• Journal of women's health · Nov 2020

    Application of the Principles of Biomedical Ethics to the Labor and Delivery Unit During the COVID-19 Pandemic.

    • Annelee Boyle, Sarah Dotson, Pavithra Ellison, and Heather Hayanga.
    • Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
    • J Womens Health (Larchmt). 2020 Nov 1; 29 (11): 1361-1371.

    AbstractAfter its identification as a human pathogen in 2019, the novel coronavirus, SARS-CoV-2, has spread rapidly around the world. Health care workers worldwide have had the task of preparing and responding to the pandemic with little evolving data or guidelines. Regarding the protocols for our labor and delivery unit, we focused on applying the four pillars of biomedical ethics-beneficence, nonmaleficence, autonomy, and justice-while considering the women, their fetuses, their significant others and support persons, health care professionals and auxiliary staff, and society as a whole. We also considered the downstream effect of our decisions in labor and delivery on other disciplines of medicine, including pediatrics, anesthesiology, and critical care. This article focuses on how these prima facie principles helped guide our recommendations in this unprecedented time.

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