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182 results on '"Kingma, Elselijn"'

2. Can You Do Harm to Your Fetus? Pregnancy, Barriers, and the Doing/Allowing Distinction.

Author

Kingma, Elselijn and Woollard, Fiona

Subjects
*HARM (Ethics), *PREGNANCY, *FETUS, *PREGNANT women, *OBLIGATIONS (Law)
Abstract

When pregnant persons do not behave in the way deemed optimal for their fetus, they are often framed as doing harm. This framing acts as a justificatory bypass for defenses of widespread expectations of pregnant persons, allowing such defenses to avoid substantial questions about special obligations in pregnancy. Our main claim is that this justificatory bypass is unwarranted: in many cases either the pregnant person does not count as doing harm or substantive questions about special obligations cannot be avoided. Our secondary claim is that direct engagement with these substantive questions is unlikely to justify widespread expectations on pregnant people. [ABSTRACT FROM AUTHOR]

Published
2025
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4. Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands.

Author

van der Pijl, Marit Sophia Gerardina, Essink, Margot Klein, van der Linden, Tineke, Verweij, Rachel, Kingma, Elselijn, Hollander, Martine H., de Jonge, Ank, and Verhoeven, Corine J.

Subjects
CROSS-sectional method, HEALTH services accessibility, MATERNAL health services, MULTIPLE regression analysis, QUESTIONNAIRES, PREGNANT women, LABOR (Obstetrics), DESCRIPTIVE statistics, CHI-squared test, AGE distribution, SURVEYS, ODDS ratio, EPISIOTOMY, INFORMED consent (Medical law), PARITY (Obstetrics), PATIENT refusal of treatment, MEDICAL needs assessment, COMPARATIVE studies, DATA analysis software, CONFIDENCE intervals, CHILDBIRTH, HEALTH care teams, EDUCATIONAL attainment
Abstract

Background Informed consent for medical interventions is ethically and legally required; an important aspect of quality and safety in healthcare; and essential to person- centred care. During labour and birth, respecting consent requirements, including respecting refusal, can contribute to a higher sense of choice and control for labouring women. This study examines (1) to what extent and for which procedures during labour and birth women report that consent requirements were not met and/or inadequate information was provided, (2) how frequently women consider consent requirements not being met upsetting and (3) which personal characteristics are associated with the latter. Methods A national cross- sectional survey was conducted in the Netherlands among women who gave birth up to 5 years previously. Respondents were recruited through social media with the help of influencers and organisations. The survey focused on 10 common procedures during labour and birth, investigating for each procedure if respondents were offered the procedure, if they consented or refused, if the information provision was sufficient and if they underwent unconsented procedures, whether they found this upsetting. Results 13 359 women started the survey and 11 418 met the inclusion and exclusion criteria. Consent not asked was most often reported by respondents who underwent postpartum oxytocin (47.5%) and episiotomy (41.7%). Refusal was most often over- ruled when performing augmentation of labour (2.2%) and episiotomy (1.9%). Information provision was reported inadequate more often when consent requirements were not met compared with when they were met. Multiparous women had decreased odds of reporting unmet consent requirements compared with primiparous (adjusted ORs 0.54--0.85). There was considerable variation across procedures in how frequently not meeting consent requirements was considered upsetting. Conclusions Consent for performing a procedure is frequently absent in Dutch maternity care. In some instances, procedures were performed in spite of the woman's refusal. More awareness is needed on meeting necessary consent requirements in order to achieve person- centred and high- quality care during labour and birth. [ABSTRACT FROM AUTHOR]

Published
2024
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23. Additional file 6 of Disrespect and abuse during labour and birth amongst 12,239 women in the Netherlands: a national survey

Author

van der Pijl, Marit S. G., Verhoeven, Corine J. M., Verweij, Rachel, van der Linden, Tineke, Kingma, Elselijn, Hollander, Martine H., and de Jonge, Ank

Subjects
education
Abstract

Additional file 6: The association between characteristics and upsetting disrespect and abuse during labour and birth: outcomes of univariable and multivariable logistic regression.

