Regulating Decision-Making in Multiple Pregnancy

Regulating Decision-Making in Multiple Pregnancy PDF Author: Jeffrey Wale
Publisher: Cambridge Scholars Publishing
ISBN: 1527571408
Category : Law
Languages : en
Pages : 247

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Book Description
This book examines the regulation and practice of medical decision-making where the context is that of a multiple pregnancy and where the question is whether or not to carry out a fetal reduction procedure. It concerns three main lines of inquiry: first, the nature of fetal reduction and the legal ground(s) for termination typically relied upon; secondly, the extent to which legal, ethical, and professional norms guide or constrain this particular kind of decision-making; and, thirdly, the adequacy of these norms. The book uses empirical sources to develop its analysis, contributing new insight and the kind of evidence necessary to shape regulation, clinical practice, and future research. The key findings show that fetal abnormality is often given as the justifying ground; that the legal, ethical, and professional norms offer little explicit guidance for fetal reduction: and on the general question of termination, ethical norms suffer from a high level of contestation, the key norms in the UK abortion legislation are unclear and disconnected from practice, and professional norms are only marginally more adequate. Given the indeterminacy of these norms, it is no surprise that the evidence indicates that doctors are only weakly guided by them in making their decisions. Various recommendations are advanced in this book, including the need for a situational emphasis on shared decision-making and patient-centred care.

Regulating Decision-Making in Multiple Pregnancy

Regulating Decision-Making in Multiple Pregnancy PDF Author: Jeffrey Wale
Publisher: Cambridge Scholars Publishing
ISBN: 1527571408
Category : Law
Languages : en
Pages : 247

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Book Description
This book examines the regulation and practice of medical decision-making where the context is that of a multiple pregnancy and where the question is whether or not to carry out a fetal reduction procedure. It concerns three main lines of inquiry: first, the nature of fetal reduction and the legal ground(s) for termination typically relied upon; secondly, the extent to which legal, ethical, and professional norms guide or constrain this particular kind of decision-making; and, thirdly, the adequacy of these norms. The book uses empirical sources to develop its analysis, contributing new insight and the kind of evidence necessary to shape regulation, clinical practice, and future research. The key findings show that fetal abnormality is often given as the justifying ground; that the legal, ethical, and professional norms offer little explicit guidance for fetal reduction: and on the general question of termination, ethical norms suffer from a high level of contestation, the key norms in the UK abortion legislation are unclear and disconnected from practice, and professional norms are only marginally more adequate. Given the indeterminacy of these norms, it is no surprise that the evidence indicates that doctors are only weakly guided by them in making their decisions. Various recommendations are advanced in this book, including the need for a situational emphasis on shared decision-making and patient-centred care.

Regulating Autonomy

Regulating Autonomy PDF Author: Shelley Day Sclater
Publisher: Bloomsbury Publishing
ISBN: 1847314996
Category : Law
Languages : en
Pages : 282

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Book Description
These essays explore the nature and limits of individual autonomy in law, policy and the work of regulatory agencies. Authors ask searching questions about the nature and scope of the regulation of 'private' lives, from intimacies, personal relationships and domestic lives to reproduction. They question the extent to which the law does, or should, protect individual autonomy. Recent rapid advances in the development of new technologies - particularly those concerned with human genetics and assisted reproduction - have generated new questions (practical, social, legal and ethical) about how far the state should intervene in individual decision making. Is there an inevitable tension between individual liberty and the common good? How might a workable balance between the public and the private be struck? How, indeed, should we think about 'autonomy'? The essays explore the arguments used to create and maintain the boundaries of autonomy - for example, the protection of the vulnerable, public goods of various kinds, and the maintenance of tradition and respect for cultural practices. Contributors address how those boundaries should be drawn and interventions justified. How are contemporary ethical debates about autonomy constructed, and what principles do they embody? What happens when those principles become manifest in law?

