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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 8 (8page)
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This article describes, categorizes, and discusses the results of a rapid literature review aiming to provide an overview of the ethicalissues and corresponding solutions surrounding pregnancies in epidemic outbreaks. The review was commissioned by the WorldHealth Organization to inform responses to the Zika outbreak that began in 2015. Due to the urgency of the response efforts thatneeded to be informed by the literature search, a rapid qualitative review of the literature published in PubMed was conducted. The search and analysis were based on the operationalization of 3 key concepts: ethics, pregnancy, and epidemic outbreak. Ethicalissues and solutions were interpreted within a principlist framework. The data were analyzed using qualitative content analysis. The search identified 259 publications, of which the full text of 23 papers was read. Of those, 20 papers contained a substantivepart devoted to the topic of interest and were therefore analyzed further. We clustered the ethical issues and solutions around 4themes: uncertainty, harms, autonomy/liberty, and effectiveness. Recognition of the identified ethical issues and correspondingsolutions can inform and improve response efforts, public health planning, policies, and decision-making, as well as the activitiesof medical staff and counselors who practice before, during, or after an epidemic outbreak that affects pregnant women or thoseof reproductive age. The rapid review format proved to be useful despite its limited data basis and expedited review process.
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