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The Professional Responsibility Model of Perinatal Ethics by Frank A. Chervenak, Laurence B. McCullough

By Frank A. Chervenak, Laurence B. McCullough

Perinatologists confront many moral demanding situations in scientific care and learn for which they want ethically sound, clinically useful assistance for scientific judgment and choice making with their patients.This is the 1st publication to handle those demanding situations in a clinically sensible and finished means. the original characteristic of the e-book is its deployment of the pro accountability version of perinatal ethics and the moral suggestion of the fetus as a sufferer. The authors, a perinatologist and thinker, have collaborated
for greater than thirty years.

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Some will not want to remain pregnant and will elect induced abortion. Some will be uncertain about whether to continue the pregnancy. Respecting the autonomy of pregnant women means that physicians should respect this self-sorting, by limiting their role to providing information in a non-directive fashion (offering but not recommending induced abortion) that these women can use to resolve their uncertainty. Attempting to bias woman’s decision assumes, falsely, that physicians have the professional competence to decide for a woman with a previable pregnancy that she should or should not remain pregnant.

Is intensive care for very immature babies justified? Acta Paediatr 2004;92:1–4. Hintz SR, Kendrick DE, Vohr BR, Poole WK, Higgins RD. Changes in neurodevelopmental outcomes at 18 to 22 months’ corrected age among infants of less than 25 weeks’ gestational age born in 1993–1999. Pediatrics 2005;115:1645–1651. Doyle LW and the Victorian Infant Collaborative Study Group. Neonatal intensive care at borderline viability – is it worth it? Early Human Development 2004;80:103–113. Chervenak FA, McCullough LB, Campbell S.

Direct referral appears not to be an option for physicians with a consciencebased objection to induced abortion or feticide, because of the explicit involvement of the physician in the subsequent termination of a pregnancy. To concomitantly respect the pregnant woman’s autonomy and the individual conscience of physicians opposed to induced abortion or feticide, an indirect referral for termination of pregnancy should be made. Indirect referral is both autonomy-based and beneficence-based. When it is obligatory to offer induced abortion or feticide, respect for the pregnant woman’s autonomy in previable pregnancies requires the physician to inform her that induced abortion or feticide is an option.

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