19 found
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  1.  48
    Uterus Transplantation: The Ethics of Using Deceased Versus Living Donors.Bethany Bruno & Kavita Shah Arora - 2018 - American Journal of Bioethics 18 (7):6-15.
    Research teams have made considerable progress in treating absolute uterine factor infertility through uterus transplantation, though studies have differed on the choice of either deceased or living donors. While researchers continue to analyze the medical feasibility of both approaches, little attention has been paid to the ethics of using deceased versus living donors as well as the protections that must be in place for each. Both types of uterus donation also pose unique regulatory challenges, including how to allocate donated organs; (...)
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  2.  63
    Ritual Male Infant Circumcision and Human Rights.Allan J. Jacobs & Kavita Shah Arora - 2015 - American Journal of Bioethics 15 (2):30-39.
    Opponents of male circumcision have increasingly used human rights positions to articulate their viewpoint. We characterize the meaning of the term “human rights.” We discuss these human rights arguments with special attention to the claims of rights to an open future and to bodily integrity. We offer a three-part test under which a parental decision might be considered an unacceptable violation of a child's right. The test considers the impact of the practice on society, the impact of the practice on (...)
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  3.  13
    Female genital alteration: a compromise solution.Kavita Shah Arora & Allan J. Jacobs - 2016 - Journal of Medical Ethics 42 (3):148-154.
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  4.  52
    Uterus transplantation: ethical and regulatory challenges.Kavita Shah Arora & Valarie Blake - 2014 - Journal of Medical Ethics 40 (6):396-400.
    Moving forward rapidly in the clinical research phase, uterus transplantation may be a future treatment option for women with uterine factor infertility, which accounts for three per cent of all infertility in women. This new method of treatment would allow women, who currently rely on gestational surrogacy or adoption, to gestate and birth their own genetic offspring. Since uterus transplantation carries significant risk when compared with surrogacy and adoption as well as when compared with other organ transplants, it requires greater (...)
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  5.  29
    Speak No Evil? Conscience and the Duty to Inform, Refer or Transfer Care.Mark P. Aulisio & Kavita Shah Arora - 2014 - HEC Forum 26 (3):257-266.
    This paper argues that the type of conscience claims made in last decade’s spate of cases involving pharmacists’ objections to filling birth control prescriptions and cases such as Ms. Means and Mercy Health Partners of Michigan, and even the Affordable Care Act and the Little Sisters of the Poor, as different as they appear to be from each other, share a common element that ties them together and makes them fundamentally different in kind from traditional claims of conscience about which (...)
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  6.  20
    Punishment of Minor Female Genital Ritual Procedures: Is the Perfect the Enemy of the Good?Allan J. Jacobs & Kavita Shah Arora - 2016 - Developing World Bioethics 17 (2):134-140.
    Female genital alteration is any cutting, removal or destruction of any part of the external female genitalia. Various FGA practices are common throughout the world. While most frequent in Africa and Asia, transglobal migration has brought ritual FGA to Western nations. All forms of FGA are generally considered undesirable for medical and ethical reasons when performed on minors. One ritual FGA procedure is the vulvar nick. This is a small laceration to the vulva that does not cause morphological changes. Besides (...)
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  7.  25
    Ethical challenges for women’s healthcare highlighted by the COVID-19 pandemic.Bethany Bruno, David I. Shalowitz & Kavita Shah Arora - 2021 - Journal of Medical Ethics 47 (2):69-72.
    Healthcare policies developed during the COVID-19 pandemic to safeguard community health have the potential to disadvantage women in three areas. First, protocols for deferral of elective surgery may assign a lower priority to important reproductive outcomes. Second, policies regarding the prevention and treatment of COVID-19 may not capture the complexity of the considerations related to pregnancy. Third, policies formulated to reduce infectious exposure inadvertently may increase disparities in maternal health outcomes and rates of violence towards women. In this commentary, we (...)
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  8.  16
    A trial of a reproductive ethics and law curriculum for obstetrics and gynaecology residents.Kavita Shah Arora - 2014 - Journal of Medical Ethics 40 (12):854-856.
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  9.  43
    What Brings Physicians to Disciplinary Review? A Further Subcategorization.Kavita Shah Arora, Sharon Douglas & Susan Dorr Goold - 2014 - AJOB Empirical Bioethics 5 (4):53-60.
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  10.  31
    Consenting to invasive contraceptives: an ethical analysis of adolescent decision-making authority for long-acting reversible contraception.Rosemary Talbot Behmer Hansen & Kavita Shah Arora - 2018 - Journal of Medical Ethics 44 (9):585-588.
