{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:45:34Z","timestamp":1789973134912,"version":"4.0.1"},"reference-count":13,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Ethics"],"published-print":{"date-parts":[[1998,12]]},"abstract":"<jats:p>OBJECTIVE: We studied and compared the attitudes of pregnant women v new mothers in an attempt to confirm changing patterns of maternal response towards medical ethical decision making in critically ill or malformed neonates. DESIGN: Data were obtained by questionnaires divided into three sections: 1. sociodemographic; 2. Theoretical principles which might be utilised in the decision-making process; 3. Hypothetical case scenarios, each followed by possible treatment options. RESULTS: Pregnant women (n = 545) consistently requested less aggressive medical intervention for the hypothetical cases than did new mothers (n = 250) [Trisomy 18: 57% v 42%; p = 0.0004; Asphyxia: 75% v 63%; p = 0.0017; Down's syndrome 81% v 62%; p = 0.0001; LBW 85% v 75%; p = 0.004]. Significant differences were also observed in the responses to the theoretical principles, with pregnant women attributing less importance to preserving life at all cost, while being more concerned with physical and emotional pain and suffering, with financial cost, and with the infant's potential for future productivity.<\/jats:p>","DOI":"10.1136\/jme.24.6.409","type":"journal-article","created":{"date-parts":[[2008,11,6]],"date-time":"2008-11-06T00:48:04Z","timestamp":1225932484000},"page":"409-413","source":"Crossref","is-referenced-by-count":3,"title":["Does pregnancy affect medical ethical decision making?"],"prefix":"10.1136","volume":"24","author":[{"given":"C","family":"Hammerman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O","family":"Lavie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Kornbluth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Rabinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M S","family":"Schimmel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A I","family":"Eidelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1998,12,1]]},"reference":[{"issue":"301 -10","key":"ref_1","article-title":"At risk for depression: a study of young mothers. J7ournal of Genetic","volume":"142","author":"Colletta, N.D.","year":"1983","unstructured":"Colletta ND. At risk for depression: a study of young mothers. J7ournal of Genetic Psychology 1983; 142:301 -10.","journal-title":"Psychology"},{"key":"ref_2","first-page":"69","article-title":"Predictors of depression symptoms in pregnant adolescents","volume":"16","author":"Koniak-Griffin, D.; Walker, D.S.; de Traversay, J.","year":"1996","unstructured":"Koniak-Griffin D, Walker DS, de Traversay J. Predictors of depression symptoms in pregnant adolescents: Journal of Perinatology 1996; 16:69-76.","journal-title":"Journal of Perinatology"},{"key":"ref_3","first-page":"1073","article-title":"The Jerusalem perinatal study: the first decade 1964-1973","volume":"13","author":"Harlap, S.; Davies, A.M.; Grover, N.B.; Prywes, R.","year":"1977","unstructured":"Harlap S, Davies AM, Grover NB, Prywes R. The Jerusalem perinatal study: the first decade 1964-1973. Israel J7ournal of Medical Science 1977; 13:1073-9."},{"key":"ref_4","first-page":"51","article-title":"Meningomyelocele in the neonate: medical and ethical considerations","volume":"11","author":"Steinberg, A.","year":"1991","unstructured":"Steinberg A. Meningomyelocele in the neonate: medical and ethical considerations. Journal of Perinatology 1991; 11:51-6.","journal-title":"Journal of Perinatology"},{"key":"ref_5","first-page":"532","article-title":"Guidelines on forgoing life sustaining medical treatment","volume":"93","author":"Committee on Bioethics","year":"1994","unstructured":"Committee on Bioethics. Guidelines on forgoing life sustaining medical treatment. Pediatrics 1994; 93: 532-6.","journal-title":"Pediatrics"},{"key":"ref_6","first-page":"473","article-title":"From how small is too small to how much is too much: ethical issues at the limits of neonatal viability","volume":"23","author":"Peabody, J.L.; Martin, G.I.","year":"1996","unstructured":"Peabody JL, Martin GI. From how small is too small to how much is too much: ethical issues at the limits of neonatal viability. Clinics in Perinatology 1996; 23:473-89.","journal-title":"Clinics in Perinatology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S0095-5108(18)30667-5","article-title":"Ethical dilemmas of neonatalperinatal surgery","volume":"16","author":"Rostain, A.L.; Bhutani, V.K.","year":"1989","unstructured":"Rostain AL, Bhutani VK. Ethical dilemmas of neonatalperinatal surgery. Clinics in Perinatology 1989; 16:275-302.","journal-title":"Clinics in Perinatology"},{"key":"ref_8","first-page":"261","article-title":"A comparison of mothers' concerns regarding the care-taking tasks of newborns with congenital heart disease before and after assuming their care.3Journal of Advanced","volume":"6","author":"Pinelli, J.M.","year":"1981","unstructured":"Pinelli JM. A comparison of mothers' concerns regarding the care-taking tasks of newborns with congenital heart disease before and after assuming their care.3Journal of Advanced Nursing 1981; 6:261-70.","journal-title":"Nursing"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1080\/07399339009515902","article-title":"Common stressors reported by a group of childbearing American women","volume":"11","author":"Alfonso, D.D.; Mayberry, L.J.","year":"1990","unstructured":"Alfonso DD, Mayberry LJ. Common stressors reported by a group of childbearing American women. Health Care Wonien International 1990; 11:331-45.","journal-title":"Health Care Wonien International"},{"key":"ref_10","first-page":"563","article-title":"Physicians' refusal to provide life-prolonging medical interventions","volume":"233","year":"1996","unstructured":"Paris JJ, Schreiber MD. Physicians' refusal to provide life-prolonging medical interventions. Clinics in Perinatology 1996; 233:563-71.","journal-title":"Clinics in Perinatology"},{"key":"ref_11","first-page":"36","article-title":"Ethical decision making and neonatal resuscitation","volume":"18","author":"Byrne, P.; Tyebkhan, J.; Laing, L.M.","year":"1994","unstructured":"Byrne P, Tyebkhan J, Laing LM. Ethical decision making and neonatal resuscitation. Seniinars in Perinatolog 1994;18:36-41.","journal-title":"Seniinars in Perinatolog"},{"key":"ref_12","first-page":"369","article-title":"Ethical issues presented by children with congenital anomalies","volume":"16","author":"Segal, S.","year":"1992","unstructured":"Segal S. Ethical issues presented by children with congenital anomalies. SenZinars in Perinatology 1992; 16:369-72.","journal-title":"SenZinars in Perinatology"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1542\/peds.81.5.643","article-title":"Life-saving therapy for newborns: a questionnaire survey in the state of Massachussetts","volume":"81","author":"Todres, I.D.; Guillemin, J.; Grodin, M.; Batten, D.","year":"1988","unstructured":"Todres ID, Guillemin J, Grodin M, Batten D. Life-saving therapy for newborns: a questionnaire survey in the state of Massachussetts. Pediatrics 1988; 81:643-9.","journal-title":"Pediatrics"}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme.24.6.409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T18:57:44Z","timestamp":1716490664000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme.24.6.409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,12]]},"references-count":13,"journal-issue":{"issue":"6","published-online":{"date-parts":[[1998,12,1]]},"published-print":{"date-parts":[[1998,12]]}},"alternative-id":["10.1136\/jme.24.6.409"],"URL":"https:\/\/doi.org\/10.1136\/jme.24.6.409","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"value":"0306-6800","type":"print"},{"value":"1473-4257","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,12]]}}}