Making Multiple Babies

Making Multiple Babies PDF Author: Chia-Ling Wu
Publisher: Berghahn Books
ISBN: 1800738536
Category : Medical
Languages : en
Pages : 264

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Book Description
Human beings have been producing more twins, triplets, and quadruplets than ever before, due to the expansion of medically assisted conception. This book analyzes the anticipatory regimes of making multiple babies. With archival documents, participant observation, in-depth interviews, and registry data, this book traces the global and local governance of the assisted reproductive technologies (ARTs) used to tackle multiple pregnancy since the 1970s, highlighting the early promotion of single embryo transfer in Belgium and Japan and the making of the world’s most lenient guidelines in Taiwan.

Regulating Reproduction

Regulating Reproduction PDF Author: Emily Jackson
Publisher: Bloomsbury Publishing
ISBN: 1847311458
Category : Law
Languages : en
Pages : 392

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Book Description
This new book provides a clear and accessible analysis of the various ways in which human reproduction is regulated. A comprehensive exposition of the law relating to birth control,abortion, pregnancy, childbirth, surrogacy and assisted conception is accompanied by an exploration of some of the complex ethical dilemmas that emerge when one of the most intimate areas of human life is subjected to regulatory control. Throughout the book, two principal themes recur. First, particular emphasis is placed upon the special difficulties that arise in regulating new technological intervention in all aspects of the reproductive process. Second, the concept of reproductive autonomy is both interrogated and defended. This book offers a readable and engaging account of the complex relationships between law, technology and reproduction. It will be useful for lecturers and students taking medical law or ethics courses. It should also be of interest to anyone with a more general interest in women's bodies and the law, or with the profound regulatory consequences of new technologies.

Parenting Stress

Parenting Stress PDF Author: Kirby Deater-Deckard
Publisher: Yale University Press
ISBN: 0300133936
Category : Self-Help
Languages : en
Pages : 220

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Book Description
All parents experience stress as they attempt to meet the challenges of caring for their children. This comprehensive book examines the causes and consequences of parenting distress, drawing on a wide array of findings in current empirical research. Kirby Deater-Deckard explores normal and pathological parenting stress, the influences of parents on their children as well as children on their parents, and the effects of biological and environmental factors. Beginning with an overview of theories of stress and coping, Deater-Deckard goes on to describe how parenting stress is linked with problems in adult and child health (emotional problems, developmental disorders, illness); parental behaviors (warmth, harsh discipline); and factors outside the family (marital quality, work roles, cultural influences). The book concludes with a useful review of coping strategies and interventions that have been demonstrated to alleviate parenting stress.

About Abortion

About Abortion PDF Author: Carol Sanger
Publisher: Belknap Press
ISBN: 9780674737723
Category : Law
Languages : en
Pages : 0

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Book Description
One of the most private decisions a woman can make, abortion is also one of the most contentious topics in American civic life. Protested at rallies and politicized in party platforms, terminating pregnancy is often characterized as a selfish decision by women who put their own interests above those of the fetus. This background of stigma and hostility has stifled women’s willingness to talk about abortion, which in turn distorts public and political discussion. To pry open the silence surrounding this public issue, Sanger distinguishes between abortion privacy, a form of nondisclosure based on a woman’s desire to control personal information, and abortion secrecy, a woman’s defense against the many harms of disclosure. Laws regulating abortion patients and providers treat abortion not as an acceptable medical decision—let alone a right—but as something disreputable, immoral, and chosen by mistake. Exploiting the emotional power of fetal imagery, laws require women to undergo ultrasound, a practice welcomed in wanted pregnancies but commandeered for use against women with unwanted pregnancies. Sanger takes these prejudicial views of women’s abortion decisions into the twenty-first century by uncovering new connections between abortion law and American culture and politics. New medical technologies, women’s increasing willingness to talk online and off, and the prospect of tighter judicial reins on state legislatures are shaking up the practice of abortion. As talk becomes more transparent and acceptable, women’s decisions about whether or not to become mothers will be treated more like those of other adults making significant personal choices.

