Retrieving the Moral in the Ethics of Maternal-Fetal Surgery
| Autor: | Mark J. Bliton, Virginia L. Bartlett |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) Inclusion (disability rights) Spina bifida Fetal surgery Trial study Health Policy medicine.medical_treatment MEDLINE 06 humanities and the arts 0603 philosophy ethics and religion medicine.disease Surgery 03 medical and health sciences Issues ethics and legal aspects 0302 clinical medicine Informed consent 030225 pediatrics medicine Maternal fetal 060301 applied ethics Clinical Ethics Psychology |
| Zdroj: | Cambridge Quarterly of Healthcare Ethics. 29:480-493 |
| ISSN: | 1469-2147 0963-1801 |
| DOI: | 10.1017/s0963180120000225 |
| Popis: | Open-uterine surgery to repair spina bifida, or ‘fetal surgery of open neural tube defects,’ has generated questions throughout its history—and continues to do so in a variety of contexts. As clinical ethics consultants who worked (Mark J. Bliton) and trained (Virginia L. Bartlett) at Vanderbilt University—where the first successful cases of open-uterine repair of spina bifida were carried out—we lived with these questions for nearly two decades. We worked with clinicians as they were developing and offering the procedure, with researchers in refining and studying the procedure, and with pregnant women and their partners as they considered whether to undergo the procedure. From this experience in the early studies at Vanderbilt, we learned that pregnant women and their partners approach the clinical uncertainty of such a risky procedure with a curious and unique combination of practicality, self-reflection, fear, and overwhelming hope. These early experiences were a major contributing factor to the inclusion of an ethics-focused interview in the informed consent process for the Management of Myelomeningocele Study (MOMS) trial study design. |
| Databáze: | OpenAIRE |
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