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Ethical Principles Do Not Support Mandatory Preanesthesia Pregnancy Screening Tests: A Narrative Review.
Stephen Jackson1, James Hunter2, Gail A Van Norman3
1Department of Anesthesiology, Good Samaritan Hospital, San Jose, California.
Anesthesia and Analgesia
|October 6, 2023
Summary
Mandatory preoperative pregnancy tests may violate patient autonomy and cause harm. Evidence suggests anesthesia is safe for fetuses, questioning the necessity and benefit of routine testing.
Area of Science:
- Medical Ethics
- Anesthesiology
- Women's Health
Background:
- Patient autonomy and informed consent are fundamental in medical ethics.
- Routine, nonconsented preoperative urine pregnancy testing raises ethical concerns regarding autonomy and potential coercion.
- Inaccurate pregnancy test results can lead to adverse outcomes.
Conclusions:
- Routine, nonconsented preoperative pregnancy testing is ethically problematic.
- The potential harms and lack of clear benefit question the justification for mandatory testing.
- Revisiting policies on preoperative pregnancy testing is warranted to better respect patient autonomy.
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