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https://www.readbyqxmd.com/read/27855100/increasing-the-uptake-of-long-acting-reversible-contraception-in-general-practice-the-australian-contraceptive-choice-project-accord-cluster-randomised-controlled-trial-protocol
#1
Danielle Mazza, Kirsten Black, Angela Taft, Jayne Lucke, Kevin McGeechan, Marion Haas, Heather McKay, Jeffery F Peipert
INTRODUCTION: The increased use of long-acting reversible contraceptives (LARCs), such as intrauterine devices and hormonal implants, has the potential to reduce unintended pregnancy and abortion rates. However, use of LARCs in Australia is very low, despite clinical practice guidance and statements by national and international peak bodies advocating their increased use. This protocol paper describes the Australian Contraceptive ChOice pRojet (ACCORd), a cluster randomised control trial that aims to test whether an educational intervention targeting general practitioners (GPs) and establishing a rapid referral service are a cost-effective means of increasing LARC uptake...
October 7, 2016: BMJ Open
https://www.readbyqxmd.com/read/27717058/pro-life-arguments-against-infanticide-and-why-they-are-not-convincing
#2
Joona Räsänen
Alberto Giubilini and Francesca Minerva's controversial article 'After-Birth Abortion: Why Should the Baby Live?' has received a lot of criticism since its publishing. Part of the recent criticism has been made by pro-life philosopher Christopher Kaczor, who argues against infanticide in his updated book 'Ethics of Abortion'. Kaczor makes four arguments to show where Giubilini and Minerva's argument for permitting infanticide goes wrong. In this article I argue that Kaczor's arguments, and some similar arguments presented by other philosophers, are mistaken and cannot show Giubilini and Minerva's view to be flawed...
November 2016: Bioethics
https://www.readbyqxmd.com/read/27697790/further-clarity-on-cooperation-and-morality
#3
David S Oderberg
I explore the increasingly important issue of cooperation in immoral actions, particularly in connection with healthcare. Conscientious objection, especially as pertains to religious freedom in healthcare, has become a pressing issue in the light of the US Supreme Court judgement in Hobby Lobby Section 'Moral evaluation using the basic principles of cooperation' outlines a theory of cooperation inspired by Catholic moral theologians such as those cited by the court. The theory has independent plausibility and is at least worthy of serious consideration-in part because it is an instance of double-effect reasoning, which is also independently plausible despite its association with moral theology...
October 3, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27631408/qualifying-choice-ethical-reflection-on-the-scope-of-prenatal-screening
#4
Greg Stapleton
In the near future developments in non-invasive prenatal testing (NIPT) may soon provide couples with the opportunity to test for and diagnose a much broader range of heritable and congenital conditions than has previously been possible. Inevitably, this has prompted much ethical debate on the possible implications of NIPT for providing couples with opportunities for reproductive choice by way of routine prenatal screening. In view of the possibility to test for a significantly broader range of genetic conditions with NIPT, the European Society of Human Genetics (ESHG) and American Society of Human Genetics (ASHG) recommend that, pending further debate, prenatal screening for reproductive choice should only be offered where concerning serious congenital conditions and childhood disorders...
September 8, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27613571/documenting-moral-agency-a-qualitative-analysis-of-abortion-decision-making-for-fetal-indications
#5
Lori M Gawron, Katie Watson
OBJECTIVES: We explored whether the decision-making process of women aborting a pregnancy for a fetal indication fit common medical ethical frameworks. STUDY DESIGN: We applied 3 ethical frameworks (principlism, care ethics, and narrative ethics) in a secondary analysis of 30 qualitative interviews from women choosing 2nd trimester abortion for fetal indications. RESULTS: All thirty women offered reasoning consistent with one or more ethical frameworks...
September 6, 2016: Contraception
https://www.readbyqxmd.com/read/27612453/stigmatized-by-association-challenges-for-abortion-service-providers-in-ghana
#6
Patience Aniteye, Beverley O'Brien, Susannah H Mayhew
BACKGROUND: Unsafe abortion is an issue of public health concern and contributes significantly to maternal morbidity and mortality globally. Abortion evokes religious, moral, ethical, socio-cultural and medical concerns which mean it is highly stigmatized and this poses a threat to both providers and researchers. This study sought to explore challenges to providing safe abortion services from the perspective of health providers in Ghana. METHODS: A descriptive qualitative study using in-depth interviews was conducted...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27595258/-ethical-dilemmas-in-medicine-the-interruption-of-pregnancy-in-woman
#7
Carlos Gual-Castro
Pregnancy interruption or abortion may be spontaneous or induced for medical, legal, demographic, and personal reasons. Different events that are present during the woman´s gravid period were described, paying attention to the differences in between fertilization and conception. These issues are very important because people or institutions mix these concepts and posit that pregnancy or conception starts at fertilization in opposition to the actual medical and scientific knowledge. In Mexico there are several millions of spontaneous and induced abortions without medical care, responsible for the high maternal-infant mortality rates...