    Since USA constitutional precedent established in 1976, adolescents have increasingly been afforded the right to access contraception without first obtaining parental consent or authorisation. There is general agreement this ethically permissible. However, long-acting reversible contraception methods have only recently been prescribed to the adolescent population. They are currently the most effective forms of contraception available and have high compliance and satisfaction rates. Yet unlike other contraceptives, LARCs are associated with special procedural risks because they must be inserted and removed by (...)
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  11.  30
    Uterus Transplantation: Response to Open Peer Commentaries on the Ethics of Using Deceased Versus Living Donors.Bethany Bruno & Kavita Shah Arora - 2018 - American Journal of Bioethics 18 (9):6-8.
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  12.  23
    From Impatience to Empathy.Stephanie Pierce & Kavita Shah Arora - 2015 - Narrative Inquiry in Bioethics 5 (1):19-20.
    In lieu of an abstract, here is a brief excerpt of the content:From Impatience to EmpathyStephanie Pierce and Kavita Shah AroraWe gave J.H. a label the first time we met her, as many often do—“Uncooperative.” She was a patient with autism and intellectual delay who had presented to the emergency department (ED) with vaginal bleeding. After receiving the gynecology consult request from the emergency medicine physicians, we were already mentally formulating our recommendations based on the information they told us over (...)
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  13.  13
    Ethical Issues in Providing and Promoting Contraception to Women with Opioid Use Disorder.Kavita Shah Arora, Brooke Bullington, Tani Malhotra & Nadia Abbass - 2022 - Journal of Clinical Ethics 33 (2):112-123.
    Women with opioid use disorder (OUD) face unique challenges meeting their reproductive goals. Because the rate of unintended pregnancy in this population is almost 80 percent, there has been a push to increase the use of contraceptives among reproductive-aged women with OUD.1 The patient-level ethical issues of such initiatives, however, are often overlooked. This review discusses the ethical issues in two realms: obtaining contraception when it is desired and avoiding contraceptive coercion when contraception is not desired. It is important that (...)
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  14.  8
    Ethics of a Mandatory Waiting Period for Female Sterilization.Jessica Amalraj & Kavita Shah Arora - 2022 - Hastings Center Report 52 (4):17-25.
    Due to a history of coerced sterilization, a federal Medicaid sterilization policy mandates that a specific consent form be signed by a patient at least thirty days prior to when the patient undergoes sterilization. However, in contemporary obstetrical practice, the Medicaid sterilization policy serves as a policy‐level barrier to autonomously desired care. We review the clinical and ethical implications of the current Medicaid sterilization policy. After discussing the utility and impact of waiting periods for other surgical procedures, we explore the (...)
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  15.  20
    Response to WHO.Kavita Shah Arora & Allan Joel Jacobs - 2016 - Journal of Medical Ethics 42 (9):620-620.
  16.  31
    The Invisible Pregnant Woman.Kavita Shah Arora & Jonah Fleisher - 2016 - American Journal of Bioethics 16 (2):23-25.
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  17.  16
    Feasibility of an ethics and professionalism curriculum for faculty in obstetrics and gynecology: a pilot study.Lori-Linell Hollins, Marilena Wolf, Brian Mercer & Kavita Shah Arora - 2019 - Journal of Medical Ethics 45 (12):806-810.
    ObjectiveThere have been increased efforts to implement medical ethics curricula at the student and resident levels; however, practising physicians are often left unconsidered. Therefore, we sought to pilot an ethics and professionalism curriculum for faculty in obstetrics and gynaecology to remedy gaps in the formal, informal and hidden curriculum in medical education.MethodsAn ethics curriculum was developed for faculty within the Department of Obstetrics and Gynaecology at a tertiary care, academic hospital. During the one-time, 4-hour, mandatory in-person session, the participants voluntarily (...)
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  18.  8
    Refusal of Vaccination: A Test to Balance Societal and Individual Interests.Allan J. Jacobs, Jane Morris & Kavita Shah Arora - 2018 - Journal of Clinical Ethics 29 (3):206-216.
    While all states in the United States require certain vaccinations for school attendance, all but three allow for religious exemptions to receiving such vaccinations, and 18 allow for exemptions on the basis of other deeply held personal beliefs. The rights of parents to raise children as they see fit may conflict with the duty of the government and society to protect the welfare of children. In the U.S., these conflicts have not been settled in a uniform and consistent manner. We (...)
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  19.  18
    Use of a Balanced Test to Resolve Competing Best Interest and Liberty Claims When Parents Refuse Consent for Neonatal Pulse Oximetry.Allan J. Jacobs & Kavita Shah Arora - 2016 - American Journal of Bioethics 16 (1):28-29.
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