![]() ![]() ![]() “A Politico-medical perspective of induced Abortion in semi-urban community of Ile-Ife”. New York: Alan Guttmarch Institute Press.Īida, Torres and Jacqueline Forrest.(1988). Reasonability: women, society and abortion worldwide. In states where providing an abortion can result in legal action, including jail time and up to $100,000 in fines, decisions regarding what is sufficiently life-threatening can pose a moral conflict for faculty and their trainees.Alan Guttmacher Institue. ![]() Additionally, the definition of “medical emergency” can vary given the vague and nonmedical language of these laws. However, there are currently 2 opposing rulings: a court in Texas stated that state law supersedes EMTALA, and a court in Idaho stated that federal EMTALA supersedes state law. 12 When a state law prohibits abortion, that law would be preempted in the case of a medical emergency. 11 To attempt to mitigate these delays, on July 22, 2022, the US Department of Health and Human Services mandated that hospitals and physicians in all states must provide necessary emergency abortion services to comply with separate federal legislation enacted in 1986, the Emergency Medical Treatment and Labor Act (EMTALA). The use of nonmedical language and undefined terminology in many restrictive laws further obfuscates the issue 10 and results in delays in the management of ectopic pregnancy and miscarriage. Violation of criminal laws is not covered by malpractice insurance. Therefore, if the pregnancy outcome will result in significant burden or death of the fetus, abortion should be an option. The pregnant person’s decision to sustain a fetus with anomalies should be considered a life-prolonging treatment. There are several fatal fetal diagnoses, along with diagnoses that will entail lifelong suffering for a child. Inviolability of human life permits the withholding and withdrawal of life-prolonging treatment that is not worthwhile because it is futile or too burdensome for the patient. Legislation ungrounded in scientific evidence further erodes trust in clinicians and the health care system. Interference in this relationship from outside sources that have no knowledge of the patient’s life, health, fetal status, or social situation jeopardizes trust. Patient-Clinician Relationship has trust as a cornerstone of the relationship, as it is essential for optimal health. 8, 9 Patients must have safe, evidence-based care available, and those decisions must be made by the patient with their physician/clinician. Limiting the options available to provide pregnant people with care increase their morbidity and mortality, and potentially their livelihood. These decisions need to be individualized for each patient and family.īeneficence/Nonmaleficence is the act of doing good and not doing harm. Patients often ask, “What would you do if it was you?” but this question cannot be answered. For example, physicians offering routine genetic screening need to discuss what options are available if abnormal results are noted. Pregnancy and complications of pregnancy offer many patient-physician encounters in which informing the patient of their options, without any opinion or bias, is particularly challenging. Patient autonomy is the right of patients to make decisions about their health care without their physician’s personal feelings influencing the care. Box Nationally Accepted Medical Ethical Principles ![]()
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