Autonomy and pregnancy: a comparative analysis of compelled obstetric intervention
Saved in:
| Main Author: | |
|---|---|
| Format: | Electronic eBook |
| Language: | English |
| Published: |
London, [England] ; New York
Routledge
2016
|
| Series: | Biomedical law and ethics library
|
| Subjects: | |
| Links: | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029423163&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Item Description: | Description based on print version record |
| Physical Description: | 1 online resource (269 pages) illustrations |
| ISBN: | 9781859419182 9781135329938 9781843147206 |
Staff View
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Record in the Search Index
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| adam_text | Titel: Autonomy and pregnancy
Autor: Halliday, Samantha
Jahr: 2016
Contents
Acknowledgements
Foreword
A. Introduction
I. The context: the evolving status of the foetus, from non-person to
patient, to adversary 1
II. The general principle that consent is a prerequisite to medical
treatment 4
III. The focus of this book 5
B. Legal responses to a pregnant woman s refusal of medical
treatment required for the benefit of the foetus
I. Court-ordered obstetric intervention: the American case law
1. Introduction: the application of Roe v Wade outside the abortion
context 7
2. Court-ordered blood transfusions 8
a. Pre-Roe v Wade: the recognition of the unborn child s right to
the law s protection 8
b. Post-Roe v Wade: balancing the state s interest in
potential life against the pregnant woman s right to
autonomy/privacy 9
3. Court-ordered caesarcans 16
a. The application of Roe v Wadc j third-trimester rule in die
caesarean context 16
b. The legacy of Re AC: differing interpretations of extremely rare
and truly exceptional 21
xii Contents
4. The vise of pregnancy exceptions in advance directive
legislation 29
a. Precedent autonomy: advance directives as a means of extending
decisional autonomy past the onset of incapacity 29
b. The basis for a pregnancy-based exclusion or limitation clauses in
advance directive legislation 31
c. Forms of pregnancy-based limitation and exclusion clauses 33
d. Challenging the constitutionality of pregnancy exceptions in
advance directive legislation 35
5. Interim conclusion 37
II. Court-authorised obstetric intervention: the English case law
1. Introduction: the categorisation of the issue as a question of
capacity, rather than as engaging foetal interests 40
2. Pregnancy: an exception to the general principle that consent to
medical treatment is required? 41
3. The English case law 43
a. Overriding the woman s refusal of consent in order to save her
own or the foetus s life 43
b. Indirectly safeguarding the foetus via the categorisation of a
caesarean as a treatment for a mental disorder 45
c. Indirectly safeguarding the foetus via a finding of incompetence
and a determination of best interests requiring the safe delivery
of the foetus 48
d. Appellate consideration of the issue: the emphasis of the woman s
right to autonomy, provided that she is adjudged competent 52
e. The aftermath of St George s: the calm before the storm 59
f The impact of the Mental Capacity Act 2005 60
g. The re-emergence of the issue: court orders pertaining to women
suffering from a mental health disorder 64
h. The use of the inherent jurisdiction to authorise a caesarean upon
a woman detained under the Mental Health Act 71
i. Court orders pertaining to women suffering from mental illness,
but not detained under the Mental Health Act 75
j. Guidance pertaining to women who lack the capacity to make
decisions about perinatal care due to a diagnosed psychiatric
illness 78
k. The granting of a declaration in the case of a woman with
learning difficulties 81
4. Interim conclusion 85
Contents xiii
III. The imposition of a duty to protect the foetus upon a pregnant
woman and her doctor in Germany 93
1. Introduction: the very different context of the German
debate 93
2. The constitutional guarantees of life, human dignity, bodily
integrity and self-determination 95
a. Introduction 95
b. The Bundesverfassungsgericht s abortion decisions 96
c. The right to life and bodily integrity as applied to the
foetus, the differentiation between a person extant and the
foetus 100
d. Competing conceptions of dignity: human dignity as a protective
mechanism applied to the foetus, human dignity as protective of