Published
2022
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33. Ethical Development of Artificial Amniotic Sac and Placenta Technology: A Roadmap

Author

Verweij, E.J., De Proost, Lien, van Laar, Judith O.E.H., Frank, Lily E., Obermann-Borstn, Sylvia A., Vermeulen, Marijn J., van Baalen, Sophie, van der Hout-van der Jagt, M. Beatrijs, Kingma, Elselijn, Verweij, E.J., De Proost, Lien, van Laar, Judith O.E.H., Frank, Lily E., Obermann-Borstn, Sylvia A., Vermeulen, Marijn J., van Baalen, Sophie, van der Hout-van der Jagt, M. Beatrijs, and Kingma, Elselijn

Abstract

In this paper we present an initial roadmap for the ethical development and eventual implementation of artificial amniotic sac and placenta technology in clinical practice. We consider four elements of attention: (1) framing and societal dialogue; (2) value sensitive design, (3) research ethics and (4) ethical and legal research resulting in the development of an adequate moral and legal framework. Attention to all elements is a necessary requirement for ethically responsible development of this technology. The first element concerns the importance of framing and societal dialogue. This should involve all relevant stakeholders as well as the general public. We also identify the need to consider carefully the use of terminology and how this influences the understanding of the technology. Second, we elaborate on value sensitive design: the technology should be designed based upon the principles and values that emerge in the first step: societal dialogue. Third, research ethics deserves attention: for proceeding with first-in-human research with the technology, the process of recruiting and counseling eventual study participants and assuring their informed consent deserves careful attention. Fourth, ethical and legal research should concern the status of the subject in the AAPT. An eventual robust moral and legal framework for developing and implementing the technology in a research setting should combine all previous elements. With this roadmap, we emphasize the importance of stakeholder engagement throughout the process of developing and implementing the technology; this will contribute to ethically and responsibly innovating health care.

Published
2021

34. Ethical Development of Artificial Amniotic Sac and Placenta Technology:A Roadmap

Author

Verweij, E J, De Proost, Lien, van Laar, Judith O E H, Frank, Lily, Obermann-Borstn, Sylvia A, Vermeulen, Marijn J, van Baalen, Sophie, van der Hout-van der Jagt, M Beatrijs, Kingma, Elselijn, Verweij, E J, De Proost, Lien, van Laar, Judith O E H, Frank, Lily, Obermann-Borstn, Sylvia A, Vermeulen, Marijn J, van Baalen, Sophie, van der Hout-van der Jagt, M Beatrijs, and Kingma, Elselijn

Abstract

In this paper we present an initial roadmap for the ethical development and eventual implementation of artificial amniotic sac and placenta technology in clinical practice. We consider four elements of attention: (1) framing and societal dialogue; (2) value sensitive design, (3) research ethics and (4) ethical and legal research resulting in the development of an adequate moral and legal framework. Attention to all elements is a necessary requirement for ethically responsible development of this technology. The first element concerns the importance of framing and societal dialogue. This should involve all relevant stakeholders as well as the general public. We also identify the need to consider carefully the use of terminology and how this influences the understanding of the technology. Second, we elaborate on value sensitive design: the technology should be designed based upon the principles and values that emerge in the first step: societal dialogue. Third, research ethics deserves attention: for proceeding with first-in-human research with the technology, the process of recruiting and counseling eventual study participants and assuring their informed consent deserves careful attention. Fourth, ethical and legal research should concern the status of the subject in the AAPT. An eventual robust moral and legal framework for developing and implementing the technology in a research setting should combine all previous elements. With this roadmap, we emphasize the importance of stakeholder engagement throughout the process of developing and implementing the technology; this will contribute to ethically and responsibly innovating health care.

Published
2021

50. Naturalist Accounts of Mental Disorder

Author

Kingma, Elselijn, Fulford, K. W. M., book editor, Davies, Martin, book editor, Gipps, Richard, book editor, Graham, George, book editor, Sadler, John Z., book editor, Stanghellini, Giovanni, book editor, and Thornton, Tim, book editor

Published
2013
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