Skip to main content Accessibility help
×
Home
Hostname: page-component-55597f9d44-54jdg Total loading time: 1.096 Render date: 2022-08-11T18:01:09.519Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Chapter 13 - The Perfect Baby

from Section 3 - Professionally Responsible Clinical Practice

Published online by Cambridge University Press:  01 November 2019

Laurence B. McCullough
Affiliation:
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
John H. Coverdale
Affiliation:
Baylor College of Medicine, Texas
Frank A. Chervenak
Affiliation:
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Get access

Summary

This chapter provides an ethical framework for responding to an expectation of having a perfect baby.

Patients sometimes present to their physicians requests for diagnostic tests and treatments, sometimes invasive tests and treatments. This is especially the case in obstetric practice. The prevalence with which pregnant women make requests of their obstetricians varies in different populations of pregnant women. However, obstetricians are familiar with – and are often challenged by – requests for diagnostic tests and for specific interventions, such as the detailed birth plans that some pregnant women present. These requests for clinical management reflect the values and priorities of pregnant patients and therefore should be taken seriously.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chervenak, FA, McCullough, LB, Brent, RL. The perils of the imperfect expectation of the perfect baby. Am J Obstet Gynecol 2010; 203: 101.e1101.e5.CrossRefGoogle ScholarPubMed
Hawthorne, N. The Birth-Mark. 1843. www.online-literature.com/hawthorne/125/ (accessed March 1, 2019).
Chervenak, FA, McCullough, LB. Clinical guides to preventing ethical conflicts between pregnant women and their physicians. Am J Obstet Gynecol 1990; 162: 303307.CrossRefGoogle ScholarPubMed
Foucault, M. Naissance de la Clinique: une archéologie du régard médical 1963. Translated as The Birth of the Clinic: An Archeology of Medical Perception. Sheridan Smith AM, trans. New York: Pantheon, 1973.Google Scholar
Chervenak, FA, McCullough, LB, Brent, RL. The professional responsibility model of obstetric ethics: avoiding the perils of clashing rights. Am J Obstet Gynecol 2011; 205: 315.e1–5.CrossRefGoogle ScholarPubMed
Brent, RL. Saving lives and changing family histories: appropriate counseling of pregnant women and men and women of reproductive age, concerning the risk of radiation exposures during and before pregnancy. Am J Obstet Gynecol 2009; 200: 424.CrossRefGoogle ScholarPubMed
Brent, RL, Oakley, GP. Triumph or tragedy: the present FDA program of enriching grains with folic acid. Pediatrics 2006; 117: 930932,CrossRefGoogle ScholarPubMed
Bell, KN, Oakley, GP Jr. Update on prevention of folic acid-preventable spina bifida and anencephaly. Birth Defects Res (Pt A) 2009; 85: 102107.CrossRefGoogle ScholarPubMed
Jones, M. A miracle, and yet. New York Times Magazine. July 15, 2001. www.nytimes.com/2001/07/15/magazine/a-miracle-and-yet.html?scp=1&sq=A%20Miracle,%20and%20Yet&st=cse (accessed March 1, 2019).
Kalish, RB, McCullough, LB, Chervenak, FA. Decision-making about cesarean delivery. Lancet 2006; 367(9514): 883885.CrossRefGoogle Scholar
Brent, RL. Utilization of developmental basic science principles in the evaluation of reproductive risks from pre- and postconception environmental radiation exposures. Paper presented at the Thirty-third Annual Meeting of the National Council on Radiation Protection and Measurements. The Effects of Pre- and Postconception Exposure to Radiation, April 2–3, 1997, Arlington, Virginia. Teratology 1999; 59: 182204.Google ScholarPubMed
Brent, RL. Environmental causes of human congenital malformations: the pediatrician’s role in dealing with these complex clinical problems caused by a multiplicity of environmental and genetic factors. Pediatrics 2004; 113(4 Suppl.): 957968.Google ScholarPubMed
Brent, RL, Oakley, GP Jr. Commentary: The FDA must require the addition of more folic acid in “enriched” flour and other grains. Pediatrics 2005; 116: 753755.CrossRefGoogle Scholar
Brent, RL. How does the physician avoid prescribing drugs and medical procedures that have reproductive and developmental risks? Medical legal issues in perinatal medicine. Clin Perinatol 2007; 34: 233262.CrossRefGoogle Scholar
Brent, RL. Litigation-produced pain, disease and suffering: an experience with congenital malformation lawsuits. Teratology 1977; 16: 114.CrossRefGoogle ScholarPubMed
Papp, Z and International Academy of Perinatal Medicine. Ethical challenges of genomics for perinatal medicine: the Budapest Declaration. Am J Obstet Gynecol 2009; 201: 336.CrossRefGoogle ScholarPubMed
Lidz, CW, Appelbaum, PS, Grisso, T, Renaud, M. Therapeutic misconception and the appreciation of risks in clinical trials. Soc Sci Med 2004; 58: 16891697.CrossRefGoogle ScholarPubMed
Hippocrates. The Art. In WHS Jones, trans. Hippocrates, Vol. I. Cambridge, MA: Harvard University Press.
Nicolaides, KH, Chervenak, FA, McCullough, LB, Avgidou, K, Papageorghiou, A. Evidence-based obstetric ethics and informed decision-making by pregnant women about invasive diagnosis after first-trimester risk assessment of risk of trisomy 21. Am J Obstet Gynecol 2005; 193: 322326.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×