This book provides the first clinically comprehensive and practical
approach to ethical challenges in perinatal medicine.The first
chapter introduces and explains the professional responsibility
model of perinatal ethics.The professional responsibility model is
based on the medical ethics of two major physician-ethics in the
history of Western medical ethics, Dr. John Gregory (1724-1773) of
Scotland and Dr. Thomas Percival (1740-1804) of England.The
professional responsibility model is used to articulate the ethical
concept of the fetus as a patient and to operationalize the ethical
principles of beneficence and respect for autonomy.The book
provides practical guidance for clinical judgment and decision
making with patients about the responsible clinical management of
the wide range of issues encountered by perinatologists in clinical
practice and research.Topics included: periviability; feticide;
intrapartum management; maternal-fetal conflict; innovation for
fetal benefit; research for fetal benefit; non-aggressive obstetric
management; managing the transition from pregnancy to birth;
destructive procedures such as cephalocentesis; critical care for
the pregnant patient; home birth; patient-choice cesarean delivery;
neonatal care as a trial of management; and setting limits on
neonatal care on the basis of clinical judgments of futility.
General
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