Ethical issue and consent form in the management of high-risk pregnancy.
Through the description of two high risk unplanned pregnancy cases and the subsequent interview of the patients, a few years after delivery, this article focuses on the following issues: 1. The importance of a planned pregnancy in a woman with diabetes or other chronic disease; 2. The ethical role of counselling and how it should not be influenced by the ethical belief of the obstetrician; 3. The legal aspect related to the knowledge and qualifications of the obstetrician in the management of a high-risk pregnancy to improve both maternal and fetal outcomes. Here, two cases of complicated type 1 diabetes in women with unplanned pregnancies and the importance of counselling in high-risk pregnancy are presented.
Riviello
Chiara
C
Department of Gynaecology, Perinatology and Human Reproduction, University of Florence, Florence, Italy. chiarariviello@libero.it
Ottanelli
Serena
S
Di Tommaso
Maria Rosaria
MR
Mello
Giorgio
G
D000328:Adult; D026688:Bioethical Issues; D001766:Blindness / Q000150:complications; D001786:Blood Glucose / Q000032:analysis; D002908:Chronic Disease; D002983:Clinical Competence / Q000331:legislation & jurisprudence; D003376:Counseling; D017719:Diabetic Foot / Q000150:complications; D003929:Diabetic Neuropathies / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007231:Infant, Newborn; D007258:Informed Consent; D008297:Male; D009774:Obstetrics / Q000941:ethics / Q000331:legislation & jurisprudence; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics / Q000628:therapy; D018566:Pregnancy, High-Risk; D014427:Twins
D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human