By Frank A. Chervenak, Laurence B. McCullough
Perinatologists confront many moral demanding situations in medical care and examine for which they wish ethically sound, clinically useful suggestions for scientific judgment and determination making with their patients.This is the 1st booklet to deal with those demanding situations in a clinically sensible and accomplished method. 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
12 Vaginal delivery, in these circumstances, would result in a substantial increase in maternal–fetal morbidity and mortality. Because vaginal delivery involves unnecessary and preventable harms and cesarean delivery prevents these harms, no well-founded beneficencebased clinical judgment could support offering vaginal delivery to women with a previous classical uterine incision. The professional responsibility model of perinatal ethics, therefore, requires that only cesarean delivery should be offered and recommended to such patients.
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.
20 The physician should explain that the decision to continue such treatment is not irreversible. Indeed, the physician should advise parents that he or she will make recommendations about continuing or discontinuing the trial of intervention. Whether continuing life-sustaining treatment is medically reasonable is a professional, expert medical judgment, not a lay judgment. It is essential that this aspect of decision making be made clear to parents who request that “everything be done” to save their child.