July 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27587443/vulnerable-subjects-why-does-informed-consent-matter
#8
Michele Goodwin
This special issue of the Journal Law, Medicine & Ethics takes up the concern of informed consent, particularly in times of controversy. The dominant moral dilemmas that frame traditional bioethical concerns address medical experimentation on vulnerable subjects; physicians assisting their patients in suicide or euthanasia; scarce resource allocation and medical futility; human trials to develop drugs; organ and tissue donation; cloning; xenotransplantation; abortion; human enhancement; mandatory vaccination; and much more...
September 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/27577026/implementation-of-the-risk-and-harm-reduction-strategy-against-unsafe-abortion-in-uruguay-from-a-university-hospital-to-the-entire-country
#9
Ana Labandera, Monica Gorgoroso, Leonel Briozzo
The history of the creation of the risk and harm reduction model applied to unsafe abortion is reviewed, from its initial implementation by a small group of gynecologists at the Pereira Rossell Hospital Center in Uruguay to its spread to the rest of the country. Its ethical rationale, its successful application in the hospital, the decision to disseminate it with the cooperation of the International Federation of Gynecology and Obstetrics (FIGO), and the intervention procedures are explained. It was evaluated from the epidemiological and anthropological viewpoints, from the changes in professionals' and users' perception of the care offered and its impact on complications and maternal deaths...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/27570793/-prefacing-the-script-as-an-ethical-response-to-state-mandated-abortion-counseling
#10
Mara Buchbinder, Dragana Lassiter, Rebecca Mercier, Amy Bryant, Anne Drapkin Lyerly
BACKGROUND: Laws governing abortion provision are proliferating throughout the United States, yet little is known about how these laws affect providers. We investigated the experiences of abortion providers in North Carolina practicing under the 2011 Women's Right to Know Act, which mandates that women receive counseling with specific, state-prescribed information at least 24 hours prior to an abortion. We focus here on a subset of the data to examine one strategy by which providers worked to minimize moral conflicts generated by the counseling procedure...
2016: AJOB Empirical Bioethics
https://www.readbyqxmd.com/read/27544140/individualised-claims-of-conscience-clinical-judgement-and-best-interests
#11
Stephen W Smith
Conscience and conscientious objections are important issues in medical law and ethics. However, discussions tend to focus on a particular type of conscience-based claim. These types of claims are based upon predictable, generalizable rules in which an individual practitioner objects to what is otherwise standard medical treatment (for example, the objections recognised in the Abortion Act). However, not all conscience based claims are of this type. There are other claims which are based not on an objection to a treatment in general but in individual cases...
August 20, 2016: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/27531923/response-to-why-medical-professionals-have-no-moral-claim-to-conscientious-objection-accommodation-in-liberal-democracies-by-schuklenk-and-smalling
#12
Richard John Lyus
Bioethicists commenting on conscientious objection and abortion should consider the empirical data on abortion providers. Abortion providers do not fall neatly into groups of providers and objectors, and ambivalence is a key theme in their experience. Practical details of abortion services further upset the dichotomy. These empirical facts are important because they demonstrate that the way the issue is described in analytical bioethics does not reflect reality. Addressing conscientious objection as a barrier to patient access requires engaging with those who provide the service and those who are able to but do not...
August 16, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27512572/transperineal-implantation-of-gold-fiducial-markers-gold%C3%A2-seeds-for-prostate-image-guided-radiation-therapy-a%C3%A2-feasible-technique-associated-with-a-low-risk-of-complications
#13
Akram Saad, Jeffrey Goldstein, Yaacov Richard Lawrence, Ilana Weiss, Rasha Saad, Benjamin Spieler, Zvi Symon
INTRODUCTION: The purpose is to describe the method, safety and efficacy of transperineal gold seed placement for image-guided radiation therapy. METHODS: An ethics committee approved database was used to review records of consecutive patients from October 2008 through December 2013, who underwent transperineal implantation of three gold markers into the prostate using staged local anaesthesia and transrectal ultrasound. Seeds were counted on radiographs from CT simulation, first treatment and last treatment...
