Ethical challenges for women’s healthcare highlighted by the COVID-19 pandemic

Author:

Bruno BethanyORCID,Shalowitz David I,Arora Kavita Shah

Abstract

Healthcare policies developed during the COVID-19 pandemic to safeguard community health have the potential to disadvantage women in three areas. First, protocols for deferral of elective surgery may assign a lower priority to important reproductive outcomes. Second, policies regarding the prevention and treatment of COVID-19 may not capture the complexity of the considerations related to pregnancy. Third, policies formulated to reduce infectious exposure inadvertently may increase disparities in maternal health outcomes and rates of violence towards women. In this commentary, we outline these challenges unique to women’s healthcare in a pandemic, provide preliminary recommendations and identify areas for further exploration and refinement of policy.

Funder

National Center for Advancing Translational Sciences

Publisher

BMJ

Subject

Health Policy,Arts and Humanities (miscellaneous),Issues, ethics and legal aspects,Health (social science)

Reference48 articles.

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3. U.S. Surgeon General Hospitals & healthcare systems please consider stopping elective procedures until we can #flattenthecurve [Tweet]. Available: https://twitter.com/Surgeon_General/status/1238798972501852160 [Accessed 15 Jul 2020].

4. Centers for Medicare & Medicaid Services . CMS adult elective surgery and procedures recommendations. Available: https://www.cms.gov/files/document/covid-elective-surgery-recommendations.pdf [Accessed 15 Jul 2020].

5. American College of Surgeons . COVID-19: recommendations for management of elective surgical procedures. Available: https://www.facs.org/covid-19/clinical-guidance/elective-surgery [Accessed 15 Jul 2020].

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