This book offers a comprehensive and clinically practical approach to ethics in the everyday practice of obstetrics and gynecology. The topics the authors address include: contraception, abortion, selective termination of multifetal pregnancies, gynecologic cancer, in vitro fertilization, surrogacy, prenatal diagnosis, fetal therapy, cephalocentisis, prematurity, HIV infection, and court ordered cesarean delivery. The issues involved in making decisions in many of these areas are a source of conflict, and lead to crisis between the physician and patient. One of the book's strengths is its emphasis on prevention and, if prevention fails, management, of the conflicts and crises which arise in these areas of medicine. The authors develop their preventative and management strategies on the basis of a framework for bioethics in the clinical setting. This framework is rigorously established and defended. The authors argue that four virtues -- self effacement, self sacrifice, compassion, and integrity -- generate the physician's obligation to protect and promote the patient's interest. They then identify the three types of patient's interests -- social role interests, subjective interests, and deliberative interests -- and they reinterpret the ethical principles of beneficence and respect for autonomy in terms of these. The concept of the fetus as patient, the physician's obligation to third parties, and the moral standing of fathers and family members are also addressed. The implications of their argument sets the stage for the discussions of prevention and management in the remaining sections of the book. Ethics in Obstetrics and Gynecology is a unique addition to the literature in both biomedical ethics and obstetrics and gynecology. It demonstrates that ethics should be regarded as an essential part of obstetrics and gynecology, and that clinical practice is incomplete without it.

"Like all clinicians, reproductive health care providers face specialty-specific ethical questions. However, the first editor of this book, Dr. Julie Chor (JC), has never found an ethics text that is tailored to the needs of practicing clinicians, students, and trainees in Reproductive Healthcare. This is an unfortunate gap in the literature, because whether reproductive health providers come from Obstetrics and Gynecology, Family Medicine, Pediatrics or another field, they all must be able to identify and analyze complex ethical issues that lie at the crossroads of patient decision-making, scientific advancement, political controversy, government regulation, and profound moral considerations in the context of continually evolving medical, legal, and societal factors. To fill this gap, Dr. Chor invited co-editor Professor Katie Watson (KW) to partner in creating the text that she has always longed to use but has never found as an Obstetrician-Gynecologist practicing and teaching in this complex milieu"--

This book addresses the ethical problems in maternal-fetal medicine which impact directly on clinical practice.

A complete guide to making a successful OB/GYN Hospital Medicine program a reality This authoritative text delivers a complete evidence-based blueprint clarifying every aspect of OB/GYN Hospital Medicine. Encompassing clinical practice as well as program development and business models, the book takes physicians, nurses, administrators, and staff through the necessary steps to start and successfully run OB/GYN hospitalist programs. Readers will also benefit from an efficient approach to managing OB/GYN emergencies, which includes valuable guidance for physicians and physician extenders working in labor and delivery and ERs/ICUs. Utilizing a cohesive 3-part organization, the book begins with an insightful overview of the OB/GYN Hospital Medicine specialty, then explores related healthcare system issues and the full range of obstetric clinical conditions, from asthma in pregnancy to preterm labor. Finally, an essential review of fundamental gynecologic topics, such as pelvic pain, is provided, along with in-depth coverage of modern OB/GYN Hospital Medicine procedures. Taken together, this innovative text represents the definitive introduction to the OB/GYN hospitalist speciality—one that no hospital should be without. Features: •A focus on accessible, high-yield medical education illuminates the burgeoning field of OB/GYN Hospital Medicine •Practical, turnkey coverage of OB/GYN Hospital Medicine and its successful implementation is designed to optimize OB/GYN practice and enhance patient care •Outstanding chapter pedagogy includes learning objectives, clinical case presentations, key patient hand-off points, and abundant clinical images and illustrations

The fourth edition of Critical Care Obstetrics has been extensively revised to reflect the advances that have been made in maternal-fetal medicine. This edition contains 14 brand new chapters written by the field's leading physicians. Critical Care Obstetrics, 4/e, offers expanded coverage in areas vital to intensive care management, including Neonatal Resuscitation, The Organ Transplant Obstetrical Patient, and Ethical Considerations This practical guide and reference will be of invaluable assistance to obstetricians, and primary care physicians, in both the treatment and referral of high-risk patients.

