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Frank A. Chervenak

    The professional responsibility model of perinatal ethics
    Donald School Textbook of Ultrasound in Obstetrics and Gynecology
    • 2014

      This book provides the first clinically comprehensive and practical approach to ethical challenges in perinatal medicine. The first chapter introduces and explains the professional responsibility model of perinatal ethics. The professional responsibility model is based on the medical ethics of two major physician-ethics in the history of Western medical ethics, Dr. John Gregory (1724-1773) of Scotland and Dr. Thomas Percival (1740-1804) of England. The professional responsibility model is used to articulate the ethical concept of the fetus as a patient and to operationalize the ethical principles of beneficence and respect for autonomy. The book provides practical guidance for clinical judgment and decision making with patients about the responsible clinical management of the wide range of issues encountered by perinatologists in clinical practice and research. Topics included: periviability; feticide; intrapartum management; maternal-fetal conflict; innovation for fetal benefit; research for fetal benefit; non-aggressive obstetric management; managing the transition from pregnancy to birth; destructive procedures such as cephalocentesis; critical care for the pregnant patient; home birth; patient-choice cesarean delivery; neonatal care as a trial of management; and setting limits on neonatal care on the basis of clinical judgments of futility.

      The professional responsibility model of perinatal ethics
    • 2011

      Ultrasound is the backbone of modern obstetric and gynecology practice. Recent technological breakthroughs in diagnostic ultrasound, including the advent of color Doppler, power Doppler, three-dimensional and four dimensional imaging, have led ultrasound to surpass the expectations of Ian Donald, its visionary father. The text is divided into three parts general aspects, obstetrics, and gynecology. The first and second textbooks were successful in this endeavor, but with the explosion of knowledge, it was clear that an expanded and updated third edition would be invaluable. Section one deals with a variety of topics that lay the foundation for the rest of the book. Section two addresses the myriad subtopics in obstetric ultrasound that optimize the care of pregnant women and fetal patients. The last section addresses the essential role that ultrasound plays in the many dimensions of clinical gynecology.

      Donald School Textbook of Ultrasound in Obstetrics and Gynecology