Reproductive Ethics: Ethical Issues and Menopause

Author(s):  
W. Rogers
Author(s):  
Julie Chor ◽  
Katie Watson

Like all clinicians, reproductive healthcare providers face specialty-specific ethical questions. However, the first editor of this book, Dr. Julie Chor (JC), an obstetrician-gynecologist who also completed a Complex Family Planning Fellowship, has never found an ethics text that is tailored to the needs of practicing clinicians, students, and trainees in reproductive healthcare. This is an unfortunate gap in the literature because whether reproductive health providers come from obstetrics and gynecology, family medicine, pediatrics, or another field, they all must be able to identify and analyze complex ethical issues that lie at the crossroads of patient decision-making, scientific advancement, political controversy, government regulation, and profound moral considerations in the context of continually evolving medical, legal, and societal factors. To fill this gap, Dr. Chor invited co-editor Professor Katie Watson (KW), a bioethics professor and lawyer who focuses on reproductive ethics, to partner in creating the text that she has always longed to use but has never found while practicing and teaching in this complex milieu....


Author(s):  
Robert M. Veatch ◽  
Amy Haddad ◽  
E. J. Last

Some of the most consistently debated ethical issues in health care are the moral conflicts regarding abortion, sterilization, and contraception. This chapter asks readers to consider these topics. These areas raise the same general moral themes covered in the field of biomedical ethics but do so in a dramatic and emotionally charged setting. These issues of reproductive ethics also pose a different kind of question: To whom do the basic principles of biomedical ethics apply? Cases in this chapter address the difficult considerations raised in cases of abortion, postcoital contraception following sexual assault, sterilization of the economically deprived, and teaching about birth control.


Reproductive healthcare professionals in fields such as obstetrics and gynecology, family medicine, and pediatrics routinely face unique ethical issues at the crossroads of patient decision-making, scientific advancement, political controversy, legal regulation, and profound moral considerations. This book is a carefully curated compilation of essays written by leading experts in the fields of medicine, ethics, law, and the social sciences who address key issues at the forefront of reproductive ethics. It is organized into three main sections: Preventing Pregnancy and Birth (Contraception and Abortion Ethics), Initiating Pregnancy (Assisted Reproduction Ethics), and Managing Pregnancy and Delivery (Obstetric Ethics). Each section begins with a short introduction by the editors, providing an overview of this area of reproductive ethics and contextualizing the essays that follow. Two features make the book appealing and useful to practicing clinicians as well as students and trainees: the short length of the essays and the practical yet exciting topics they cover (e.g., issues around race, religion, abortion, violations of confidentiality, conflicts of interest, legal liability, maternal choices that risk future children’s health, and reproductive practice in Europe and developing nations). The collection provides clinicians at all levels of training with frameworks within which to approach challenging encounters.


2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.


Pflege ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 13-16
Author(s):  
Monika Bobbert

Pflegeethik als relativ neuer Bereich der angewandten Ethik hat unter anderem die Aufgabe, auf ethische Probleme in der pflegerischen Praxis aufmerksam zu machen und diese zu reflektieren. An einem Fallbeispiel wird gezeigt, dass das pflegerische Vorgehen bei der Ernährung von Frühgeborenen ethische Konflikte bergen kann. Am konkreten Fall werden Fragen der Patientenautonomie und Fürsorge diskutiert, die auch für andere pflegerische Situationen relevant sind. Der Artikel leistet einen Beitrag zur Klärung der spezifischen Inhalte einer auf den Handlungsbereich der professionellen Pflege bezogenen Ethik.


Crisis ◽  
2010 ◽  
Vol 31 (5) ◽  
pp. 238-246 ◽  
Author(s):  
Paul W. C. Wong ◽  
Wincy S. C. Chan ◽  
Philip S. L. Beh ◽  
Fiona W. S. Yau ◽  
Paul S. F. Yip ◽  
...  

Background: Ethical issues have been raised about using the psychological autopsy approach in the study of suicide. The impact on informants of control cases who participated in case-control psychological autopsy studies has not been investigated. Aims: (1) To investigate whether informants of suicide cases recruited by two approaches (coroners’ court and public mortuaries) respond differently to the initial contact by the research team. (2) To explore the reactions, reasons for participation, and comments of both the informants of suicide and control cases to psychological autopsy interviews. (3) To investigate the impact of the interviews on informants of suicide cases about a month after the interviews. Methods: A self-report questionnaire was used for the informants of both suicide and control cases. Telephone follow-up interviews were conducted with the informants of suicide cases. Results: The majority of the informants of suicide cases, regardless of the initial route of contact, as well as the control cases were positive about being approached to take part in the study. A minority of informants of suicide and control cases found the experience of talking about their family member to be more upsetting than expected. The telephone follow-up interviews showed that none of the informants of suicide cases reported being distressed by the psychological autopsy interviews. Limitations: The acceptance rate for our original psychological autopsy study was modest. Conclusions: The findings of this study are useful for future participants and researchers in measuring the potential benefits and risks of participating in similar sensitive research. Psychological autopsy interviews may be utilized as an active engagement approach to reach out to the people bereaved by suicide, especially in places where the postvention work is underdeveloped.


Crisis ◽  
2012 ◽  
Vol 33 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Carolyn M. Wilson ◽  
Bruce K. Christensen

Background: Our laboratory recently confronted this issue while conducting research with undergraduate students at the University of Waterloo (UW). Although our main objective was to examine cognitive and genetic features of individuals with schizotypal personality disorder (SPD), the study protocol also entailed the completion of various self-report measures to identify participants deemed at increased risk for suicide. Aims and Methods: This paper seeks to review and discuss the relevant ethical guidelines and legislation that bear upon a psychologist’s obligation to further assess and intervene when research participants reveal that they are at increased risk for suicide. Results and Conclusions: In the current paper we argue that psychologists are ethically impelled to assess and appropriately intervene in cases of suicide risk, even when such risk is revealed within a research context. We also discuss how any such obligation may potentially be modulated by the research participant’s expectations of the role of a psychologist, within such a context. Although the focus of the current paper is on the ethical obligations of psychologists, specifically those practicing within Canada, the relevance of this paper extends to all regulated health professionals conducting research in nonclinical settings.


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