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Conscientious Objection or Dishonorable Disobedience?

Conscientious Objection or Dishonorable Disobedience? The American College of Nurse‐Midwives (ACNM) clearly identifies the primacy of the needs of the woman in its position statement on reproductive health choices, in which it affirms that “every woman has the right to make reproductive health choices that meet her individual needs.” What is not clear in the ACNM statement is how this position is addressed when a midwife is not supportive of a woman's choice, whether that choice is induction of labor without a clinical indication, primary cesarean without labor, the use of emergency postcoital contraception, or abortion. At what point do the personal beliefs of the midwife, whether based on personal preference or personal moral code, take precedence over one's professional responsibility to provide compassionate, evidence‐based care to the woman and her family? How do midwives meet the needs of women when the woman's preferences conflict with what the midwife believes is reliable and scientifically based evidence or when they conflict with the midwife's own ethical or moral beliefs? Can the midwife opt out of care for women who choose circumcision for their newborns if the midwife does not support that choice? In addition to respecting women's choices, how can midwives best ensure that http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Midwifery & Women's Health Wiley

Conscientious Objection or Dishonorable Disobedience?

Journal of Midwifery & Women's Health , Volume 60 (5) – Oct 1, 2015

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Publisher
Wiley
Copyright
© 2015 by the American College of Nurse‐Midwives
ISSN
1526-9523
eISSN
1542-2011
DOI
10.1111/jmwh.12351
pmid
26421584
Publisher site
See Article on Publisher Site

Abstract

The American College of Nurse‐Midwives (ACNM) clearly identifies the primacy of the needs of the woman in its position statement on reproductive health choices, in which it affirms that “every woman has the right to make reproductive health choices that meet her individual needs.” What is not clear in the ACNM statement is how this position is addressed when a midwife is not supportive of a woman's choice, whether that choice is induction of labor without a clinical indication, primary cesarean without labor, the use of emergency postcoital contraception, or abortion. At what point do the personal beliefs of the midwife, whether based on personal preference or personal moral code, take precedence over one's professional responsibility to provide compassionate, evidence‐based care to the woman and her family? How do midwives meet the needs of women when the woman's preferences conflict with what the midwife believes is reliable and scientifically based evidence or when they conflict with the midwife's own ethical or moral beliefs? Can the midwife opt out of care for women who choose circumcision for their newborns if the midwife does not support that choice? In addition to respecting women's choices, how can midwives best ensure that

Journal

Journal of Midwifery & Women's HealthWiley

Published: Oct 1, 2015

References