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The Fetus as a Patient: A Contested Concept and Its Normative Implications

Edited by: Dagmar Schmitz, Angus Clarke, Wybo Dondorp

ISBN13: 9781138047488
Published: April 2018
Publisher: Routledge
Country of Publication: UK
Format: Hardback
Price: £120.00

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Due to new developments in prenatal testing and therapy the fetus is increasingly visible, examinable and treatable in prenatal care.

Accordingly, physicians tend to perceive the fetus as a patient and understand themselves as having certain professional duties towards it. However, it is far from clear what it means to speak of a patient in this connection.

This volume explores the usefulness and limitations of the concept of `fetal patient' against the background of the recent seminal developments in prenatal or fetal medicine. It does so from an interdisciplinary and international perspective.

Featuring internationally recognized experts in the field, the book discusses the normative implications of the concept of `fetal patient' from a philosophical-theoretical as well as from a legal perspective. This includes its implications for the autonomy of the pregnant woman as well as its consequences for physician-patient-interactions in prenatal medicine.

Medical Law
Part I: Introduction
1. The Fetus as a Patient – a Sustainable Approach for Clinical Interactions in the Field of New Prenatal Medicine? - Dagmar Schmitz, Angus Clarke, Wybo Dondorp

Part II: Moral Status and Patienthood – Concepts and Discourses
2. The Disposable and Protected Fetus: Contradictions in Fetal Status - Lucy Frith
3. Which Ethics for the Fetus as a Patient? - Claudia Wiesemann
4. The Ethical Concept of the Fetus as a Patient: Responses to its Critics - Laurence B. McCullough, Frank A. Chervenak
5. Treating the Fetus as a Patient: Possible Implications for its Moral Status - Katrin E. Lörch- Merkle

Part III: Autonomy and Responsibility
6. Insights from a Perspective of Cultural Anthropology: A Discourse Analyses of Representations of (Genetic) Reproductive Medicine and the Fetus in Popular Media - Janina Krause
7. The Fetus as a Patient in Professional and Patient Discourses - Heather Strange
8. Means, Ends and the Fetal Patient - Anna Smajdor
9. The Fetal Patient in Maternal Cancer during Pregnancy: Limitations of Current Approaches - Alma Linkeviciute

Part IV: Interactions in Prenatal Medicine
10. Treatments and Trials for the Fetal Patient: Imposing the Burdens of Enthusiasm - Angus Clarke
11. The ‘Normalization’ of Prenatal Screening: Prevention as Prenatal Beneficence? - Wybo Dondorp, Guido de Wert
12. Fetal Therapy for Down Syndrome: An Ethical Exploration - Guido de Wert, Wybo Dondorp
13. Prenatal Therapy for Differences of Sexual Development (DSD): Fuzzy Boundaries in the Clinical Discussion and the Ethical Debate - Mathias Wirth and Marc-Antoine Marquis
14. Ethics of Involving Pregnant Women in Fetal Therapy Trials - E.J. (Joanne) Verweij
15. Perinatal Palliative Care as an Option in Prenatally Diagnosed Severe, Life-Limiting Conditions of the Fetus - Kathrin Knochel, Franziska Flaig, Julia D. Lotz, Monika Führer

Part V: The Legal Perspective
16. The Legal Status of the Fetus as a Patient in Europe - Atina Krajewska, Dimitros Tsarapatsanis