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Ethics in reproductive and perinatal medicine : a new framework
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ISBN: 0300068328 9780300068320 Year: 1997 Publisher: New Haven ; London Yale University Press

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Abstract

Advances in reproductive and perinatal medicine have given rise to difficult ethical issues. Do all women have the right to choose whether to reproduce? What is the moral status of the foetus during various stages of gestation and what obligations do parents have to the foetus during this period? In this book Carson Strong develops an ethical framework that aims to help resolve these and many other issues of concern to health professionals, policymakers and the general public. Strong begins by exploring the significance of reproductive freedom, drawing on constitutional law and feminist writings, among other sources. Next he assesses the moral status of offspring during pre-embryonic, embryonic, foetal and postnatal stages of development, discussing the obligations of procreators during gestation, and offering a perspective on the idea that the moral standing of the foetus increases as foetal development proceeds. He then suggests an approach to the question of how priorities should be assigned to conflicting values, one that draws on a version of casuistic reasoning.In the second half of the book, Strong applies this ethical framework to some of the problematic areas in reproductive and perinatal medicine. These include prenatal genetic testing for susceptibilities to common diseases and for "enhancement" of offspring; research using pre-embryos and embryos; non-traditional family arrangements, such as surrogate motherhood and ovum donation for older women; and treatment of foetuses with anomalies. His discussion takes into account the clinical dimensions of issues and reflects a consideration of the ethical, legal, medical and psychosocial literature. Drawing on the law and feminist writings, this text explores the significance of reproductive freedom. It assesses the moral status of offspring in pre-embryonic, embryonic, foetal and postnatal development and applies an ethical framework to problematic areas in reproductive medicine.

Keywords

Biologie humaine -- Morale et aspects éthiques --- Biomedical ethics --- Biomedische ethiek --- Biomédecine -- Morale et aspects éthiques --- Deontologie [Medische ] --- Deontology [Medical ] --- Déontologie médicale --- Ethics [Medical ] --- Ethiek [Medische ] --- Ethique médicale --- Medical care -- Moral and ethical aspects --- Medical deontology --- Medical ethics --- Medicine -- Moral and ethical aspects --- Medische deontologie --- Medische ethiek --- Morale et médecine --- Morale médicale --- Médecine -- Innovations -- Morale et aspects éthiques --- Médecine -- Morale et aspects éthiques --- Médecine et morale --- Politique sanitaire -- Morale et aspects éthiques --- Reproductie (Biologie) --- Reproduction (Biologie) --- Reproduction (Biology) --- Soins médicaux -- Morale et aspects éthiques --- Éthique clinique --- Human reproductive technology --- Perinatology --- Public Policy --- Risk --- Research --- Moral Obligations --- Pregnant Women --- Privacy --- Age Factors --- Cryopreservation --- Embryo Disposition --- Genetic Enhancement --- Ethics --- Feminism --- Genetic Diseases, Inborn --- Reproduction --- Reproductive Techniques, Assisted --- Spermatozoa --- Social Responsibility --- Treatment Refusal --- Ethics, Medical --- Genetic Testing --- Infant, Newborn, Diseases --- Civil Rights --- Fetal Viability --- Homosexuality --- Human Rights --- Ownership --- Substance-Related Disorders --- Contraception --- Embryo Research --- Embryonic Development --- Ethical Theory --- Risk Assessment --- Pregnancy --- Single Person --- Coercion --- Embryo, Mammalian --- Fetal Development --- Infant --- Congenital Abnormalities --- Abortion, Eugenic --- Surrogate Mothers --- Genetic Engineering --- Jurisprudence --- Abortion, Induced --- Fetus --- Self Concept --- Tissue Donors --- Women --- Social Values --- Women's Rights --- Oocyte Donation --- Preimplantation Diagnosis --- Cesarean Section --- Social Control, Formal --- Ethics, Clinical --- Embryonic and Fetal Development --- Epidemiologic Factors --- Embryonic Structures --- Probability --- Social Control Policies --- Obstetric Surgical Procedures --- Preservation, Biological --- Delivery, Obstetric --- Reproductive Physiological Processes --- Germ Cells --- Parents --- Marital Status --- Health Care Quality, Access, and Evaluation --- Epidemiologic Measurements --- Social Control, Informal --- Genetic Techniques --- Morals --- Reproductive Techniques --- Persons --- Biomedical Research --- Physiological Phenomena --- Patient Rights --- Mental Disorders --- Diagnostic Techniques, Obstetrical and Gynecological --- Legislation as Topic --- Personality Development --- Investigative Techniques --- Congenital, Hereditary, and Neonatal Diseases and Abnormalities --- Science --- Tissue Preservation --- Risk Management --- Organization and Administration --- Humanism --- Reproductive Physiological Phenomena --- Health Behavior --- Pediatrics --- Age Groups --- Humanities --- Diagnostic Techniques and Procedures --- Genetic Services --- Diseases --- Patient Acceptance of Health Care --- Biomedical Enhancement --- Psychology, Social --- Diagnostic Services --- Philosophy --- Sexuality --- Named Groups --- Cells --- Sexual Behavior --- Health Care Economics and Organizations --- Quality of Health Care --- Anatomy --- Behavior and Behavior Mechanisms --- Personality --- Sociology --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Natural Science Disciplines --- Medicine --- Specimen Handling --- Attitude to Health --- Diagnosis --- Public Health --- Statistics as Topic --- Policy --- Mathematical Concepts --- Health Care --- Histocytological Preparation Techniques --- Health Services Administration --- Preventive Health Services --- Biomedical Technology --- Surgical Procedures, Operative --- Behavior --- Ethics, Professional --- Psychiatry and Psychology --- Phenomena and Processes --- Morphogenesis --- Family Characteristics --- Reproductive and Urinary Physiological Phenomena --- Health Services --- Therapeutics --- Genitalia --- Nuclear Family --- Cytological Techniques --- Social Sciences --- Growth and Development --- Environment and Public Health --- Histological Techniques --- Demography --- Family --- Community Health Services --- Health Care Evaluation Mechanisms --- Urogenital System --- Technology --- Health Occupations --- Socioeconomic Factors --- Epidemiologic Methods --- Health Care Facilities, Manpower, and Services --- Laboratory Techniques and Procedures --- Delivery of Health Care --- Disciplines and Occupations --- Clinical Laboratory Techniques --- Population Characteristics --- Anthropology, Education, Sociology and Social Phenomena --- Technology, Industry, and Agriculture --- Physiological Processes --- Technology, Industry, Agriculture --- Gynecology & Obstetrics --- Health & Biological Sciences --- Moral and ethical aspects --- Ethics, Medical. --- Reproduction. --- Moral and ethical aspects. --- reproductief recht (recht om zich voort te planten, recht op een kind) --- reprodu --- Medicine, Perinatal --- Perinatal medicine --- Obstetrics --- Medical Ethics --- Professionalism --- Bioethics --- Human Reproductive Index --- Human Reproductive Indexes --- Reproductive Period --- Human Reproductive Indices --- Index, Human Reproductive --- Indexes, Human Reproductive --- Indices, Human Reproductive --- Period, Reproductive --- Periods, Reproductive --- Reproductive Index, Human --- Reproductive Indices, Human --- Reproductive Periods --- droit reproductif (droit de procréer, droit à la procréation, droits de la reproduction, droit à l'enfant) --- ethics --- Perinatology - Moral and ethical aspects. --- Human reproductive technology - Moral and ethical aspects --- Perinatology - Moral and ethical aspects

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