Decision-Making for an Incapacitated Pregnant Patient.

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  • Additional Information
    • Publication Year:
      2017
    • Abstract:
      Decisions about continuing or terminating a pregnancy touch on profound, individualized questions about bodily integrity, reproductive autonomy, deeply held values regarding one's capacity for parenthood, and, in the case of a high-risk pregnancy, the risks one is willing to take to have a baby. So far as possible, reproductive decisions are made between a patient, in some cases her partner, and her medical provider. However, this standard framework cannot be applied if the patient lacks decision-making capacity. In this essay, we discuss one such case that came before our clinical ethics team. We describe the challenges of respecting a patient's reproductive preferences when the patient cannot share what those preferences are, and we argue that decisions regarding reproductive health care should not be treated with exceptionalism. Rather, they should proceed under the normal processes of surrogate decision-making, including the application of substituted judgment. This approach enables us to take the patient's values into account when considering the questions implicated in reproductive health care, just as we do for other kinds of health care decisions in which a patient's deeply held values are salient. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Hastings Center Report is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      00930334
    • Accession Number:
      124333846
  • Citations
    • ABNT:
      MABEL, H.; ROSE, S. L.; KODISH, E. Decision-Making for an Incapacitated Pregnant Patient. Hastings Center Report, [s. l.], v. 47, n. 4, p. 12, 2017. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846. Acesso em: 25 maio. 2020.
    • AMA:
      Mabel H, Rose SL, Kodish E. Decision-Making for an Incapacitated Pregnant Patient. Hastings Center Report. 2017;47(4):12. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846. Accessed May 25, 2020.
    • APA:
      Mabel, H., Rose, S. L., & Kodish, E. (2017). Decision-Making for an Incapacitated Pregnant Patient. Hastings Center Report, 47(4), 12.
    • Chicago/Turabian: Author-Date:
      Mabel, Hilary, Susannah L. Rose, and Eric Kodish. 2017. “Decision-Making for an Incapacitated Pregnant Patient.” Hastings Center Report 47 (4): 12. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846.
    • Harvard:
      Mabel, H., Rose, S. L. and Kodish, E. (2017) ‘Decision-Making for an Incapacitated Pregnant Patient’, Hastings Center Report, 47(4), p. 12. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846 (Accessed: 25 May 2020).
    • Harvard: Australian:
      Mabel, H, Rose, SL & Kodish, E 2017, ‘Decision-Making for an Incapacitated Pregnant Patient’, Hastings Center Report, vol. 47, no. 4, p. 12, viewed 25 May 2020, .
    • MLA:
      Mabel, Hilary, et al. “Decision-Making for an Incapacitated Pregnant Patient.” Hastings Center Report, vol. 47, no. 4, July 2017, p. 12. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846.
    • Chicago/Turabian: Humanities:
      Mabel, Hilary, Susannah L. Rose, and Eric Kodish. “Decision-Making for an Incapacitated Pregnant Patient.” Hastings Center Report 47, no. 4 (July 2017): 12. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846.
    • Vancouver/ICMJE:
      Mabel H, Rose SL, Kodish E. Decision-Making for an Incapacitated Pregnant Patient. Hastings Center Report [Internet]. 2017 Jul [cited 2020 May 25];47(4):12. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=124333846