Challenging Fetal Protection Policies in Court

2021 ◽  
pp. 43-72
Keyword(s):  
2017 ◽  
Vol 4 (4) ◽  
pp. 47-52
Author(s):  
Gulchehra Akmalovna Ikhtiyarova ◽  
Keyword(s):  

Society ◽  
1991 ◽  
Vol 28 (3) ◽  
pp. 70-76 ◽  
Author(s):  
David L. Kirp
Keyword(s):  

2021 ◽  
Vol 2 ◽  
Author(s):  
Roopali Rajput ◽  
Jitender Sharma

The risk of viral infection during pregnancy is well-documented; however, the intervention modalities that in practice enable maternal-fetal protection are restricted by limited understanding. This becomes all the more challenging during pandemics. During many different epidemic and pandemic viral outbreaks, worse outcomes (fetal abnormalities, mortality, preterm labor, etc.) seem to affect pregnant women than what has been evident when compared to non-pregnant women. The condition of pregnancy, which is widely understood as “immunosuppressed,” needs to be re-understood in terms of the way the immune system works during such a state. The immune system gets transformed to accommodate and facilitate fetal growth. The interference of such supportive conversion by viral infection and the risk of co-infection lead to adverse fetal outcomes. Hence, it is crucial to understand the risk and impact of potent viral infections likely to be encountered during pregnancy. In the present article, we review the effects imposed by previously established and recently emerging/re-emerging viral infections on maternal and fetal health. Such understanding is important in devising strategies for better preparedness and knowing the treatment options available to mitigate the relevant adverse outcomes.


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Alain Daher ◽  
Marc Dommergues ◽  
Assaad Kesrouani ◽  
Claude Vibert-Guigue ◽  
Jacky Nizard

AbstractWe report a case of uncomplicated giant fetal hepatic hemangioma with a good outcome. A 57×38 mm heterogeneous hepatic mass, mostly hypoechogenic was observed post prenatal ultrasound, at 33 weeks’ gestation (WG) and 5 days. Color Doppler confirmed the vascular pattern of the mass. The image size stayed stable, with no associated complications, and a cesarean birth at 37 WG was performed for fetal protection. Subsequent postnatal follow-up showed spontaneous regression of the tumor. Antenatal diagnosis and management of fetal liver masses are discussed in this paper. This case supports the hypothesis that complications of giant fetal hepatic hemangioma are not related only to its size. Prognostic factors and guidelines for follow-up need to be determined.


1957 ◽  
Vol 189 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Roberts Rugh

The —SH compound cysteamine and its —SS product, cystamine, have been tested as protective agents against x-irradiation death for adult CF1 mice of both sexes, and also the 15.5–17.5-day fetuses of the same strain. Control fetuses of 15.5–17.5 days rarely survived x-irradiation to 600 r or more while those whose mothers were injected with cysteamine prior to irradiation could tolerate 700-r x-rays and the majority of offspring survived 30 days postparturition. When irradiated fetuses were given foster (normal) mothers at birth, survival was further improved, but only in those whose mothers were given the drug just prior to irradiation. Cystamine also gave protection to the fetuses. Optimum survival of controls exposed at 17.5 days to 700-r x-rays was 19% at 30 days, while those ‘protected’ by cysteamine showed 50% survival and with cystamine, 41% survival. Thus there was definitely fetal ‘protection’ by either drug. Adult males and females of the same strain showed considerable ‘protection’ by either drug, the males increasing survival from 2% to 30% (cystamine) and 34% (cysteamine) while the females showed increased survival value to 56% and 64%, respectively. It is apparent that both of these drugs have protective value for fetal and adult mice of both sexes, when they are exposed to the ld50/30-day level of x-rays.


2016 ◽  
Vol 2 (3) ◽  
pp. e1501462 ◽  
Author(s):  
Cameron A. McConkey ◽  
Elizabeth Delorme-Axford ◽  
Cheryl A. Nickerson ◽  
Kwang Sik Kim ◽  
Yoel Sadovsky ◽  
...  

In eutherians, the placenta acts as a barrier and conduit at the maternal-fetal interface. Syncytiotrophoblasts, the multinucleated cells that cover the placental villous tree surfaces of the human placenta, are directly bathed in maternal blood and are formed by the fusion of progenitor cytotrophoblasts that underlie them. Despite their crucial role in fetal protection, many of the events that govern trophoblast fusion and protection from microbial infection are unknown. We describe a three-dimensional (3D)–based culture model using human JEG-3 trophoblast cells that develop syncytiotrophoblast phenotypes when cocultured with human microvascular endothelial cells. JEG-3 cells cultured in this system exhibit enhanced fusogenic activity and morphological and secretory activities strikingly similar to those of primary human syncytiotrophoblasts. RNASeq analyses extend the observed functional similarities to the transcriptome, where we observed significant overlap between syncytiotrophoblast-specific genes and 3D JEG-3 cultures. Furthermore, JEG-3 cells cultured in 3D are resistant to infection by viruses and Toxoplasma gondii, which mimics the high resistance of syncytiotrophoblasts to microbial infections in vivo. Given that this system is genetically manipulatable, it provides a new platform to dissect the mechanisms involved in syncytiotrophoblast development and microbial resistance.


Author(s):  
Katherine Lippel

This article examines the Québec legislation regarding the preventive reassignment of pregnant or breast-feeding workers, a program designed to enable pregnant workers to obtain safe work or paid leave during pregnancy. The author describes the program, considers the role of treating physicians and public health physicians in its application, and concludes with an analysis of its qualities and drawbacks. Conclusions are based on the analysis of 349 Appeal Tribunal decisions representing all final appeal decisions relating to the program that circumscribe conditions of application, particularly in relation to definition of hazards and the role of doctors in adjudication. Although this program is currently unique in North America, the author suggests that it may serve as a model for other jurisdictions, providing a progressive alternative to traditional fetal protection policies.


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