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Ethics and its importance
The importance of the ethics
Ethics and its importance
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For some, childbirth is one of the most wonderful and worthwhile experiences of their lives. In contrast, for others, their deliveries are looked back upon as harrowing and traumatic. Oftentimes a negative experience with delivery can be attributed to the attending medical staff—for example, their performance of situationally unnecessary medical interventions such as routine episiotomies. An episiotomy is a surgical incision made in the perineal area and the posterior vaginal wall during childbirth to hasten delivery. An article published by Kaiser Health News, shared by National Public Radio, and written by Jocelyn Wiener, entitled “Episiotomies Still Common During Childbirth Despite Advice To Do Fewer”, explores this issue.
The article first discusses the recent and ongoing case of Kimberly Turbin, an American mother who is suing the obstetrician that delivered her baby for assault and battery. During Turbin’s delivery, the obstetrician disregarded her repeated denial to have an episiotomy performed—and performed the procedure anyway. The article goes on to discuss how episiotomies are routinely performed despite substantial, growing, and increasingly available evidence that they are rarely necessary and rarely beneficial. This paper will explore violations in the case of Kimberly Turbin and the practice of routine episiotomies based on articles included in the American Association of Medical Assistants’ Code of Ethics.
In the recent case of Kimberly Turbin, the A.A.M.A. Code of Ethics article I, human dignity, is clearly violated. Despite persistent, urgent refusal of an episiotomy during the delivery of her child, now publicized in a viral internet video, Turbin’s obstetrician performed one anyway. This flagrant violation of...
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...edless routine episiotomies and, by extension, the knowledge and skills of their profession in that area and in general for the benefit of, above themselves, patients and professional colleagues. It bears repeating: for some, childbirth is a positive and life-changing experience. For others, like Kimberly Turbin, it is also a life-changing experience—for all of the wrong reasons. This is due in part to the practice of routine, unnecessary, and often psychologically traumatic episiotomies. Childbirth should never be a harrowing or traumatic experience, if possible, and reducing rates of routine episiotomies is possible. While these rates are currently on the decline, the goal is “less than 10 percent”. Awareness needs to be spread, stories need to be heard, cases need to be tried and routine episiotomies, a clear violation of ethics on more than one scale, need to end.
For anyone who has ever worked in healthcare, or simply for someone who has watched a popular hit television show such as Grey’s Anatomy, General Hospital, House or ER know that there can be times when a doctor or health care provider is placed in extremely difficult situations. Often times, those situations are something that we watch from the sidelines and hope for the best in the patient’s interest. However, what happens when you place yourself inside the doctors, nurses, or any other of the medical provider’s shoes? What if you were placed in charge of a patient who had an ethically challenging situation? What you would you do then? That is precisely what Lisa Belkin accomplishes in her book “First Do No Harm”. Belkin takes the reader on
...s driven by non-maleficence, or the intent to “do no harm”. They know that withholding treatment for religious beliefs will potentially be fatal to both. While Maria is acting out of loyalty to her religious beliefs, the medical staff is acting out of loyalty to the patient’s well being and that of her unborn child. It would be unfair if no party were acting on behalf of that child. In conclusion, providers in this case must pursue every option in delivering life saving treatment for this child. This may involve legal action. If it were just Maria providers may attempt to influence her decision, but ultimately it would be up to her to refuse suggested treatment. Since her decision affects the life of the baby providers are called upon to save that child .
The case of Marguerite M presents an ethical dilemma. Medical ethics play a special role in medicine and is directly concerned with its practice. Its role has continued to evolve as changes develop in
Gedge, E., & Waluchow, W. (2012). Readings in health care ethics (2nd ed.). Toronto, Ontario: Broadview Press.
When pregnant, many expecting mothers are faced with a very tough decision, the decision to have an epidural during labor or to have a natural birth. Both methods have negative and positive aspects. This topic has such conflicting views that about 50% of women decide to get an epidural when going into labor and the other 50% of women choose the alternative: natural childbirth. It is important for an expecting mother to look into both options thoroughly to ensure they make the best choice for both themselves and for their child. With all of the speculations circulating about both options, it is hard for mothers to see the truth about both epidurals and natural childbirth.
McLaren accuses doctors of neglecting women who wanted to abort because of the responsibility that came with the operation. All doctors couldn’t legally perform the operation; other professionals and t...
