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  • Title: Ethical Care of Pregnant Patients During Labor, Delivery, and Nonobstetric Surgery.
    Author: Delgado C, Davies J.
    Journal: Anesthesiol Clin; 2024 Sep; 42(3):503-514. PubMed ID: 39054023.
    Abstract:
    The 4 basic principles of ethics (beneficence, nonmaleficence, autonomy, and justice) can guide clinical decision-making for the pregnant patient during labor and delivery, as well as when undergoing nonobstetric surgery. An evidence-based decision-making conversation with the patient facilitates obtaining informed consent. When maternal-fetal conflict arises, both during labor and delivery and nonobstetric surgery, beneficence-based obligations to both parties should be considered, with discussions and decisions well documented. Labor is not an impediment to women providing consent for care. A careful balance between evidence-based clinical judgment and patient autonomy is necessary when addressing cesarean delivery.
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