Human Tissue and Embryos (Draft) Bill

Human Tissue and Embryos (Draft) Bill PDF Author: Great Britain: Parliament: Joint Committee on the Human Tissue and Embryos (Draft) Bill
Publisher: The Stationery Office
ISBN: 0104011432
Category : Political Science
Languages : en
Pages : 500

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Book Description
The draft Bill was published in May 2007 as Command paper Cm 7087 (ISBN 9780101708722). Vol. 1 of this report is also available (ISBN 9780104011348)

Placental Molecules in Hemodynamics, Transport, and Cellular Regulation

Placental Molecules in Hemodynamics, Transport, and Cellular Regulation PDF Author: Toshio Hata
Publisher: University Rochester Press
ISBN: 9781580460163
Category : Medical
Languages : en
Pages : 626

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Book Description
Current placental research in Japan, reflecting the adoption of recent biochemical, immunochemical and microbiological knowledge and techniques, and the resulting observation of enzyme activity and transportation of a variety of substances utilising isolated BBM, BBMV, BM and BMV. Also Vol. 10: Early PregnancyCovering: Trophoblast invasion . Angiogenesis and Blood Vessels . Endocrine and Paracine Regulation. With the European Placenta Group

Beyond Second Opinions

Beyond Second Opinions PDF Author: Judith Steinberg Turiel
Publisher: Univ of California Press
ISBN: 0520347412
Category : Medical
Languages : en
Pages : 406

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Book Description
Beyond Second Opinions is both an exposé of the risks, errors, and distortions surrounding fertility medicine and an authoritative guide for people seeking treatment. Accessible, comprehensive, and extremely well-informed, this book takes the reader beyond hype to the hard data on diagnoses and treatments. Judith Steinberg Turiel, a consumer health activist and herself a veteran of fertility treatments, uses the most up-to-date medical literature to shed new light on difficult decisions patients face today and on reproductive questions society must begin to address now. Those who are seeking a more balanced perspective to help them make better, more informed decisions will find a wealth of information about current reproductive interventions—from simple fertility pills to dazzling experimental options—as well as a discussion of the non-medical forces (economic and political) that shape an individual's treatment choices and reproductive outcomes. Despite quantities of information showered upon patients, they remain woefully misinformed; some fertility treatments may actually reduce chances for a successful pregnancy and threaten a patient's health. Turiel looks beyond surface claims to the real information, often uncovering counterintuitive findings and sometimes scandalous revelations. She exposes a realm of unregulated expansion, unscientific experimentation, and recent scandal over stolen embryos. Weaving together first-hand accounts, compelling stories, a range of scientific information, and lively anecdotes, Turiel addresses the persistent gulfs that separate medical professionals and health care consumers. In the process she arms laypeople with what they might not learn about infertility practices from doctors, patient education brochures, and the newspaper. This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1998.

Clinical Ethics in Pediatrics

Clinical Ethics in Pediatrics PDF Author: Douglas S. Diekema
Publisher: Cambridge University Press
ISBN: 1139501836
Category : Medical
Languages : en
Pages : 263

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Book Description
This volume provides a practical overview of the ethical issues arising in pediatric practice. The case-based approach grounds the bioethical concepts in real-life situations, covering a broad range of important and controversial topics, including informed consent, confidentiality, truthfulness and fidelity, ethical issues relating to perinatology and neonatology, end-of-life issues, new technologies, and problems of justice and public health in pediatrics. A dedicated section also addresses the topics of professionalism, including boundary issues, conflicts of interests and relationships with industry, ethical issues arising during training, and dealing with the impaired or unethical colleague. Each chapter contains a summary of the key issues covered and recommendations for approaching similar situations in other contexts. Clinical Ethics in Pediatrics: A Case-Based Textbook is an essential resource for all physicians who care for children, as well as medical educators, residents and scholars in clinical bioethics.