Maternal-Fetal Conflicts in Anesthesia Practice.
Anesthesia
Conflict resolution
Ethics
Fetal
Maternal
Obstetrics
Patienthood
Journal
Anesthesiology clinics
ISSN: 1932-2275
Titre abrégé: Anesthesiol Clin
Pays: United States
ID NLM: 101273663
Informations de publication
Date de publication:
Sep 2024
Sep 2024
Historique:
medline:
26
7
2024
pubmed:
26
7
2024
entrez:
25
7
2024
Statut:
ppublish
Résumé
Anesthesia clinicians often navigate a delicate balance between maternal and fetal safety. Interventions for at fetal well-being may introduce risks of harm to the mother and raise ethical dilemmas. Emergency procedures often focus on direct fetal safety, sidelining maternal physical and mental well-being. The clash between ethical principles, particularly nonmaleficence and beneficence, often arises, with maternal autonomy guiding decisions. Fetal surgery exemplifies risking maternal health for fetal benefit, whereas emergent cesarean deliveries pose physical and psychological challenges for both the mother and child.
Identifiants
pubmed: 39054022
pii: S1932-2275(23)00125-8
doi: 10.1016/j.anclin.2023.12.007
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
491-502Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure G. Lim receives salary and research support from NIHUH3CA261067, NIH U01TR003719, and NIH R01MH134538 and receives research support, consulting honoraria, and chairs or is a member of advisory board from industry: Octapharma, Heron Pharmaceuticals, Edwards Lifesciences, Haemonetics, Werfen. Dr G. Lim receives stipends for medical expert testimony not related to this publication and receives royalties from Cambridge University Press for a textbook. Dr G. Lim is a consultant reviewer for ACOG and ASA liaison to the ACOG Alliance for Innovation on Maternal Health’s (AIM) Clinical and Community Advisory Group.