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PubMed · 11644632

Virginia Bioethics Network.

Abstract

The Virginia Bioethics Network (VBN), a self-governing, self-supporting organization of Virginia healthcare institutions and other interested groups and individuals, was officially incorporated in the state of Virginia in December 1993.... The mission of the VBN is to advance the knowledge of biomedical ethics within Virginia healthcare institutions and their communities and to support the development of local institutional ethics programs and regional ethics networks throughout the state. The ultimate goal is enhancement of ethical decision making in the clinical setting with all pertinent factors, including community values, being given due consideration during the decision-making process....

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BibTeXRIS

Edward M Spencer. 1994. Virginia Bioethics Network.. https://doi.org/10.1017/s0963180100005314

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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