Voluntary termination of pregnancy (medical or surgical abortion): forensic medicine issues

Piras, Mauro; Delbon, Paola; Bin, Paola; Casella, Claudia; Capasso, Emanuele; Niola, Massimo; Conti, Adelaide

doi:10.1515/med-2016-0062

Cited by 11 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…And finally in 2011, in Hong Kong, two “mistaken” embryos were implanted into a woman. The matter was brought to a close with an abortion [ 2 ] and payment of compensation [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Ethical and legal issues in gestational surrogacy

et al. 2018

Self Cite

View full text Add to dashboard Cite

AbstractThis study originated from events that occurred in 2014 in an Italian hospital, where the embryos of a couple, obtained by means of homologous insemination, were mistakenly implanted into the uterus of another woman who, along with her husband, underwent the same treatment.Faced with this serious adverse circumstance, that gives rise to ethical and legal issues, the authors conducted a comparative examination of how to consider the division of maternity (between biological mother and uterine mother) and the related division of paternity (between genetic father and legal father, husband or partner of the gestational mother).Some preliminary observations are made concerning parenthood and filiation within the context of currently applicable Italian law.The following is a detailed analysis of the arguments in favour of the parental figures involved (gestational mother/genetic mother).

show abstract

“…And finally in 2011, in Hong Kong, two “mistaken” embryos were implanted into a woman. The matter was brought to a close with an abortion [ 2 ] and payment of compensation [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Ethical and legal issues in gestational surrogacy

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…It should also be noted that the healthcare professional has full, recognized authority to refuse a patient’s request for a treatment procedure that goes against the professional’s convictions or ethics [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

The central importance of information in cosmetic surgery and treatments

et al. 2018

Self Cite

View full text Add to dashboard Cite

AbstractThe increase in the number of people who choose to have medical procedures done to improve their appearance may be due to changed social and cultural factors in modern society, as well to the ease of access and affordable costs of these cosmetic treatments.Today, two elements legitimate recourse to this type of treatment: the broad definition of health accepted by the law and the scientific community, and the provision of meticulous information to the entitled party previous to obtaining his or her consent. In Italy, while current case-law views treatments exclusively for cosmetic purposes as unnecessary, if not even superfluous, it nonetheless demands that providers inform clients about the actual improvement that can be expected, as well as the risks of worsening their current esthetic conditions.

show abstract

“…The pregnant woman was reassured by subsequent ultrasound evidence of the presence of the organs of the urinary tract of the unborn child and decided to continue her pregnancy. 7…”

Section: Design and Methodsmentioning

confidence: 99%

Unreasonable Obstinacy: Ethical, Deontological and Forensic Medical Problems

Casella

Graziano

Lorenzo

et al. 2018

Journal of Public Health Research

Self Cite

View full text Add to dashboard Cite

Especially in oncology and in critical care, the provision of medical care can require therapeutic choices that could go beyond the patient’s will or intentions of the protection of his health, with the possible adoption of medical behaviors interpreted as unreasonable obstinacy or, at the opposite extreme, as euthanasia. In some cases, the demand for obstinate therapeutic services could come from the patient or from his relatives, in which case the dilemma arises for the health professional between rejecting such a request, in respect of their professional autonomy, or abiding by it for fear of a professional care responsibility for therapeutic abandonment. We analyzed and commented on emblematic clinical cases brought to court for alleged wrong medical conduct due to breach of the prohibition of unreasonable obstinacy. In healthcare it is impossible to fix a general rule defining any therapeutic act as appropriate, because on one hand there are technical assessments of medical competence, and on the other the perception of the patient and of his family members of the usefulness of the health care provided, which may be in contrast. The medical act cannot make treatments that are inappropriate for the needs of care or even be unreasonable; conversely, before the request by the patient or by his family members for disproportionate health services in relation to the results they may give in practice, in compliance with the legislative and deontological provisions, the doctor can refuse them, thus safeguarding both his decision-making autonomy and, therefore, his professional dignity.Significance for public healthThe aim of our research is to contribute to identify the technical parameters and the ethical and deontological aspects useful to qualify a treatment as obstinate, to ensure on the one hand a treatment process that does not exceed the patient's requests or expectations (especially if unexpressed), and on the other hand to protect health workers from charges of professional liability for overtreatment damages, while avoiding attitudes of defensive medicine. Reference to the current code of Italian medical deontology is helpful in making therapeutic choices. It recommends the physician not to undertake diagnostic procedures and therapeutic interventions that are clinically inappropriate and ethically disproportionate and against the current laws, according to which the patient cannot demand healthcare treatments contrary to the law, deontology and good clinical-care practices.

show abstract

Voluntary termination of pregnancy (medical or surgical abortion): forensic medicine issues

Cited by 11 publications

References 11 publications

Ethical and legal issues in gestational surrogacy

Ethical and legal issues in gestational surrogacy

The central importance of information in cosmetic surgery and treatments

Unreasonable Obstinacy: Ethical, Deontological and Forensic Medical Problems

Contact Info

Product

Resources

About