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AIDS, Women and the Next Generation : Towards a Morally Acceptable Public Policy for HIV Testing of Pregnant Women and - Ruth R. Faden

AIDS, Women and the Next Generation

Towards a Morally Acceptable Public Policy for HIV Testing of Pregnant Women and

By: Ruth R. Faden (Editor), Gail Geller (Editor), Madison Powers (Editor)

Hardcover Published: 10th October 1991
ISBN: 9780195065725
Number Of Pages: 394

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The proliferation of Acquired Immune Deficiency Syndrome (AIDS) among women and children represents one of the gravest health issues confronting contemporary society. Women, most of childbearing age, now constitute 11 percent of all cases, and the U.S. Public Health Service has projected over 3,000 cases of pediatric AIDS by the end of 1991. In the face of these sobering statistics, experts have been called upon to grapple with a difficult, compelling question: under what conditions, if any, should HIV testing of women and children be required? Also at issue are the surreptitious testing for HIV antibodies as part of routine prenatal and neonatal examinations, and whether such testing should be performed on all women and infants, or only those who belong to groups judged at "high risk." In this unique contribution to the debate about HIV screening and testing, Ruth Faden, Madison Powers, and Gail Geller have assembled perspectives from experts in public health, medicine, law, and ethics. Their wide-ranging treatment examines the history of prenatal and neonatal screening programs; informed consent; legal issues and confidentiality; reproductive decision-making; and numerous other aspects of HIV testing. Alternative policy options for both now and the future are discussed in detail. This volume provides a comprehensive analysis of these pressing medical, public health, legal, ethical, and social issues, and is essential reading for AIDS researchers and clinicians, public health specialists, ethicists, health policymakers and analysts, obstetricians, and pediatricians.

Industry Reviews

"Each chapter in this rich mine of 17 contributions is well worth reading, not only by those with special interest in the subject, but by those concerned about the appropriate role of health care professionals and government in influencing patient choices...first rate...broader perspective on a pressing clinical and social issue."--The Journal of the American Medical Association "Fine scholarly essays." --Choice "Alternative policy options, objections and recommendations are discussed in detail. The major focus of the authors' proposed policy is providing information for pregnant women and new mothers about HIV infection and testing. The text points out gaps in current research, risks and benefits of screening pregnant women, and legal obligations to patients. A survey of all current state legislation . . . is included. The social and ethical issues that have historically shaped pregnant women's decision making is outlined." --California AIDS Clearinghouse Reviewer "The book demonstrates admirably how any sound ethical analysis must be based upon an accurate understanding of the medical and scientific facts. This book is an important contribution to the HIV/AIDS debate, not only because of its thoughtful recommendations on the question of HIV screening for pregnant women and newborns, but also because it offers a model for policy formulation that takes account of a diverse range of difficult and controversial ethical concerns." --Bioethics "A very well researched book with much information for those working with potential HIV positive pregnant women."--AIDS Book Review Journal "This comprehensive, thoughtful book is a good reference for scholars and policy makers....The contributors consider legal, ethical, medical, and public health criteria for HIV screening. Particularly helpful is the comparison with screening for other diseases..." --Religious Studies Review "AIDS, Women and the Next Generation is a rigorously constructed volume of insightful articles....it offers in-depth analysis and clear directions to guide public policy-making with respect to HIV, pregnant women, and newborns."--Disability Studies Quarterly

PART I: Introduction 1: Ruth Faden, Nancy Kass, and Madison Powers: Warrants for Screening Programs: Public Health, Legal and Ethical Frameworks PART II: Public Health and Medical Issues 2: John Modlin and Alfred Saah: Public Health and Clinical Aspects of HIV Infection in Women and Children in the U.S. 3: Katherine Acuff and Ruth Faden: A History of Prenatal and Neonatal Screening Programs: Lessons for the Future 4: Timothy Johnson and John Repke: HIV Infection and Obstetrical Care 5: Larry Wissow and Nancy Hutton: Pediatric HIV Testing: Social Issues PART III: Legal Issues 6: Katherine Acuff: Prenatal and Newborn Screening: State Legislative Approaches and Current Practice Standards 7: Anita Allen: Legal Issues in Nonvoluntary Prenatal HIV Testing 8: Patricia King: Legal Issues in Voluntary Screening for HIV Infection in Pregnant Women 9: Madison Powers: Legal Protections of Confidential Medical Information and the Need for Anti-Discrimination Laws PART IV: Normative and Social Issues 10: Ruth Faden and Judith Areen: Ethical and Legal Issues in Mandatory and Voluntary Neonatal HIV Testing 11: LeRoy Walters: Ethical Issues in HIV Testing During Pregnancy 12: Gail Geller and Nancy Kass: Informed Consent in the Context of Prenatal HIV Testing 13: Nancy Kass PART V: Conclusion: Reproductive Decision-Making in the Context of HIV: The Case for Non-Directive Counseling 14: HIV Infection, Pregnant Women and Newborns: A Policy Proposal for Information and Testing

ISBN: 9780195065725
ISBN-10: 0195065727
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 394
Published: 10th October 1991
Country of Publication: US
Dimensions (cm): 24.36 x 16.54  x 3.53
Weight (kg): 0.74