December 2015: Journal of Medical Radiation Sciences
https://www.readbyqxmd.com/read/27467888/referrals-for-services-prohibited-in-catholic-health-care-facilities
#14
Debra B Stulberg, Rebecca A Jackson, Lori R Freedman
CONTEXT: Catholic hospitals control a growing share of health care in the United States and prohibit many common reproductive services, including ones related to sterilization, contraception, abortion and fertility. Professional ethics guidelines recommend that clinicians who deny patients reproductive services for moral or religious reasons provide a timely referral to prevent patient harm. Referral practices in Catholic hospitals, however, have not been explored. METHODS: Twenty-seven obstetrician-gynecologists who were currently working or had worked in Catholic facilities participated in semistructured interviews in 2011-2012...
September 2016: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/27400014/whose-choice-developing-a-unifying-ethical-framework-for-conscience-laws-in-health-care
#15
Benjamin P Brown, Lee Hasselbacher, Julie Chor
Since abortion became legal nationwide, federal and state "conscience clauses" have been established to define the context in which health professionals may decline to participate in contested services. Patients and health care providers may act according to conscience in making health care decisions and in deciding whether to abstain from or to participate in contested services. Historically, however, conscience clauses largely have equated conscience in health care with provider abstinence from such services...
August 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27364347/abortion-in-islamic-ethics-and-how-it-is-perceived-in-turkey-a-secular-muslim-country
#16
Perihan Elif Ekmekci
Abortion is among the most widely discussed concepts of medical ethics. Since the well-known ethical theories have emerged from Western world, the position of Islamic ethics regarding main issues of medical ethics has been overlooked. Muslims constitute a considerable amount of world population. Turkish Republic is the only Muslim country ruled with secular democracy and one of the three Muslim countries where abortion is legalized. The first aim of this paper is to present discussions on abortion in Islamic ethics in the context of major ethical concepts; the legal status of the fetus, respect for life and the right not to be born...
June 30, 2016: Journal of Religion and Health
https://www.readbyqxmd.com/read/27346818/an-incautious-tale-of-biomedical-ethics-abortion-politics-and-political-expediency
#17
Mary Faith Marshall
No abstract text is available yet for this article.
2016: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/27343747/the-birth-control-pill-thromboembolic-disease-science-and-the-media-a-historical-review-of-the-relationship
#18
REVIEW
Elyse Lackie, Amy Fairchild
The introduction of the birth control pill (the Pill) in 1960 revolutionized the options for contraception, sparking vibrant discussion in the scientific and social science literature and in the media. Much attention focused on issues of women's rights, including ethics and personal choice. But the Pill also introduced new questions about risk. Shortly after its introduction, the risk of thromboembolic disease was recognized [1]. After more than half a century, controversies about the relationship between the Pill and thromboembolic disease have persisted...
October 2016: Contraception
https://www.readbyqxmd.com/read/27299826/-position-paper-from-the-department-of-ethics-of-the-chilean-college-of-physicians-about-conscientious-objection
#19
Sofía P Salas, Mauricio Besio, Gladys Bórquez Estefó, Rodrigo A Salinas, Carlos Y Valenzuela, Constanza Micolich, Fernando Novoa Sotta, Lioniel Bernier Villarroel, Julio Montt M, Adelio Misseroni Raddatz
The Chilean bill that regulates abortion for three cases (Bulletin Nº 9895-11) includes the possibility that health professionals may manifest their conscientious objection (CO) to perform this procedure. Due to the broad impact that the issue of C O had, the Ethics Department of the Chilean College of Physicians considered important to review this concept and its ethical and legal basis, especially in the field of sexual and reproductive health. In the present document, we define the practical limit s of CO, both for the proper fulfillment of the medical profession obligations, and for the due respect and non-discrimination that the professional objector deserves...
March 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27299825/-conscientious-objection-and-the-values-of-medical-profession
#20
Mauricio Besio
It is usual to understand conscientious objection as a doctor’s refusal to perform a legitimate intervention, for subjective personal reasons unrelated to medicine. It is then accepted only by respect to professional autonomy and freedom of beliefs. Understood in that way it would be thus reasonable to limit it, curtail it or delete it, since the objector would not be willing to grant benefits that correspond to his medical profession. This work aims to show exactly the opposite, taking as an example the project of law that pretends to decriminalize abortion in some situations in Chile...
March 2016: Revista Médica de Chile
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