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Legal Consideration of Maternal and Child Practice Informed Consent - The process by which a patient learns about and understands the purpose, benefits, and potential risks of a medical or surgical intervention, including clinical trials, and then agrees to receive the treatment or participate in the trial.

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Ethico-Moral Consideration of Maternal and letting sperm fertilize them in a liquid in a
Child Practice laboratory.
Ethico-Moral– Branch of Philosophy w/c  Embryo transfer
determines right and wrong - Embryo transfer refers to a step in the
 Ethos – comes from Greek work w/c process of assisted reproduction in which
means character/culture embryos are placed into the uterus of a
 Moral – personal/private interpretation female with the intent to establish a
pregnancy. This technique, may be used in
from what is good and bad.
humans or in animals, in which situations
Ethical principles
the goals may vary.
 Autonomy – the right/freedom to decide  Ownership of oocytes or sperm
(the patient has the right to refuse  Surrogate motherhood
despite the explanation of the - practice in which a woman ( surrogate
nurse) Example: surgery, or any mother) bears a child for a couple unable
procedure to produce children in the usual way,
 Nonmaleficence – the duty not to usually because the wife is infertile or
harm/cause harm or inflict harm to otherwise unable to undergo pregnancy.
others (harm maybe physical, financial  Pregnancy termination
or social) - An abortion (termination) is the medical
 Beneficence- for the goodness and process of ending a pregnancy so it does
welfare of the clients not result in the birth of a baby. Depending
 Justice – equality/fairness in terms of on how many weeks you have
resources/personnel been pregnant, the pregnancy can be
 Veracity – the act of truthfulness ended by taking medication or by having a
surgical procedure.
 Fidelity – faithfulness/loyalty to clients
 Stem cell research
Moral Principles:
- is the area of research that studies the
 Golden Rule properties of stem cells and their potential
 The principle of Totality use in medicine. As stem cells are the
 Epikia source of all tissues, understanding their
 One who acts through as agent is properties helps in our understanding of the
herself responsible – (instrument to the healthy and diseased body's development
crime) and homeostasis.
 No one is obliged to betray herself  Resuscitation
 The end does not justify the means - the action or process of reviving someone
 Defects of nature maybe corrected from unconsciousness or apparent death.
 If one is willing to cooperate in the act, Difficulty on maintaining confidentiality of
no justice is done to him records when there are multiple of
 A little more or a little less does not caregivers.
change the substance of an act.
 No one is held to impossible ETHICAL AND SOCIAL ISSUES IN
Ethical Issue on Maternal and Child Practice PRENATAL NURSING
Conception Issues • Ethical issues across the child bearing ages
 Invitro fertilization are multiple and complex. Nursing is a
- In vitro fertilization is a process of process that involves judgement and action
fertilization where an egg is combined with with the aim of maintaining, promoting and
sperm outside the body.The process restoring balance in human system. The
involves monitoring and stimulating a need for judgement and action brought
woman's ovulatory process, removing an about the moral questions of right or wrong
ovum or ova from the woman's ovaries and

, of duty. The end purpose of nursing is the Conflicts between a mother and fetus
welfare of other human beings. occur when the mother’s needs,
ETHICAL PRINCIPLES AND FRAMEWORKS behavior, or wishes may injure the fetus.
• Ethical principles are a set of rules that can The most obvious instances involve:
be applied to all situations. They provide a • Abortion
framework for helping nurses and others • Assisted reproduction (artificial
evaluate ethical issues. insemination, invitro fertilization and
• Ethical and social issues affecting the embryo transfer, and surrogate
health of pregnant women and their fetus parenthood)
are increasingly complex. Some of the • Selective reduction in multifetal pregnancy
complexity arises from technological • Intrauterine treatment of fetal conditions
advances in reproductive technology, • Substance abuse
maternity care, and neonatal care. Nurses • Refusal to follow the advice of caregivers
are autonomous professionals who are ABORTION
required to provide ethically competent • It has become a hotly debated political
care. issue that separates people into two camps:
Some ethical principles related to patient prochoice and pro-life.
care include:  The pro-choice group supports the right
• Autonomy: The right to self of any woman to make decisions about
determination her reproductive functions based on her
• Respect for others: Principle that all own moral and ethical beliefs.
persons are equally valued  The prolife group feels strongly that
• Beneficence: Obligation to do good abortion is murder and deprives the fetus
• Nonmaleficence: Obligation to do no of the basic right to life.
harm  Abortion is a complex issue, and the
• Justice: Principle of equal treatment of controversy is not only in the public arena:
others or that others be treated fairly many nurses struggle with the conflict
• Fidelity: Faithfulness or obligation to between their personal convictions and
keep promises their professional duty.
• Veracity: Obligation to tell the truth  Nurses need to clarify their personal
• Utility: The greatest good for the values and beliefs on this issue and must
individual or an action that is valued be able to provide non biased care before
Ethical principles that guide ethical action assuming responsibility for clients who
include four primary moral principles: might be in a position to consider abortion.
respect for beneficence, non-maleficence, Their decision to care for or refuse to care
justice, and autonomy, which upholds the rights for such clients affects staff unity,
of individuals and families. A key way for influences staffing decisions, and
nurses to respect autonomy is through support challenges the ethical concept of duty.
of childbearing women, including adolescent  The ANA’s Code of Ethics for Nurses
women. upholds the nurse’s right to refuse to care
Ethical Issues and Challenges in Maternal for a client undergoing an abortion if the
and Child Health Nursing nurse ethically opposes the procedure.
• Maternal and child health issues often  Nurses need to make their values and
involve conflicts in which a woman beliefs known to their managers before the
behaves in a way that may cause harm situation occurs so that alternative staffing
to her fetus or is disapproved of by arrangements can be made.
some or most members of society.

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