The case of Medea--a view of fetal-maternal conflict.

Reid, M. Carrington; Gillett, Grant

doi:10.1136/jme.23.1.19

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…The balancing of maternal and fetal concerns in obstetric decision‐making has been debated (18–21). Due to advances in prenatal care over the last decades, the role of the fetus has become transformed from the inferred to an observable entity with health interests of its own (21).…”

Section: Discussionmentioning

confidence: 99%

‘Dealing with ambiguity’– the role of obstetricians in gestational diabetes mellitus

Persson

Hörnsten

Winkvist

et al. 2012

Acta Obstet Gynecol Scand

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The study revealed the ambiguous situation experienced and managed by obstetricians providing maternal health care to pregnant women diagnosed with gestational diabetes mellitus. This indicates a need for national guidelines and standardized maternal health care services regarding gestational diabetes mellitus to fulfill the intentions of the health care system. Such recommendations may be beneficial and supportive for the health care professionals as well as for the mother-to-be and her fetus.

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Section: Discussionmentioning

confidence: 99%

‘Dealing with ambiguity’– the role of obstetricians in gestational diabetes mellitus

Persson

Hörnsten

Winkvist

et al. 2012

Acta Obstet Gynecol Scand

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“…With each situation, there are many different permutations which encompass the physician's ability to counsel (competence, information), the woman's reasons (choice, autonomy) for the resolve, the signifi cance to the life and health of the fetus/woman (benefi cence), and the rights of both fetus and woman (moral protection from harm). 4 We shall examine several common clinical situations with this framework. This paper will not discuss treatment refusal, brain-dead pregnant woman, lifestyle issue and exclusion of woman from the toxic workplace, which are less common and specifi cally defi ned and discussed in the literature.…”

Section: Benefi Cencementioning

confidence: 99%

Maternal and Fetal Best Interests in Day-to-Day Obstetrics

Yeo

Lim

2011

Ann Acad Med Singap

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In medicine, it is the physician’s obligation to promote and protect the patient’s interest. In obstetrics, the ethical principles of beneficence and autonomy provide the fundamental framework which guides the management of all pregnant patients. As there is the need for consideration of the fetus, autonomy can become a complex issue giving rise to what is sometimes called “maternal-fetal conflict.” In this paper, we aim to discuss some scenarios we encounter in our day-to-day obstetric practice such as pre-eclampsia, fetal growth restriction and labour induction when the best interests of the mother and fetus may be conflicted. We hope to illustrate that logical consideration for maternal and fetal best interests is only possible when there is adequate knowledge to support linical practice. Certainly, with the rapid availability of newer knowledge and technology, it is the duty of the physician to be educated continuously so as to protect the patient from harm. Key words: Autonomy, Beneficence, Conflict, Ethics, Pregnant

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“…13 They quote and approve of the statement by Nelson and Milliken who say: "It is quite another matter to transform this ethical obligation into a legal duty by enforcing it with the coercive power of the law". 14 In other words, the woman has an ethical duty to her fetus but that ethical duty should not be resolved with force that is imposed by the courts.…”

mentioning

confidence: 95%