Everyone hopes to have a normal pregnancy without any complications during delivery. Unfortunately, problems may arise forcing the mother to undergo an emergency cesarean section. To many parents this is a scary situation, but they understand the necessity for the surgery. In fact, most women would do anything to save the life of their fetus, they would even go as far as to say if it comes down to their life over the fetus to save the baby. However, what if there were extenuating circumstances where one does not consent to the procedure? No matter how much you stress to the parents that without this procedure both the mother and baby’s life could be lost, the family still refuses. Do you listen to the family and do what is legal or do you follow what you believe to be the ethical thing and take her to the operating room to perform a cesarean section? The family may refuse a cesarean section for various reasons, even when the life of the fetus is in danger. For instance, it may be because of fear for her own life, health reasons, carelessness, a lack of …show more content…
“The moral duty to protect vulnerable populations is dogma in ethics and research principles. One would have to argue that the fetus is the utmost of vulnerable populations and yet there are circumstances in which the protection of the fetus is effaced in a maternal decision to refuse delivery by cesarean” (Deshpande, Oxford, 2012). In cases like these, respecting a patient’s autonomy is important. In order for the patient to maintain autonomy though, it is crucial for the medical team to help Maryam and Hossein fully understand the implications of not going through with the cesarean section. Our job as a healthcare provider is to maintain a level of beneficence for our patients; that is, we are to act in their best interest. However, acting in their best interest comes with many legalities as well. It is important to remember though, that what may be ethical is not always
This concept is taken from module 1 of block 6 entitled “Ethical Issues in Nursing Practice”.
One thought for why there has been an increase in cesarean sections is that some patients chose to ask their physician for an elective cesarean section. Some woman chose to do so because they had their previous child by cesarean section and do not want to attempt a vaginal delivery, while others feel a cesarean section would allow them to chose their own date and time for a delivery. Minkoff et al. looked at ethical aspects of an elective cesarean section. They concluded that there is no substantive-justice-based consideration for performing a cesarean section (Minkoff et al., 2004). Minkoff et. al also stated that there is no self-governed obligation for anyone to offer a cesarean section in an ethically and legally suitable informed consent process (2004). The researchers agree that if a patient initiates a request for a cesarean section to her physician, that physician should respond with informing the patient about the process and request that the patient reconsiders the procedure given the new information. This ensures that the patient is rightfully informed of any possible complications and the basics behind a cesarean section. If a patient returns and still requests for an elective cesarean section, it is ethically permissible for a physician to implement her request (Minkoff et al.,
Before a health care organization implements an EMR system, they should have a security system in place, which includes “access control” component. Access control within an EMR system is controlled by distinct user roles and access levels, the enforcement of strong login passwords, severe user verification/authorization and user inactivity locks. Health care of professionals regardless of their level, each have specific permissions for accessing data. Even though the organization have the right security system in place to prevent unauthorized users from access patient records, autonomous patients will expect to have access to his or her records with ease. Access their record will ensure that their information is correct and safe.
I believe expecting mothers need to seek guidance from their doctor on whether or not she should have a vaginal birth, or follow through with a "Elective" C-Section. I feel like women are so concerned about their rights, and though our female rights are important, I also feel that we need to seek guidance from those that are medically trained to see what they think is going to be best for the mother as well as the child. If the doctor feels that the mother and the child will be okay with proceeding with an "Elective" C-Section, I think it is so important (more important than the doctor's opinion) to seek our Heavenly Father's will. Our will might not always be His will, and it is important that we come before Him in all things in order for
In the case of the 18-year-old female who refuses to have a C-section in order to save the life of the baby the first action that I would take is I would ask an ethics consult to talk to her about the situation. If after talking to the ethics consult she still refuses to have the C-section I would talk to members of the hospital to see if there is anything that we can do in order to save the life of the baby. I believe that the pregnant girl in this case should not be allowed to refuse the C- section because this can potentially harm her and the baby. After carefully evaluating all the options and talking to members of the hospital, we should evaluate the mental statues of the female because there might be something that has triggered her to
Confidential Information One of the most basic rules of ethics concerns what you see and hear as you work in a health care facility. Much of this information is of personal concern to the patient and must be kept in strictest confidence) Figure 3-1. When you are upset or under pressure, you sometimes find yourself telling a friend something that in a calmer moment you would never have said. The sick person is under great stress and may confide in you, for the same reasons.
