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Professional ethics and decision making in perinatology
Frank A Chervenak1, Laurence B McCullough2
1Department of Obstetrics and Gynecology, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, NY, 10075, USA.
Seminars in Perinatology
|November 29, 2021
Summary
Professional ethics in perinatology guides decisions for pregnant patients and parents. It emphasizes beneficence, autonomy, the fetus as a patient, and parental permission for ethical perinatal care.
Area of Science:
- Medical Ethics
- Perinatal Medicine
Background:
- Professional ethics are crucial in perinatology.
- Ethical decision-making frameworks are essential for complex perinatal cases.
Purpose of the Study:
- To outline the core principles of professional ethics in perinatology.
- To guide ethical decision-making in clinical practice, innovation, and research within perinatology.
Main Methods:
- Review of foundational ethical principles including beneficence and patient autonomy.
- Application of ethical concepts such as the fetus as a patient and parental permission.
- Analysis of ethical considerations in intrapartum management, clinical limits, and research.
Main Results:
- Perinatal ethics integrate beneficence, autonomy, the fetus as a patient, best interests of the child, and parental permission.
- Intrapartum management decisions should prioritize the fetus as a patient and the pregnant patient's autonomy.
- Ethical limits in perinatal care should be based on futility, excluding quality-of-life considerations.
- Perinatal research must be clearly defined as experimental.
Conclusions:
- Professional ethics are fundamental to perinatal practice.
- Ethical guidelines are vital for innovation and research in perinatology.
- Adherence to ethical principles ensures high-quality, patient-centered perinatal care.
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