23 found
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  1.  47
    The Second Wave: Toward Responsible Inclusion of Pregnant Women in Research.Anne Drapkin Lyerly, Margaret Olivia Little & Ruth Faden - 2008 - International Journal of Feminist Approaches to Bioethics 1 (2):5-22.
    Though much progress has been made on inclusion of non-pregnant women in research, thoughtful discussion about including pregnant women has lagged behind. We outline resulting knowledge gaps and their costs and then highlight four reasons why ethically we are obliged to confront the challenges of including pregnant women in clinical research. These are: the need for effective treatment for women during pregnancy, fetal safety, harm from the reticence to prescribe potentially beneficial medication, and the broader issues of justice and access (...)
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  2.  75
    Risk and the Pregnant Body.Anne Drapkin Lyerly, Lisa M. Mitchell, Elizabeth Mitchell Armstrong, Lisa H. Harris, Rebecca Kukla, Miriam Kuppermann & Margaret Olivia Little - 2009 - Hastings Center Report 39 (6):34-42.
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  3.  46
    Reframing Conscientious Care: Providing Abortion Care When Law and Conscience Collide.Mara Buchbinder, Dragana Lassiter, Rebecca Mercier, Amy Bryant & Anne Drapkin Lyerly - 2016 - Hastings Center Report 46 (2):22-30.
    “It's almost like putting salt in a wound, for this person who's already made a very difficult decision,” suggested Meghan Patterson, a licensed obstetrician-gynecologist whom we interviewed in our qualitative study of the experiences of North Carolina abortion providers practicing under the state's Woman's Right to Know Act. The act requires that women receive counseling with state-mandated information at least twenty-four hours prior to obtaining an abortion. After the law was passed, Patterson worked with clinic administrators, in consultation with a (...)
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  4.  52
    Finding Autonomy in Birth.Rebecca Kukla, Miriam Kuppermann, Margaret Little, Anne Drapkin Lyerly, Lisa M. Mitchell, Elizabeth M. Armstrong & Lisa Harris - 2009 - Bioethics 23 (1):1-8.
    Over the last several years, as cesarean deliveries have grown increasingly common, there has been a great deal of public and professional interest in the phenomenon of women 'choosing' to deliver by cesarean section in the absence of any specific medical indication. The issue has sparked intense conversation, as it raises questions about the nature of autonomy in birth. Whereas mainstream bioethical discourse is used to associating autonomy with having a large array of choices, this conception of autonomy does not (...)
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  5.  28
    A Critique of the 'Fetus as Patient'.Anne Drapkin Lyerly, Margaret Olivia Little & Ruth R. Faden - 2008 - American Journal of Bioethics 8 (7):42 – 44.
  6.  14
    Shame, Gender, Birth.Anne Drapkin Lyerly - 2006 - Hypatia 21 (1):101-118.
    In recent years, critics of modern obstetrics have cited technology as responsible for women's discontent regarding childbirth. In this essay, I investigate and pry apart the connection between the quality of childbirth experience and technology. After identifying three factors considered constitutive of a ‘good birth,’ I demonstrate how technology can either facilitate or hinder each, but how dominant strains of birthing practice that reinforce female shame consistently undermine them all. It is not technology per se, but its sensitive application, which (...)
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  7.  50
    Maternal-Fetal Surgery: The Fallacy of Abstraction and the Problem of Equipoise. [REVIEW]Anne Drapkin Lyerly & Mary Briody Mahowald - 2001 - Health Care Analysis 9 (2):151-165.
    When surgery is performed on pregnant women forthe sake of the fetus (MFS or maternal fetalsurgery), it is often discussed in terms of thefetus alone. This usage exemplifies whatphilosophers call the fallacy of abstraction: considering a concept as if it were separablefrom another concept whose meaning isessentially related to it. In light of theirpotential separability, research on pregnantwomen raises the possibility of conflictsbetween the interests of the woman and those ofthe fetus. Such research should meet therequirement of equipoise, i.e., a (...)
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  8.  34
    Reframing the Framework: Toward Fair Inclusion of Pregnant Women as Participants in Research.Ruth R. Faden, Margaret Olivia Little & Anne Drapkin Lyerly - 2011 - American Journal of Bioethics 11 (5):50-52.
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  9.  35
    Pregnancy and Clinical Research.Anne Drapkin Lyerly, Margaret Olivia Little & Ruth R. Faden - 2008 - Hastings Center Report 38 (6):3-3.
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  10.  46
    “Prefacing the Script” as an Ethical Response to State-Mandated Abortion Counseling.Mara Buchbinder, Dragana Lassiter, Rebecca Mercier, Amy Bryant & Anne Drapkin Lyerly - 2016 - Ajob Empirical Bioethics 7 (1):48-55.
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  11.  38
    Samantha Burton and the Rights of Pregnant Women Twenty Years afterIn Re A. C.Howard Minkoff & Anne Drapkin Lyerly - 2010 - Hastings Center Report 40 (6):13-15.
    In 1987, a young woman named Angela Carder, pregnant and dying from cancer, was ordered by a court of law to undergo a cesarean delivery against her and her family’s wishes. She and her baby both died. Three years later, an appeals court took an extraordinary stand: it vacated the order that ended their lives and upheld pregnant women’s rights to informed consent and bodily integrity. The “unkindest cut of all,”1 it seemed, had been condemned by the courts.2 Yet shortly (...)
