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Ethics Forum: Patients’ Unplanned Pregnancies Present Counseling Issues for Rheumatologists

Bonnie L. Bermas, MD  |  Issue: May 2013  |  May 1, 2013


Dr. Bermas is the director of the Lupus Center and co-director of the Program in Pregnancy and Rheumatic Diseases at Brigham and Women’s Hospital in Boston.

References

  1. Trussel J. The cost of unintended pregnancy in the United States. Contraception. 2007; 75:168-170.
  2. Hoppe DE, Bekkar BE, Nager CW. Single-dose systemic methotrexate for the treatment of persistent ectopic pregnancy after conservative surgery. Obstet Gynecol. 1994;83:51-54.
  3. Bawle E, Conard J, Weiss L. Adult and two children with fetal methotrexate syndrome. Teratology. 1998;57:51-55.
  4. Chervenak F, McCullough LB. Responsibly counselling women about the clinical management of pregnancies complicated by severe fetal anomalies. J Med Ethics. 2012;38:397-398.
  5. Wilkinson D. Fatal fetal paternalism. J Med Ethics. 2012;38:396-387.
  6. Heuser CC, Eller AG, Byrne JL. Survey of physicians’ approach to severe fetal anomalies. J Med Ethics. 2012;38:391-395.
  7. Feldkamp M, Carey JC. Clinical teratology counseling and consultation case report: Low dose methotrexate exposure in the early weeks of pregnancy. Teratology. 1993;47:533-539.
  8. Kozlowski RD, Steinbrunner JV, Mackenzie AH, et al. Outcome of first-trimester exposure to low-dose methotrexate in eight patients with rheumatic disease. Am J Med. 1990;88:589-592.
  9. Lloyd ME, Carr M, McElhatton P, et al. The effects of methotrexate on pregnancy, fertility and lactation. QJM. 1999; 92:551-563.
  10. Schmitz D. Terminating pregnancy after prenatal diagnosis—with a little help of professional ethics? J Med Ethics. 2012;38:399-402.

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Filed under:Professional Topics Tagged with:Methotrexatepatient safetypregnancy

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