Internal Medicine

Download Ethical Issues in Maternal-Fetal Medicine by Donna L. Dickenson PDF

By Donna L. Dickenson

This quantity brings jointly an strangely wide diversity of specialists from reproductive drugs, scientific ethics, and legislations to deal with the $64000 moral difficulties in maternal-fetal medication which effect without delay on medical perform. The e-book is split into elements through the phases of being pregnant, in which the authors hide 4 major parts: the stability of energy within the doctor-patient dating and the justifiable limits of paternalism and autonomy; the impression of recent applied sciences and new ailments; incapacity and enhancement; and difference--to what quantity should still the clinician recognize the tenets of different faiths in a multicultural society.

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For example, would freezing oocytes damage their chromosomes? Research on this question would require fertilizing thawed oocytes in vitro, allowing them to develop, and testing the pre-embryos genetically (Trounsen, 1990). However, this would involve creating, testing and then discarding pre-embryos. 31 32 C. Strong In these and other areas of research, there are potential medical beneWts that appear to outweigh any adverse consequences that might reasonably be expected to result from creating pre-embryos solely for research purposes.

So, this view implies that animals have a right to life that is equal in strength to that of humans. This is a conclusion that will strike many of us as implausible. So, this view also should be rejected. But even so, sentience is a morally relevant characteristic. The reason is that one must be sentient in order to have moral interests. Plants, for example, are not sentient and therefore lack moral interests. Of course, you can nurture a plant and cause it to Xourish, but the plant itself lacks any interest in whether you do this.

For example, it implies that an eight-cell pre-embryo has greater moral standing than a four-cell pre-embryo – perhaps only slightly greater but nevertheless greater. It implies that with each small increase in development of fetal organs there is a corresponding increase in fetal moral status. However, it is not at all clear that such small diVerences should count morally. 4 27 28 C. Strong Assigning priorities Ethical issues in reproductive medicine can be characterized as conXicts between ethical values.

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