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Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...

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A Novel Surgical Approach for Intratracheal Administration of Bioactive Agents in a Fetal Mouse Model
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A Novel Surgical Approach for Intratracheal Administration of Bioactive Agents in a Fetal Mouse Model

Published on: October 31, 2012

Fetal therapy: practical ethical considerations.

Yves Ville1

  • 1Department of Obstetrics and Fetal Medicine, UFR Necker-Enfants-Malades, Université René Descartes, 75015 Paris, France. yves.ville@gmail.com

Prenatal Diagnosis
|June 11, 2011
PubMed
Summary

Prenatal diagnosis identifies severe fetal abnormalities. Fetal therapy offers an alternative to termination of pregnancy (TOP) or fatal outcomes, but ethical and outcome uncertainties remain.

Area of Science:

  • Medical Genetics
  • Maternal-Fetal Medicine
  • Surgical Innovation

Background:

  • Prenatal diagnosis detects severe fetal abnormalities with poor prognoses.
  • Termination of pregnancy (TOP) is an option for severe fetal diseases.
  • Fetal therapy has emerged as an alternative to TOP and expectant management.

Purpose of the Study:

  • To explore fetal therapy as an alternative to TOP.
  • To examine the ethical considerations of fetal surgery.
  • To assess the impact of uncertainty on treatment choices.

Main Methods:

  • Review of current literature on prenatal diagnosis and fetal interventions.
  • Analysis of ethical principles in the context of fetal surgery.
  • Evaluation of factors influencing patient decisions regarding TOP versus fetal therapy.

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Main Results:

  • Fetal therapy is developing but lacks established standards and comparative studies.
  • Ethical dilemmas arise concerning patient autonomy and the experimental nature of fetal surgery.
  • Predicting postnatal outcomes remains challenging, impacting the risk-benefit analysis for patients.

Conclusions:

  • Fetal therapy presents a complex alternative to TOP for severe fetal conditions.
  • Ethical frameworks and robust evidence are needed to guide fetal intervention.
  • Managing uncertainty in long-term outcomes is crucial for informed patient choice.