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
“Trapped” by filmmaker Dawn Porter, is a documentary that follows the lives of medical professionals that work in the last remaining abortion clinics in the South. Since 2010, state legislatures have passed more than two-hundred and fifty laws restricting abortion clinics and their doctors (Porter). These laws are known as T.R.A.P. laws, or Targeted Regulation of Abortion Providers. These regulations are not applied to all doctors, or all OB/GYN’s, but are only targeted towards doctors that provide abortion services. The message that “Trapped” is trying to convey is that T.R.A.P. laws should be lifted because they are designed to ultimately close abortion clinics rather than regulate them, they increase unsafe at home abortions, and they are
Worldwide, the rate of cesarean section is increasing. According to the CDC, in 2012 the rate of cesarean sections comprised 32.8% of all births in the United States (CDC, 2013). Between 1996-2009 the cesarean section rate has risen 60% in the U.S (CDC, 2013). According to the World Health Organization (WHO), more than 50% of the 137 countries studies had cesarean section rates higher than 15% (WHO, 2010). The current goal of U.S. 2020 Healthy People is to reduce the rate of cesarean section to a target of 23.9%, which is almost 10% lower than the current rate (Healthy People 2020, 2013). According to a study conducted by Gonzales, Tapia, Fort, and Betran (2013), the appropriate percentage of performed cesarean sections is unclear, and is dependent on the circumstances of each individual birth (p. 643). Though often a life-saving procedure when necessary, the risks and complications associated with cesarean delivery are a cause for alarm due to the documented rate increase of this procedure across the globe. Many studies have revealed that cesarean deliveries increase the incidence of maternal hemorrhage and mortality and neonatal respiratory distress when compared to vaginal deliveries. As a result, current research suggests that efforts to reduce the rate of non-medically indicated cesarean sections should be made, and that comprehensive patient education should be provided when considering an elective cesarean delivery over a planned vaginal delivery.
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
As an UConn graduate, I strive to practice UConn School of Nursing PRAXIS – professionalism, respect, accountability, excellence, integrity and service. Two weeks following the orientation on postpartum unit, I knew taking care of four mother-baby couplets overnight was not going to be an easy job at a level I trauma center, where we care for the sickest of the sick. After a thorough plan of care for each patient and tailoring it to their needs for the night, I felt more confident in my skills and time management. It wasn’t until I got a call from a 14 hour post-op c-section patient at 0455 complaining of dizziness, lightheaded, blurry vision and “feeling hot”, who an hour ago was walking to the bathroom, breastfeeding baby and eating with no complains of pain. I left my workstation behind to discover a pale, diaphoretic patient with low blood pressure. I froze. Screamed for resident down the hall. Rapid response team and more professionals were there in no time while I stood by my patient holding her hand, echoing the story to residents and attending MD I’ve told previously. After twenty minutes of stabilizing the patient and diagnosing at bedside with ultrasound and abdominal x-ray, the patient suffered internal hemorrhage from tubal ligation site. She was rushed to operating room. Speaking to her husband was even harder. I froze again. I sat on my knee, held his hand and cried with him. In
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.
Abortion may appear ethical or unethical depending on various viewpoints and circumstances. The fetus is considered a person and bringing it to term may be unethical as the act is considered as murder. In some situations, the mother may require to terminate a pregnancy for her bodily autonomy (Johnston, 2003). In such positions, the resolution to terminate a pregnancy may be argued as the most ethical choice. The mother is also considered to having a reasonable level of ethical responsibility to the fetus, because she did not take enough precaution to ensure avoiding conception (Cline, 2014). The mother’s ethical responsibility to the fetus may not be enough to deprive her choice of abortion; it...
McGee, Glenn and Arthur L. Caplan. "Medical Ethics." Microsoft® Encarta® 98 Encyclopedia. © 1993-1997: Microsoft Corporation. CD-ROM.
I choose to be a certified nurse midwife (CNM) after working with five of the most amazing CNMs. Seeing how great their contribution is to our future generations, made it easy to decide what I wanted to do with my future. I worked for five years as a medical assistant(MA) at the Henry ford health system in the OBGYN department. Most of our patients did not speak English and required translation. Although Henry ford health system has a translation line, our patients had special treatment and translation was provided by the MA. Because of that I had the privilege of being in the room with all non-english speaking patients. I was there to educate the pregnant mothers on how to take care of themselves and their unborn babies. I also