Ethics experts and fetal patients: a proposal for modesty

Abstract Background Ethics consultation is recognized as an opportunity to share responsibility for difficult decisions in prenatal medicine, where moral intuitions are often unable to lead to a settled decision. It remains unclear, however, if the general standards of ethics consultation are applic...

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Autores principales: Dagmar Schmitz, Angus Clarke
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/6e9b72107cf747c0b1341b75b8434907
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spelling oai:doaj.org-article:6e9b72107cf747c0b1341b75b84349072021-12-05T12:03:33ZEthics experts and fetal patients: a proposal for modesty10.1186/s12910-021-00730-31472-6939https://doaj.org/article/6e9b72107cf747c0b1341b75b84349072021-12-01T00:00:00Zhttps://doi.org/10.1186/s12910-021-00730-3https://doaj.org/toc/1472-6939Abstract Background Ethics consultation is recognized as an opportunity to share responsibility for difficult decisions in prenatal medicine, where moral intuitions are often unable to lead to a settled decision. It remains unclear, however, if the general standards of ethics consultation are applicable to the very particular setting of pregnancy. Main text We sought to analyze the special nature of disagreements, conflicts and value uncertainties in prenatal medicine as well as the ways in which an ethics consultation service (ECS) could possibly respond to them and illustrated our results with a case example. Ethics facilitation and conflict mediation, currently, have no broadly consented normative framework encompassing prenatal diagnosis and therapy as well as reproductive choice to draw on. Even so, they can still be helpful instruments for ethically challenging decision-making in prenatal medicine provided two additional rules are respected: For the time being, ECSs should (a) refrain from issuing content-heavy recommendations in prenatal medicine and (b) should not initiate conflict mediations that would involve the pregnant woman or couple as a conflict party. Conclusion It seems to be vital that ethics consultants as well as health care professionals acknowledge the current limitations and pitfalls of ethics consultation in prenatal medicine and together engage in the advancement of standards for this particularly complex setting.Dagmar SchmitzAngus ClarkeBMCarticleEthics consultationPrenatal medicineProfessional ethicsMedical philosophy. Medical ethicsR723-726ENBMC Medical Ethics, Vol 22, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Ethics consultation
Prenatal medicine
Professional ethics
Medical philosophy. Medical ethics
R723-726
spellingShingle Ethics consultation
Prenatal medicine
Professional ethics
Medical philosophy. Medical ethics
R723-726
Dagmar Schmitz
Angus Clarke
Ethics experts and fetal patients: a proposal for modesty
description Abstract Background Ethics consultation is recognized as an opportunity to share responsibility for difficult decisions in prenatal medicine, where moral intuitions are often unable to lead to a settled decision. It remains unclear, however, if the general standards of ethics consultation are applicable to the very particular setting of pregnancy. Main text We sought to analyze the special nature of disagreements, conflicts and value uncertainties in prenatal medicine as well as the ways in which an ethics consultation service (ECS) could possibly respond to them and illustrated our results with a case example. Ethics facilitation and conflict mediation, currently, have no broadly consented normative framework encompassing prenatal diagnosis and therapy as well as reproductive choice to draw on. Even so, they can still be helpful instruments for ethically challenging decision-making in prenatal medicine provided two additional rules are respected: For the time being, ECSs should (a) refrain from issuing content-heavy recommendations in prenatal medicine and (b) should not initiate conflict mediations that would involve the pregnant woman or couple as a conflict party. Conclusion It seems to be vital that ethics consultants as well as health care professionals acknowledge the current limitations and pitfalls of ethics consultation in prenatal medicine and together engage in the advancement of standards for this particularly complex setting.
format article
author Dagmar Schmitz
Angus Clarke
author_facet Dagmar Schmitz
Angus Clarke
author_sort Dagmar Schmitz
title Ethics experts and fetal patients: a proposal for modesty
title_short Ethics experts and fetal patients: a proposal for modesty
title_full Ethics experts and fetal patients: a proposal for modesty
title_fullStr Ethics experts and fetal patients: a proposal for modesty
title_full_unstemmed Ethics experts and fetal patients: a proposal for modesty
title_sort ethics experts and fetal patients: a proposal for modesty
publisher BMC
publishDate 2021
url https://doaj.org/article/6e9b72107cf747c0b1341b75b8434907
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