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Professionally responsible management of gynecologic cancer in pregnancy when clinical resources are unavoidably limited

  • Tatjana Božanović EMAIL logo , Tanja Pejović , Frank A. Chervenak , Laurence McCullough and Aleksandar Ljubić
Published/Copyright: January 30, 2018

Abstract

General ethical principles such as respect for autonomy and justice could probably be unique around the world but there is an enormous diversity of medical care possibilities that are provided for patients around the globe, and therefore different approaches should be considered depending on the level of health care provided.

Keywords: Cancer; ethics; pregnancy
  1. Author’s statement

  2. Conflict of interest: Authors state no conflict of interest.

  3. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

References

[1] Chevernak FA, McCullough LB, Knapp RC, Caputo TA, Barber HR. A clinically comprehensive ethical framework for offering and recommending cancer treatment before and during pregnancy. Cancer. 2004;100:215–22.10.1002/cncr.11564Search in Google Scholar PubMed

[2] Chervenak FA, McCullough LB. The professional responsibility model of perinatal ethics. Berlin: Walter de Gruyter; 2014.10.1515/9783110316728Search in Google Scholar

[3] Zagouri F, Dimitrakakis C, Marinopoulos S, Tsigginou A, Dimopoulos MA. Cancer in pregnancy: disentangling treatment modalities. Br Med J. 2016;1:e000016. eCollection 2016.10.1136/esmoopen-2015-000016Search in Google Scholar PubMed PubMed Central

[4] Chervenak FA, McCullough LB, International Academy of Perinatal Medicine. Women or children first – or last? The New York Declaration. Am J Obstet Gynecol. 2009;201:335.10.1016/j.ajog.2009.07.006Search in Google Scholar PubMed

[5] Chervenak FA, McCullough LB. Women and children first: transforming a historical defining moment into a contemporary ethics imperative. Am J Obstet Gynecol. 2009;201:351.e1–5.10.1016/j.ajog.2009.07.008Search in Google Scholar PubMed

[6] Chervenak FA, McCullough LB. An ethical framework for the responsible management of pregnant patients in a disaster. J Clin Ethics. 2011;22:3221–327.10.1086/JCE201121103Search in Google Scholar

Received: 2017-11-15
Accepted: 2018-01-03
Published Online: 2018-01-30
Published in Print: 2018-09-25

©2018 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Antenatal and prepregnancy care – prevention of perinatal morbidity and mortality
  4. Review article
  5. Fetal interventional procedures and surgeries: a practical approach
  6. Opinion paper
  7. Inverted pyramid of prenatal care – is it enough? Should it be – extended inverted pyramid of prenatal care?
  8. Research articles
  9. Expectant management in di-chorionic pregnancies complicated by discordant anomalous twin
  10. Pregnancy outcomes among patients with recurrent pregnancy loss and uterine anatomic abnormalities
  11. Early postnatal echocardiographic assessment of pulmonary blood flow in newborns with congenital diaphragmatic hernia
  12. Sonographic prediction of small and large for gestational age in breech-presenting fetuses
  13. Comparison of fetal weight distribution improved by paternal height by Spanish standard versus Intergrowth 21st standard
  14. Can early ultrasonography explain the lower miscarriage rates in twin as compared to singleton pregnancies following assisted reproduction?
  15. Pregnancy outcomes among patients with recurrent pregnancy loss and chromosomal aberration (CA) without PGD
  16. Regular research articles
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  18. Low dose aspirin for preventing fetal growth restriction: a randomised trial
  19. Mid-pregnancy cervical length as a risk factor for cesarean section in women with twin pregnancies
  20. Efficacy of three different regimens in recovery of bowel function following elective cesarean section: a randomized trial
  21. Obstetrical, maternal and neonatal outcomes in pregnancies affected by muscular dystrophy
  22. Fetal brain development in diabetic pregnancies and normal controls
  23. Body composition in preterm infants with intrauterine growth restriction: a cohort study
  24. Commentary
  25. Professionally responsible management of gynecologic cancer in pregnancy when clinical resources are unavoidably limited
  26. Letters to the Editor
  27. Erroneous conclusion due to mis-calculation of data: reply to Rai SE, Sidhu AK, Krishnan RJ. Transfusion-associated necrotizing enterocolitis re-evaluated: a systematic review and meta-analysis. J Perinat Med 2017
  28. Reply to: Letter to the Editor by Stritzke A and Shah PS. Transfusion-associated necrotizing enterocolitis re-evaluated: a systematic review and meta-analysis
  29. Congenital Zika syndrome in non-endemic regions
  30. Reply to: Congenital Zika syndrome in non-endemic regions: A neuroimaging pattern-based approach
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