An Ethically Justified Framework for Clinical Investigation to Benefit Pregnant and Fetal Patients.

Research to improve the health of pregnant and fetal patients presents ethical challenges to clinical investigators, institutional review boards, funding agencies, and data safety and monitoring boards. The Common Rule sets out requirements that such research must satisfy but no ethical framework to...

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Publicado en:American Journal of Bioethics Vol. 11; no. 5; pp. 39 - 50
Autores principales: Chervenak, Frank A., McCullough, Laurence B.
Formato: Journal Article
Publicado: Taylor & Francis Ltd May2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: An Ethically Justified Framework for Clinical Investigation to Benefit Pregnant and Fetal Patients.
      aug:
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          Chervenak, Frank A.
          McCullough, Laurence B.
        affil: Weill Medical College of Cornell University,
      sug:
        subj:
          Research Ethics
          Fetal Research Ethical Issues
          Clinical Trials Ethical Issues
          Expectant Mothers Ethical Issues
          Fetal Research Legislation and Jurisprudence
          Protection of Human Subjects Ethical Issues
          Conceptual Framework
          Fetus
          Institutional Review
          United States
          Beneficence
          Patient Autonomy
          Consent (Research) Ethical Issues
          Fetus, conception to birth
      ab: Research to improve the health of pregnant and fetal patients presents ethical challenges to clinical investigators, institutional review boards, funding agencies, and data safety and monitoring boards. The Common Rule sets out requirements that such research must satisfy but no ethical framework to guide their application. We provide such an ethical framework, based on the ethical concept of the fetus as a patient. We offer criteria for innovation and for Phase I and II and then for Phase III clinical trials to improve the health of pregnant patients and of fetal patients and also criteria to responsibly manage the transition from investigation to clinical practice. Basing ethical criteria for research involving pregnant women on the ethical concept of the fetus as a patient insulates the proposed ethical framework and therefore research on pregnant women from the divisive and politicized concepts and discourses of personhood, fetal rights, and unborn child.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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