Informed consent is poorly documented when obtaining toxicology testing at delivery in a Massachusetts cohort

Koenigs, Kathleen J.; Chou, Joseph H.; Cohen, Samuel; NOLAN, Moira; LIU, Gina; Terplan, Mishka; Cummings, Brian; Nielsen, Timothy; Smith, Nicole A.; DISTEFANO, Joseph; Bernstein, Sarah N.; Schiff, Davida M.

doi:10.1016/j.ajogmf.2022.100621

Cited by 6 publications

(1 citation statement)

References 18 publications

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“…30 We can strive to protect pregnant individuals and families from criminalization and racialized child separation. For example, we can model and teach learners how to protect patient information about abortion and early pregnancy loss from state surveillance and criminalization, perform urine drug testing during pregnancy only with informed consent and right of refusal, 43 and apply standardized tools and selfreflection questions when assessing for child abuse. 44 As clinicians and educators, we can choose not to criminalize our patients and to resist being agents of the harmful penal system.…”

Section: Table 2 Sample Precepting Casementioning

confidence: 99%

Equity and Justice in Family Medicine Clinical Care and Teaching Must Incorporate a Reproductive Justice Framework

Carvajal,

McLean,

Wang

et al. 2024

Fam Med

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Since European settlement, the United States has controlled the reproduction of communities of color through tactics ranging from forced pregnancies, sterilizations, and abortions to immigration policies and policies that separate children from their families. Lesbian, gay, bisexual, transgender, queer (or questioning), asexual, intersex, and gender diverse people (LGBTQIA+) have been persecuted for sexual behavior and gender expression, and also restricted from having children. In response, women of color and LGBTQIA+ communities have organized for Reproductive Justice (RJ) and liberation. The Reproductive Justice framework, conceived in 1994 by the Women of African Descent for Reproductive Justice, addresses the reproductive health needs of Black women and communities from a broad human rights perspective. Since then, the framework has expanded with an intersectional approach to include all communities of color and LGBTQIA+ communities. Notwithstanding, reproductive injustice negatively impacts the health of already marginalized and oppressed communities, which is reflected in higher rates of maternal mortality, infant mortality, infertility, preterm births, and poorer health outcomes associated with race-based stress. While the impact of racial injustice on disparate health outcomes is increasingly addressed in family medicine, Reproductive Justice has not been universally incorporated into care provision or education. Including the RJ framework in family medicine education is critical to understanding how structural, economic, and political factors influence health outcomes to improve health care delivery from a justice and human rights perspective. This commentary describes how an RJ framework can enhance medical education and care provision, and subsequently identifies strategies for incorporating Reproductive Justice teaching into family medicine education.

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Section: Table 2 Sample Precepting Casementioning

confidence: 99%