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Ethical, Legal, and Social Justice Considerations of Mandatory/Routine Pregnancy Testing in the Emergen-cy Department
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Journal Article
Ethical, Legal, and Social Justice Considerations of Mandatory/Routine Pregnancy Testing in the Emergen-cy Department
2025
Overview
Schiff and Burgart examine the ethical, legal, and social justice concerns surrounding mandatory or routine pregnancy testing (PT) in US emergency departments (EDs). They state that such tests are often conducted without patient consent, which undermines autonomy and other key ethical principles. Following the 2022 Dobbs decision that removed federal abortion protections, learning one's pregnancy status can have serious legal and personal consequences depending on the state. They argue that routine PT in the ED is legally problematic, dismissive of patients' own reports about their pregnancy status and sexual history, and conflicts with LGBTQIA+ rights. Additionally, the widespread use of PTs without clear clinical justification is economically inefficient. They advocate for healthcare ethics consultations to help ensure ED practices respect patient rights and align with ethical, legal, and social justice standards in today's complex socio-political environment.
Publisher
MedStar Washington Hospital Center
Subject
