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Bioethics and Informed Consent in Prenatal Diagnostics

100%

Serapinas D., Narbekovas A.

The Person and the Challenges. The Journal of Theology, Education, Canon Law and Social Studies Inspired by Pope John Paul II

2023

vol. 13

issue 1

97-113

Innovative methods of prenatal diagnosis allow us to see the development of the fetus and to detect early disorders of fetal development, which may lead to an early diagnosis and possible treatment, or to a woman’s decision to terminate the pregnancy. Therefore, it is very important to accurately inform a woman about the risks and consequences of this life-related issue, even before deciding to perform prenatal tests; and after the results, when a misinterpreted diagnosis may lead a woman to terminate her pregnancy. The obligation of doctors to inform patients is inseparable from the requirement to receive informed consent. The two parts are mandatory for any medical procedure and intervention. The main requirements for the informed consent include rationality, sufficient and clear information, free will, and the form of consent conforming to the legal acts. However, informed consent is not an absolute requirement, as the patient has a right to remain uninformed. Additionally, under certain circumstances, it might be impossible to inform patients, or to receive consent from patients or their duly authorized representatives. Prenatal testing is an integral part of ante-natal care that aims to verify the proper development of the fetus, or to identify potential hereditary or chromosomal diseases at the earliest possible stage. Prenatal testing can be classified as non-invasive or invasive measures, according to the types of procedures In addition to this, according to the aim of the procedure, into diagnostic prenatal testing with the aim of prenatal therapy, and purely diagnostic prenatal testing. Purely diagnostic prenatal testing is closely connected with the problem of selective abortion. Part of this article covers the main problems of informed consent in prenatal diagnostics, by outlining two stages of the process: conveyance before prenatal testing, and interpretation of the results alongside presentation of the possible choices. The legal implications we consider are based on information from other European countries: we name the main questions analyzed by courts, including cases of “wrongful birth” and “wrongful life”; inappropriate information regarding possibilities of abortion; the right of a woman to use all available diagnostic methods; and the allocation of damages to the claimants.

Informovaný souhlas u osob se sníženou schopností rozhodování

51%

Doležal A.

Časopis zdravotnického práva a bioetiky (Journal of Medical Law and Bioethics)

2019

vol. 9

issue 2

68-84

This article deals with the issue of competence of so-called vulnerable persons and the possibility of making valid informed consent. The theory of competence is here perceived as a task oriented competence. Subsequently, the capacity of the patient to give informed consent is analyzed. Here, the difference between the so-called general competence and specific competence is analyzed, as well as the difference between degree conception of competence and threshold conception of competence. The relation between competence and consequences of performed medical procedure is also specified. Finally, the article describes how these theoretical approaches are reflected in medical as well as legal practice.

Tento článek se zabývá problematikou kompetence tzv. vulnerabilních osob a možnosti učinit validní informovaný souhlas. V článku je řešena nejprve teorie kompetence, která je vnímaná jako kompetence k plnění určitého úkolu (task oriented competence). Následně je rozebírána přímo kompetence pacienta k udělení informovanému souhlasu. Rozebrán je rozdíl mezi tzv. obecnou kompetencí a specifickou kompetencí, dále rozdíl mezi stupňovitou kompetencí a kompetencí hraniční. Specifikován je i poměr mezi kompetencí a následky provedeného zdravotního výkonu. Konečně je pak popsáno, jak se tyto teoretické přístupy odrážejí do medicínské, ale i právní praxe.

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1 The Person and the Challenges. The Journal of Theology, Education, Canon Law and Social Studies Inspired by Pope John Paul II

1 Časopis zdravotnického práva a bioetiky (Journal of Medical Law and Bioethics)

1 Doležal A.

1 Narbekovas A.

1 Serapinas D.

1 2023

1 2019

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Bioethics and Informed Consent in Prenatal Diagnostics

Informovaný souhlas u osob se sníženou schopností rozhodování