Fatal fetal paternalism

Heuser and colleagues' survey of obstetricians provides a valuable insight into the current management of severe fetal anomalies in the United States. Their survey reveals two striking features - that counselling for these anomalies is far from neutral, and that there is significant variability...

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Bibliographic Details
Main Author: Wilkinson, Dominic (Author)
Format: Electronic Article
Language:English
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Published: BMJ Publ. 2012
In: Journal of medical ethics
Year: 2012, Volume: 38, Issue: 7, Pages: 396-397
Online Access: Volltext (JSTOR)
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Summary:Heuser and colleagues' survey of obstetricians provides a valuable insight into the current management of severe fetal anomalies in the United States. Their survey reveals two striking features - that counselling for these anomalies is far from neutral, and that there is significant variability between clinicians in their approach to management. In this commentary I outline the reasons to be concerned about both of these. Directiveness in counselling arguably represents a form of paternalism, and the evident variability in practice is likely the result of physician personal values. However, Heuser's survey may, by shining a light on practice, provide an important step towards a more consistent approach.
ISSN:1473-4257
Contains:Enthalten in: Journal of medical ethics
Persistent identifiers:DOI: 10.1136/medethics-2012-100542