the woman s identity (as opposed to reproductive capacity) 111
e. The woman s right to self-determination and bodily
integrity 121
f Reconciling the rights and interests involved 127
3. Crimes against life committed by omission 130
a. The tripartite structure of offences: Tatbcstand,
Rechtswidrigkeit and Schuldhaftigkeit 130
b. Derivative crimes of omission 132
c. The pregnant woman as guarantor: the scope and nature of her
duty towards the foetus 134
d. The doctor as guarantor: the scope and nature of her duty
towards the pregnant woman and the foetus 154
4. Interim conclusion 164
C. Comparative analysis of the legal responses to a woman s refusal
of medical treatment required for the benefit of the foetus 167
I. The medicalisation of pregnancy and creation of the foetal
patient 167
II. Law s attempts to navigate the triadic conflict between the
pregnant woman, the (state s interest in) the foetus and medical
authority 169
III. Constructing the maternal -fbetal relationship 173
1. Three models of pregnancy 175
2. Reconciling the rights and interests of the woman and the
foetus 184
3. A critical assessment of justifications advanced in support of a
duty to consent to treatment for the benefit of the foetus 191
xiv Contents
4. Interim conclusions on constructing the maternal -foetal
relationship 201
IV. Framing the relationship between the woman and her doctor 206
1. The impact of technology upon pregnancy and childbirth and the
doctor s predisposition to intervene 206
2. The overemphasis of medical advice by the courts and medical
fallibility 212
3. Interim conclusions on framing the relationship between the
woman and her doctor 216
D. Conclusion: moving forward, putting the woman back
centre-stage 219
I. Re-centring the relationship between women and healthcare
professionals through anticipatory decision-making 220
II. Putting the woman back centre-stage in the adjudication of
disputes: the need for effective procedural safeguards and respect
for human dignity 226
Bibliography
Index
232
242
|
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| discipline | Rechtswissenschaft |
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| spellingShingle | Halliday, Samantha Autonomy and pregnancy a comparative analysis of compelled obstetric intervention Recht Perinatology Law and legislation United States Perinatology Law and legislation Germany Perinatology Law and legislation England Involuntary treatment Law and legislation United States Involuntary treatment Law and legislation Germany Involuntary treatment Law and legislation England Fetus Diseases Law and legislation United States Fetus Diseases Law and legislation Germany Fetus Diseases Law and legislation England Schwangerschaft (DE-588)4053724-9 gnd Recht (DE-588)4048737-4 gnd Intervention (DE-588)4162156-6 gnd Geburtshilfe (DE-588)4019604-5 gnd |
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| title | Autonomy and pregnancy a comparative analysis of compelled obstetric intervention |
| title_auth | Autonomy and pregnancy a comparative analysis of compelled obstetric intervention |
| title_exact_search | Autonomy and pregnancy a comparative analysis of compelled obstetric intervention |
| title_full | Autonomy and pregnancy a comparative analysis of compelled obstetric intervention Samantha Halliday |
| title_fullStr | Autonomy and pregnancy a comparative analysis of compelled obstetric intervention Samantha Halliday |
| title_full_unstemmed | Autonomy and pregnancy a comparative analysis of compelled obstetric intervention Samantha Halliday |
| title_short | Autonomy and pregnancy |
| title_sort | autonomy and pregnancy a comparative analysis of compelled obstetric intervention |
| title_sub | a comparative analysis of compelled obstetric intervention |
| topic | Recht Perinatology Law and legislation United States Perinatology Law and legislation Germany Perinatology Law and legislation England Involuntary treatment Law and legislation United States Involuntary treatment Law and legislation Germany Involuntary treatment Law and legislation England Fetus Diseases Law and legislation United States Fetus Diseases Law and legislation Germany Fetus Diseases Law and legislation England Schwangerschaft (DE-588)4053724-9 gnd Recht (DE-588)4048737-4 gnd Intervention (DE-588)4162156-6 gnd Geburtshilfe (DE-588)4019604-5 gnd |
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