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Ethical Dilemmas in Obstetrics

Ethics is the study of what constitutes right and wrong conduct. This document discusses three cases that raise ethical issues: 1) The death of Savita Halappanavar in Ireland, who was denied an abortion during a miscarriage and died of septicemia, sparking protests over Ireland's abortion ban. 2) The legal liabilities nurses may face for negligence, malpractice, or torts related to errors in diagnosis or treatment. 3) The medical termination of pregnancy rules in India, including requirements that district termination committees include medical professionals and local government representatives.

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100% found this document useful (1 vote)
366 views47 pages

Ethical Dilemmas in Obstetrics

Ethics is the study of what constitutes right and wrong conduct. This document discusses three cases that raise ethical issues: 1) The death of Savita Halappanavar in Ireland, who was denied an abortion during a miscarriage and died of septicemia, sparking protests over Ireland's abortion ban. 2) The legal liabilities nurses may face for negligence, malpractice, or torts related to errors in diagnosis or treatment. 3) The medical termination of pregnancy rules in India, including requirements that district termination committees include medical professionals and local government representatives.

Uploaded by

santhiyasandy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd

ETHICS

Ethics is the systematic study of


What a persons conduct ought to be
with
regard to him or herself, other human
beings and the environment,
it is the justification of what is right or
good and the study of what a person’s life
and relationship ought to be,
not necessarily what they are.
I held her hand. They pumped her heart':
Agony of husband who watched his
pregnant wife, 31, die after Irish doctors
refused to perform an abortion because
Ireland is a 'Catholic country'

Savita Halappanavar, 31, was found to be


miscarrying when she was admitted to
Galway University Hospital
The dentist, who was 17 weeks pregnant,
was denied a medical termination despite
being in 'agonising pain'
Mrs Halappanavar, who went on to suffer a
miscarriage, developed septicaemia and
died on October 28
Her husband, Praveen Halappanavar, says
he has lost his 'soulmate'
Irish Prime Minister Enda Kenny has come
under renewed pressure to legislate for
abortion
More than 1,000 demonstrators protest
outside the Irish parliament building

Abortion is illegal in the Republic of


Ireland
LEGAL LIABILITY IN NURSING
• Negligence

• Malpractice

• Torts
NEGLIGENCE
• Means an act or conduct that falls below the standard of care.
• The joint commission of accreditation of health care organization
(JCAHO) defines negligence is failure to use such care as a reasonably
prudent and careful person would use under similar circumstances.

• It is an act of omission i.e. neglect to do something


MAL
PRACTICE
• It is a negligence or carelessness by a professional person.

• It is professional misconduct, unreasonable lack of skill


or infidelity in professional duties, evil practice or illegal
or immoral conduct.
TORTS

• A Torts is a civil wrong for which remedy is a common


law action for damages that are not liquidated and which
is not exclusively the breach of contract or trust.
PROBLEMS
ENCOUNTERED
 Inability to make
diagnosis
 Inacurate diagnosis

 False negative

 Termination

 Failure to give advice

 Wrong advice
ULTRASONOGRAPHY IN
OBSTETRICS
Legal issues can be there in:
 Fetal anomalies:
 Overlooked or missed
 Some are not detected
 Vaginal bleeding
 Placenta praevia
 IUGR, prematurity, wrong
dates
 Fetal death
 Ectopic Pregnancy
 Fetal biophysical profile
• THE MEDICAL TERMINATION OF PREGNANCY RULES,
2003 :

1) Composition and tenure of district level :


committee
 members would be : gynaecologists/surgeon/anaesthetist and other members of the local medical
profession, non governmental organization, and panchayati raj institution of the district.

 one of the members should be a woman .


 Tenure shall be 2 years.
LABOUR
MALPRACTICE
BIBLIOGRAPHY-
• Bennet V Ruth & Brown K Linda, “Myle’s text Book for Midwives, ELBS, Churchill Livingstone
• Buckley Kathleen and Kulb Nancy W, “ High Risk Maternity Nursing Manual” Edn, Williams &
Wilkin, 1993, Philadelphia.
• D.C Dutta, “Text book of Gynaecology” ,Vth edn, New Central Agency (p) Calcutta, 2001.
• FIGO Committee for the Study of Ethical Aspects of Human Reproduction. Recommendations of
Ethical Issues in Obstetrics and Gynecology. London: International Federation of Gynecology and
Obstetrics, 1997.
• Bergeron, Veronique, 2007, “The ethics of cesarean section on maternal request: a feminist critique
of the American College of Obstetricians and Gynecologists' position on patient-choice
surgery”, Bioethics 21(9): 478–87.
• Lyerly, Anne Drapkin, et al, 2009, “Risk and the pregnant body”, Hastings Center Report39(6):
34–
42.
• Van Bogaert, Louis-Jacques, 2006, “Rights of and duties to non-consenting patients: informed
refusal in the developing world”, Developing World Bioethics 6(1): 13–22.
BIBLIOGRAPHY-

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