The moral conflict in this scenario is between the autonomous wishes of the parents by refusing the PGD and the paternalistic decision of the doctor to it anyways. We acted as we thought would be the best choice for the parent and to the possible child regardless of their expressed wishes. If we think about the concept of individual autonomy and paternalism in our everyday life and we can relate the doctor decision in sacrificing the parent’s autonomy by means of promote good with laws requiring seat belts for example. Whatever is required by law can limit the individual’s autonomy. However, since such law is enforce to promote good so it is okay to ignore the individual choice to rather or not to use seat belts. Therefore, our choice is moral permissible since we are trying to minimize and eliminate the risk for another child to be born with a disease that is painful and lethal but disregarding the parents wish. Our action can be classified as legal defenses since the omission to disclose the information about the procedure from the parents is not more harmful than the parents’ interest which is been
There are many ethical issues in the healthcare field. These issues range from insurance coverage, senior care, childhood immunizations, beneficence, abortion, medicinal marijuana, honesty and medical research (Fritzsche, D., 2004). Today we will discuss the ethical concerns in only one aspect of heath care and that topic is research (Benatar, S., 2000). Medical research is necessary in order to make strides in health care, introduce new medications, to discover new symptoms and disorders and to test new treatment options for current medical problems. Students of medicine, universities and pharmaceutical companies conduct this research primarily. Much of this research is time consuming and costly, therefore obtaining funding is not
It has often been believed that the sole purpose of women was child bearing. A woman’s value was derived from her ability to bear healthy children. As time has passed society and culture have evolved and changed. With this passage of time, a great importance is still placed on women and reproduction. With the recent advent of technology and the advances made in the medical field, it has become a much more commonplace for women to deliver via Cesarean Section. The decision to deliver via Cesarean Section (C-Section) is not safe from the judgments of others. Childbirth and child rearing is a part of life that is highly judge and individuals are incredibly opinionated about. When it comes to childbirth nearly any decision a woman
Of all the legal, ethical, and moral issues we Americans continuously fight for or against, abortion may very well be the issue that Americans are most passionate about. The abortion issue is in the forefront of political races. Most recently the “no taxpayer funding for abortion act”, has abortion advocates reeling. Even though abortion has been legal in every state in the United States since the monumental Supreme Court decision, “Roe v Wade”, on January 22, 1973; there are fewer physicians willing to perform abortions today than in 2008. (Kraft) At the heart of the ethical dilemma for many in the medical profession is the viability of the fetus. And just to make this whole dilemma more confusing, according to the United States
In terms of the law there is a universal right of bodily autonomy. Johnsen notes that in the late nineteenth century the US Supreme court reinforced that no right is greater than the right for an individual to have control over his or her own body . However, this was acknowledged with an exception to unwanted medical treatment for the protection of human life. Therefore, as liberally discussed above, when it comes to unwanted caesareans the court may intervene when necessary in order to protect human life as this is the duty of the state to provide this protection . Cases may have different outcomes then ruled when taken to appeal, however some have been upheld after consideration due to the competence test and the common law, for the interest
Kathy, the paper you wrote is really thought provoking. I cannot imagine making a choice to abort my child because it may have a birth defect. Whether or not a nurse would have the choice not to participate in the procedure is a good question? Of course, the choice, as conflicting as it may be to you or any other nurse, the choice is up to the mother. The doctor and or nurse is only responsible to presenting the facts, discuss the pros and cons and inform the patient about the complication both physical and mental that may happen and set up follow-up care with her primary doctor, along with a social worker (Burkhardt & Nathaniel,
Constitutionally, a woman has the right to protect her body’s integrity and refuse medical intervention as she exercises her rights to self-determination and privacy (Deshpande & Oxford, 2012). A person’s autonomy is a right that should be held by all capable adults regardless of pregnancy status (Minkoff, Marshall, & Liaschenko, 2014). Most ethical evidence suggests that a women’s autonomy prevails against fetal beneficence, as fetuses are only patients by the autonomous choice of the mother (Rodrigues, van den Berg, & Duwell, 2013). A physician would risk paternalism, resulting in encroachment on autonomy by any attempt to coerce or act against the mother’s refusal in light of broad interpretation of fetal beneficence (Avci, 2015).
A labor and delivery RN I work with once told me that a good OB provider will never agree to perform a Cesarean without a medical indication for it, even if it is the patient’s choice. The statement reflects strong opinions about practices associated with child birth and postpartum care that are held by many OB and NICU nurses and midwives. Not everyone believes an elective C-section is an unreasonable choice but the attitude toward the patients who make the choice can be somewhat negative. To me, it is about math: to put it briefly, a major abdominal surgery poses a higher risk, especially with multiple pregnancies, than a vaginal birth.
From a patient perspective the physician is the expert in the field and would know the best route for mother and child. Many women fear the labor and delivery of their unborn child that can cause hesitation and guidance in the upcoming events. The unethical