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
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

491-502

Informations 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.

Auteurs

Sebastian M Seifert (SM)

Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: sseifert@bwh.harvard.edu.

Leslie Matthews (L)

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.

Lawrence C Tsen (LC)

Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

Grace Lim (G)

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, UPMC Magee Women's Hospital, 300 Halket Street Suite 3403, Pittsburgh, PA 15215, USA.

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Classifications MeSH