Resolving the Clinical and Ethical Dilemma Involved in Fetal-Maternal Conflicts
Pinkerton, JoAnn V.
Finnerty, James J.
Sosnowski, J. Richard
American Journal of Obstetrics and Gynecology. 1996 Aug; 175(2): 289-295.
A serious ethical dilemma occurs when a pregnant woman refuses a medically indicated intervention. Should respect for her autonomy preclude any approach other than to accept her decision? Should the caregivers have recourse to "gentle persuasion"? Is there ever a justification for invoking the power of court-ordered intervention? The societal views on this subject are first developed from an ethical perspective. The pertinent court cases that reflect on this topic are reviewed. The process of developing guidelines within our institution is related. Finally, the guidelines that were eventually developed are offered.
Allowing to Die; Autonomy; Beneficence; Caregivers; Cesarean Section; Clinical Ethics; Clinical Ethics Committees; Coercion; Competence; Counseling; Consent; Consultation; Ethics; Ethics Committees; Ethics Consultation; Fetal Therapy; Fetuses; Guidelines; Health; Health Services; Hospitals; Informed Consent; Institutional Policies; Judicial Action; Life; Moral Policy; Patient Care; Patient Care Team; Patient Transfer; Pregnant Women; Prolongation of Life; Power; Religion; Rights; State Interest; Terminally Ill; Third Party Consent; Treatment Refusal; Viability;
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