Numerous issues confront women's healthcare today, among them the medicalization of women's bodies, cosmetic genital surgery, violence against women, HIV, perinatal mental health disorders. This volume uniquely explores such difficult topics and others at the intersection of clinical practice, policy, and bioethics in women's health care through a feminist ethics lens. With in-depth discussions of issues in women's reproductive health, it also broadens scholarship by responding to a wider array of ethical challenges that many women experience in accessing health care. Contributions touch on many themes previously tackled by feminist ethics, but in new, contemporary ways. Some chapters expand into new fields in the bioethics literature, such as the ethical issues related to the care of Indigenous women, uninsured refugees and immigrants, women engaged in sex work, and those with HIV at different life stages and perinatal mental health disorders. Authors seek to connect theory and practice with users of the health system by including women's voices in their research. Bringing to bear their experience in active clinical practice in medicine, nursing, and ethics, the authors contemplate new conceptual approaches to important issues in women's healthcare, and make ethical practice recommendations for those grappling with these issues. Topical and up-to-date, this book provides a valuable resource for physicians, nurses, clinical ethicists, and researchers working in some of the most critical areas of women's health and applied ethics today.

Obstetrics & Gynaecology has established itself as a key recommendation for faculty and a firm favourite for health sciences students. The opening sections of this new edition incorporate the relevant basic science, history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics respectively. These are supported by two unique sections on gynaecology and obstetrics management, which are tailored to help students revise for exams, especially OSCEs. A brand new chapter covering ethics in obstetrics and gynaecology makes this fully-updated fourth edition the most comprehensive introduction available. Obstetrics & Gynaecology now includes a companion website at www.impeyobgyn.com, featuring self-assessment MCQs and EMQs, chapter summary slides, and all the figures from the book as PowerPoint slides.

Historically associated with military service, conscientious objection has become a significant phenomenon in health care. Mark Wicclair offers a comprehensive ethical analysis of conscientious objection in three representative health care professions: medicine, nursing and pharmacy. He critically examines two extreme positions: the 'incompatibility thesis', that it is contrary to the professional obligations of practitioners to refuse provision of any service within the scope of their professional competence; and 'conscience absolutism', that they should be exempted from performing any action contrary to their conscience. He argues for a compromise approach that accommodates conscience-based refusals within the limits of specified ethical constraints. He also explores conscientious objection by students in each of the three professions, discusses conscience protection legislation and conscience-based refusals by pharmacies and hospitals, and analyzes several cases. His book is a valuable resource for scholars, professionals, trainees, students, and anyone interested in this increasingly important aspect of health care.

*A penetrating analysis of some of the most contested cases in Catholic medical ethics*

Now in its Fifth Edition, this respected reference helps readers tackle the common and often challenging ethical issues that affect patient care. The book begins with a concise discussion of clinical ethics that provides the background information essential to understanding key ethical issues. Readers then explore a wide range of real-world ethical dilemmas, each accompanied by expert guidance on salient issues and how to approach them. The book’s two-color design improves retention of material for visual learners. An accompanying website lets readers access the full text, along with features designed to reinforce understanding and test knowledge. New to the Fifth Edition: This edition includes new discussions of ethical issues as they relate to clinical practice guidelines and evidence-based medicine, electronic medical records, genetic testing, and opioid prescription. The book also includes an increased focus on ethical issues in ambulatory care. Readers will also find more detailed analysis of cases, more examples of ethical reasoning, more highlight pages relating clinical ethics to emergency medicine, oncology, palliative care, and family medicine. Also new are discussions of quality improvement and use of advance care planning rather than advance directives.