.3 Induced abortion
3.4 Obstetric and neonatal dimensions
3.5 Burdens on parents and society
3.6 Conclusion
3.7 References
3.8 Summary points
4 Intrapartum management
4.1 Introduction
4.2 A preventive ethics approach to cesarean delivery
4.3 Recommendations regarding mode of delivery
4.3.1 Recommending cesarean delivery
4.3.2 Offering both cesarean delivery and vaginal delivery
4.3.3 Recommending vaginal delivery
4.3.4 Responding to requests for non-indicated cesarean delivery
4.4 The role of destructive procedures
4.4.1 Cephalocentesis for intrapartum management of hydrocephalus
4.4.2 Isolated fetal hydrocephalus
4.4.3 Hydrocephalus with severe associated abnormalities
4.4.4 Hydrocephalus with other associated anomalies
4.5 Non-aggressive obstetric management
4.5.1 Aggressive and non-aggressive obstetric management defined
4.5.2 When beneficence-based obligations to the fetal patient cease to exist
4.5.3 When beneficence-based obligations to the fetal patient become minimal
4.5.4 Counseling the pregnant woman in the informed consent process for non-aggressive obstetric management
4.6 Conclusion
4.7 References
4.8 Summary Points
5 Planned home birth
5.1 Introduction
5.2 Critical appraisal of the assumption that planned home birth is compatible with professional responsibility
5.3 Planned home birth attendants are not acting in a professional capacity
5.4 Professional responsibility and hospital birth
5.5 Respect for the pregnant women's rights
5.6 Professionally appropriate responses
5.6.1 What should perinatologists do to address the root cause of the recrudescence of planned home birth?
5.6.2 How should perinatologists respond when a woman raises the topic of planned home birth?
5.6.3 How should perinatologists respond to a woman's request for the perinatologist to participate in planned home birth?
5.6.4 How should perinatologists respond when a patient is received on emergency transport from a planned home birth?
5.6.5 Should obstetricians participate in or refer patients to a randomized controlled clinical trial of planned home vs. planned hospital birth?
5.7 Conclusion
5.8 References
5.9 Summary Points
6 Pregnant patients with mental disorders
6.1 Introduction
6.2 Clinical considerations
6.3 Responsibly managing the decision-making process
6.3.1 Chronically and variably impaired autonomy
6.3.2 Assisted decision making
6.3.3 Surrogate decision making
6.3.4 Strategies for dealing with strong feelings that these patients can evoke
6.4 Clinical applications
6.4.1 The decision whether to continue a previable pregnancy to viability and thus to term
6.4.2 Intrapartum management
6.4.3 Decisions about child-rearing and adoption
6.5 Conclusion
6.6 References
6.7 Summary points
7 Neonatal management
7.1 Introduction
7.2 Neonatal medical ethics: Delivery makes a difference
7.3 Justified limits on resuscitation and neonatal critical care
7.4 The perinatologist's professional responsibility to reject infanticide: The Groningen Protocol is clinically unnecessary, unscientific, and unprofessional
7.4.1 Is The Groningen Protocol clinically necessary?
7.4.2 Is the Groningen Protocol scientific?
7.4.3 Is the Groningen Protocol professional?
7.5 Conclusion
7.6 References
7.7 Summary points
8 Perinatal innovation and research
8.1 Introduction
8.2 Innovation and research
8.3 Current research regulations
8.4 The central ethical challenge
8.5 Research designed to improve the health of pregnant women
8.6 Research designed to improve medical and surgical management of the fetal patient
8.7 Responsibly managing the transition from investigation to clinical practice
8.8 Conclusion
8.9 References
8.10 Summary points
9 Women and children first: Advocacy in perinatal medicine
9.1 Introduction
9.2 "Women and children first"
9.3 Justice-based professional responsibility
9.4 Challenges to justice in the allocation of healthcare resources to women and children
9.4.1 Challenges to substantive justice
9.4.2 Challenges to procedural justice
9.5 Conclusion
9.6 References
9.7 Summary points
10 Critically appraising the literature of perinatal ethics
10.1 Introduction
10.2 Four-step approach
10.2.1 Step 1: Does the argument address a focused ethics question?
10.2.2 Step 2: Are the results of the argument valid?
10.2.3 Step 3: What are the results of the argument?
10.2.4 Step 4: How should I apply the results in clinical practice, research, or advocacy?
10.3 Conclusion
10.4 References
10.5 Summary points
11 Acknowledgements
Index

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