Cancer et grossesse : une réflexion selon une approche par principes

Étude de cas / Case studyCette étude de cas, inspirée de situations réelles, met en exergue les enjeux éthiques posés par la survenue d’un cancer pendant une grossesse, dans un contexte familial délicat.This case study, inspired by real life situations, highlights the ethical issues raised by the occurrence of cancer during pregnancy, in a difficult family situation

Plaidoyer pour une reconnaissance de l’enfant comme agent moral : Une réponse à Verpaelst et Couture

Commentaire / CommentaryBien qu’il soit un être vulnérable, l’enfant pourrait être considéré comme un agent moral dans certaines circonstances. Ainsi, il peut et devrait être davantage associé aux décisions médicales le concernant.Although a vulnerable human being, a child can be considered as a moral agent in certain circumstances. Thus, a child can and should be more involved in medical decisions about him/herself

Quand les bactéries font la loi : regards éthiques, épistémiques, juridiques, politiques, sociales et techniques sur l’utilisation du microbiome humain à des fins judiciaires

L’utilisation du microbiome humain à des fins judiciaires comme objet d’étude implique divers enjeux allant d’une remise en question de notre conception traditionnelle de l’identité au respect de la vie privée, en passant par le type de consentement à recueillir lors du prélèvement d’un échantillon de microbiome. La particularité de cette étude nécessite le travail conjoint d’une équipe multidisciplinaire composée de spécialistes en éthique, criminalistique, droit, microbiologie, philosophie et science politique

10 Years On: Looking Back in Order to Move Forward into the Future

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The value of non-invasive prenatal testing: preferences of Canadian pregnant women, their partners, and health professionals regarding NIPT use and access

Abstract Background Canadian policies regarding the implementation and public coverage of non-invasive prenatal testing (NIPT) are heterogeneous and shifting, with NIPT being publicly covered for high-risk pregnancies in some provinces, but not others. Such a diverse and evolving policy landscape provides fertile ground for examining the preferences of pregnant women, their partners, and health professionals regarding the implementation and coverage of NIPT by the public healthcare system, as well as the factors influencing their preferences, which is what the present study does. Methods In this paper, we report the results of three-large scale Canadian surveys, in which 882 pregnant women, 395 partners of pregnant women, and 184 healthcare professionals participated. Results The paper focuses on preferences regarding how and when NIPT should be used, as well as the factors influencing these preferences, and how coverage for NIPT should be provided. These are correlated with respondents’ levels of knowledge about Down syndrome and testing technologies and with their stated intended use of NIPT results. Conclusion Salient is the marked difference between the preferences of prospective parents and those of healthcare professionals, which has potential implications for Canadian policy regarding NIPT implementation and insurance coverage