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  12.  45
    Shame, Gender, Birth.Anne Drapkin Lyerly - 2006 - Hypatia 21 (1):101-118.
    : In recent years, critics of modern obstetrics have cited technology as responsible for women's discontent regarding childbirth. In this essay, I investigate and pry apart the connection between the quality of childbirth experience and technology. After identifying three factors considered constitutive of a 'good birth,' I demonstrate how technology can either facilitate or hinder each, but how dominant strains of birthing practice that reinforce female shame (hospital-based obstetrics and midwifery) consistently undermine them all. It is not technology per se, (...)
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  13. Is the Patient Always Right?Anne Drapkin Lyerly & Peter H. Schwartz - 2004 - Hastings Center Report 34 (2):13-14.
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  14.  9
    HIV and Assisted Reproductive Technology: Women and Healthcare Policy.Anne Drapkin Lyerly & Ruth R. Faden - 2003 - American Journal of Bioethics 3 (1):41-43.
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  15.  35
    The Ethics of Aggregation and Hormone Replacement Therapy.Anne Drapkin Lyerly, Evan R. Myers & Ruth R. Faden - 2001 - Health Care Analysis 9 (2):187-211.
    The use of aggregated quality of life estimatesin the formation of public policy and practiceguidelines raises concerns about the moralrelevance of variability in values inpreferences for health care. This variabilitymay reflect unique and deeply held beliefs thatmay be lost when averaged with the preferencesof other individuals. Feminist moral theorieswhich argue for attention to context andparticularity underline the importance ofascertaining the extent to which differences inpreferences for health states revealinformation which is morally relevant toclinicians and policymakers. To facilitatethese considerations, we present (...)
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  16.  37
    Research with Pregnant Women: New Insights on Legal Decision‐Making.Anna C. Mastroianni, Leslie Meltzer Henry, David Robinson, Theodore Bailey, Ruth R. Faden, Margaret O. Little & Anne Drapkin Lyerly - 2017 - Hastings Center Report 47 (3):38-45.
    U.S. researchers and scholars often point to two legal factors as significant obstacles to the inclusion of pregnant women in clinical research: the Department of Health and Human Services’ regulatory limitations specific to pregnant women's research participation and the fear of liability for potential harm to children born following a pregnant woman's research participation. This article offers a more nuanced view of the potential legal complexities that can impede research with pregnant women than has previously been reflected in the literature. (...)
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  17. Issues in Reproduction.Anne Drapkin Lyerly - 2012 - In D. Micah Hester & Toby Schonfeld (eds.), Guidance for Healthcare Ethics Committees. Cambridge University Press.
     
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  18. Another Consequence of Overturning Roe: Imperiling Progress on Clinical Research in Pregnancy.Miranda R. Waggoner & Anne Drapkin Lyerly - 2022 - American Journal of Bioethics 22 (8):59-62.
    In recent years, tremendous progress has been made toward recognizing the need for improved medical knowledge for pregnant people, a population group that has long been excluded from clinical trial...
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  19.  1
    ‘Experimental pregnancy’ revisited.Anne Drapkin Lyerly - forthcoming - Theoretical Medicine and Bioethics:1-14.
    In this paper, I reflect on an important article by Bob Veatch in the inaugural issue of the Hastings Center Report, entitled “Experimental Pregnancy.” It is a report and elegant analysis of the Goldzieher Study, in which nearly 400 women were randomized to receive hormonal contraception or placebo absent consent or disclosure about placebo use, resulting in several pregnancies. Noting the study’s limited notoriety, I first consider the narratives that have instead dominated bioethics’ approach to pregnancy and research: thalidomide and (...)
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  20.  1
    Reproductive Ethics in Clinical Practice: Preventing, Initiating and Managing Pregnancy and Delivery. Essays Inspired by the MacLean Center for Clinical Medical Ethics Lecture Series. Chor, Julie and Watson, Katie. New York: Oxford University Press, 2021. 261 Pp. $29.95 (Paperback), $99.00 (Hardcover). [REVIEW]Anne Drapkin Lyerly - forthcoming - Bioethics.
  21.  2
    Personal Prenatal Ultrasound Use by Women’s Health Professionals: An Ethical Analysis.Marielle S. Gross, Gail Geller & Anne Drapkin Lyerly - forthcoming - Clinical Ethics:147775092098357.
    Prenatal ultrasound use is skyrocketing despite limited evidence of improved outcomes. One factor driving this trend is the widely recognized psychological appeal of real-time fetal imaging. Meanwhile, considering imperfect safety evidence, U.S. professional guidelines dictate that prenatal ultrasound—a screening test—should be governed by expected clinical benefits—an opportunity for intervention. However, when women’s healthcare professionals themselves are pregnant, their access to ultrasound technology permits informal, personal use that may deviate from standard-of-care, e.g., for reassurance. Highlighting a poignant case wherein a pregnant (...)
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  22.  2
    Of Pain and Childbirth.Anne Drapkin Lyerly - 2017 - Narrative Inquiry in Bioethics 7 (3):221-224.
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  23.  1
    Ethical Issues in Reproduction.Anne Drapkin Lyerly - 2012 - In D. Micah Hester & Toby Schonfeld (eds.), Guidance for Healthcare Ethics Committees. Cambridge University Press.
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