Ethical challenges in management of critically ill pregnant patients with coronavirus disease 2019 (COVID-19).

Journal of Perinatal Medicine
Moti GulersenFrank A Chervenak

Abstract

Despite the overwhelming number of coronavirus disease 2019 (COVID-19) cases worldwide, data regarding the optimal clinical guidance in pregnant patients is not uniform or well established. As a result, clinical decisions to optimize maternal and fetal benefit, particularly in patients with critical COVID-19 in the early preterm period, continue to be a challenge for obstetricians. There is often uncertainty in clinical judgment about fetal monitoring, timing of delivery, and mode of delivery because of the challenge in balancing maternal and fetal interests in reducing morbidity and mortality. The obstetrician and critical care team should empower pregnant patients or their surrogate decision maker to make informed decisions in response to the team's clinical evaluation. A clinically grounded ethical framework, based on the concepts of the moral management of medical uncertainty, beneficence-based obligations, and preventive ethics, should guide the decision-making process.

References

Nov 1, 1994·American Journal of Perinatology·Z J HagayV Insler
Oct 11, 2005·Critical Care Medicine·Daniel E ColeStephen Derdak
Feb 14, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Shiliang LiuUNKNOWN Maternal Health Study Group of the Canadian Perinatal Surveillance System
Oct 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Nina Singh, John R Perfect
May 6, 2008·American Journal of Obstetrics and Gynecology·Steven L ClarkGary D Hankins
Apr 16, 2010·Clinical Obstetrics and Gynecology·Corrina M Oxford, Jonathan Ludmir
Jun 12, 2013·American Journal of Obstetrics and Gynecology·Frank A Chervenak, Laurence B McCullough
Jun 20, 2014·Obstetrics and Gynecology
Jan 17, 2016·American Journal of Obstetrics and Gynecology·Tracy A ManuckUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Jan 28, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·F A Chervenak, L B McCullough
May 2, 2017·The Journal of Clinical Investigation·Karen Racicot, Gil Mor
Mar 11, 2018·BMJ Case Reports·Yang Huang Grace NgHak Koon Tan
Apr 26, 2019·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on PracticeBulletins—Obstetrics
Apr 4, 2020·Journal of Reproductive Immunology·Hong LiuAi-Hua Liao
May 12, 2020·American Journal of Obstetrics & Gynecology MFM·Rebecca A M Pierce-WilliamsVincenzo Berghella
Jun 20, 2020·American Journal of Obstetrics and Gynecology·Matthew J BlitzMichael Nimaroff
Jun 24, 2020·American Journal of Perinatology·Corrina Oxford-HorreySarah Rae Easter
Jul 8, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·M PrabhuL E Riley
Dec 20, 2020·The Lancet Global Health·Melanie M TaylorNathalie Broutet
Apr 9, 2021·American Journal of Obstetrics & Gynecology MFM·Carl H RoseArthur J Vaught

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Obstetrics and Gynecology
Howard Minkoff, Jeffrey Ecker
Clinical Obstetrics and Gynecology
Frank A Chervenak, Laurence B McCullough
Infectious Diseases in Obstetrics and Gynecology
Frank A ChervenakW J Ledger
Revue médicale suisse
Sophie MasmejanWawrzyniec Rieder
© 2021 Meta ULC. All rights reserved