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AJPH First Look, published online ahead of print May 21, 2009
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October 2009, Vol 99, No. S2 | American Journal of Public Health S231-S235
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.140780

HEALTH POLICY AND ETHICS

Pandemic Influenza and Pregnancy: An Opportunity to Reassess Maternal Bioethics

Ruth M. Farrell, MD, MA and Richard H. Beigi, MD, MSc

Ruth M. Farrell is with the Department of Bioethics and the Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH. Richard H. Beigi is with the Division of Reproductive Infectious Diseases & Gynecologic Specialties, Department of Obstetrics/Gynecology/Reproductive Sciences, Magee-Womens Hospital of the University of Pittsburgh Medical Center, Pittsburgh, PA.

Correspondence: Correspondence should be sent to Ruth M. Farrell, MD, MA, Department of Bioethics, 9500 Euclid Ave, JJ-60, Cleveland, OH 44195 (e-mail: farrelr{at}ccf.org). Reprints can be ordered at http://www.ajph.org by clicking on the "Reprints/Eprints" link.

Large-scale infectious epidemics present the medical community with numerous medical and ethical challenges. Recent attention has focused on the likelihood of an impending influenza pandemic caused by the H5N1 virus. Pregnant women in particular present policymakers with great challenges to planning for such a public health emergency.

By recognizing the specific considerations needed for this population, we can preemptively address the issues presented by infectious disease outbreaks. We reviewed the important ethical challenges presented by pregnant women and highlighted the considerations for all vulnerable groups when planning for a pandemic at both the local and the national level.






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