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Ethics in Midwifery,

Edition 2

Editors: By Shirley R. Jones, MA, RGN, RM, ADM, Cert Ed (FE), Teaching (Midwifery)

Publication Date: 26 Sep 2000

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This book examines the principles and realities of ethics in midwifery practice today. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. Through a series of case studies, options and issues for consideration are reviewed, particularly in areas of increasing concern and debate such as confidentiality, autonomy, screening, abortion, assisted conception and withholding treatment.

This book will be of value to all students and practicing midwives who need to understand the principles and practice of ethics, especially how to apply ethical thought and action in their own day-to-day work.

Key Features

Explains clearly ethical theory, especially how dilemmas occur, the bases for ethical decisions and how conflicts may be resolved

Outlines specifically how ethical principles can be applied in real-life practice, and in situations which may involve midwives in team decisions

Outlines detailed case studies which illustrate key ethical dilemmas and ways to consider resolutions within these

Explores and clearly delineates the ethical dimensions of the midwifes role (new chapter in the second edition)

Includes a new chapter on conscientious objection to participation in abortion

Has greater focus on assisted conception and issues surrounding this, as this becomes a topic of more widespread interest

Adds a new chapter on withholding and withdrawing treatment, mainly in relation to neonates, again to reflect an area of growing concern and controversy

New Features

All of Part One the general foundations are updated and revised

New chapter on ethical dimensions of the midwifes role, with an emphasis on the midwife as the researcher

New case in the confidentiality chapter

New case in the accountability chapter on client abuse, with a focus on the accountability of the midwife who knew about this but did nothing

New case in the autonomy and consent chapter looking at enforced caesarian section, with a focus on ethics rather than the law (where the focus usually lies in reviewing this area)

New chapter on assisted conception, replacing resource allocation which looked only briefly at this

New chapter on withholding and withdrawing treatment relating mainly to neonates

About the author

By Shirley R. Jones, MA, RGN, RM, ADM, Cert Ed (FE), Teaching (Midwifery), Midwifery Consultant

Introduction
Ethical Theory

Is ethical reasoning part of everyday life?
What is ethics?
What is a moral issue?
What is a moral dilemma?
How do we resolve the conflicts do we need ethical theories?
Ethical theories: -
Utilitarianism
Act-utilitarianism
Rule-utilitarianism
Some criticisms of utilitarianism
Deontology:
Rational monism
Traditional deontology
Intuitionistic Pluralism
Another alternative?
Suggested reading
References
Bibliography

Part Two

Chapter One: Introduction to Part Two
References
Bibliography

Chapter Two: Ethical Dimensions of the Midwifes Role
Practitioner
Educator
Counsellor
Advisor
Friend

Chapter Three: Confidentiality
Case studies
Discussion of questions
Further discussions
Infringement of confidentiality
For whom is confidentiality/privacy important?
When do health care workers need to consider confidentiality?
Applying the theories
Suggested reading
References
Bibliography

Chapter Four: Accountability
Case study
Discussion of questions
Further discussion
FOR whom and what are midwives accountable?
TO whom are midwives accountable?
Applying the theories
Suggested reading
References
Bibliography

Chapter Five: Autonomy and Consent
Case study
Discussion of questions
Further discussion
Autonomy
Paternalism
Consent
Applying the theories
Suggested reading
References
Bibliography

Chapter Six: Conscientious Objection to Participation in Abortion
Case study
Discussion of questions
Further discussion
Applying the theories
Suggested reading
References
Bibliography

Chapter Seven: Assisted Conception
Case study
Discussion of questions
Further discussion
Applying the theories
Suggested reading
References
Bibliography

Chapter Eight: Withholding and Withdrawing Treatment
Case study
Discussion of questions
Further discussion
Applying the theories
Suggested reading
References
Bibliography

Conclusion
Glossary
Index
Index of Authors

Title Reviews

"A very affordable, readable book that every midwife and student would benefit from ." Clare Carter, Practice Development Midwife, MIDIRS Midwifery Digest 11:2, June 2001

ISBN: 9780723431725

Page Count: 204

Retail Price (USD) :

Rumbold Ethics in Nursing Practice 3E, 1999, BT, 0702023124
Thompson Nursing Ethics 3E, CL, 1994, 0443048118

Student and qualifiedmidwives including those in management and education.
Secondary: Student nurses undertaking care of mother and newborn modules, Obstetric SHOs, Medical students