Vietnamese health professionals' views on the status of the fetus and maternal and fetal health interests: A regional, cross-sectional study from the Hanoi area.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Health Personnel*/psychology ; Fetus* ; Attitude of Health Personnel*; Humans ; Vietnam ; Female ; Cross-Sectional Studies ; Pregnancy ; Adult ; Middle Aged ; Male ; Surveys and Questionnaires ; Ultrasonography, Prenatal ; Maternal Health ; Southeast Asian People

Obstetric ultrasound is an important tool in managing pregnancies and its use is increasing globally. However, the status of the pregnant woman and the fetus may vary in terms of clinical management, views in the community and legislation. To investigate the views and experiences of Vietnamese health professionals on maternal and fetal health interests, priority setting and potential conflicts, we conducted a cross-sectional study using a structured questionnaire. Obstetricians/gynecologists, midwives and sonographers who manage pregnant women in maternity wards were invited to participate. We purposively chose public health facilities in the Hanoi region of Vietnam to obtain a representative sample. The final sample included 882 health professionals, of which 32.7% (n = 289) were obstetricians/gynecologists, 60.7% (n = 535) midwives and 6.6% (n = 58) sonographers. The majority of participants (60.3%) agreed that "The fetus is a person from the time of conception" and that maternal health interests should always be prioritised over fetal health interests in care provided (54.4%). 19.7% agreed that the fetus is never a patient, only the pregnant woman can be the patient, while 60.5% disagreed. Participants who performed ultrasounds were more likely to agree that fetal health interests are being given more weight in decision-making the further the gestation advances compared to those who did not perform ultrasounds (cOR 2.47, CI 1.27-4.79: n = 811). A significant proportion of health professionals in Vietnam assign the fetus the status of being a person, where personhood gradually evolves during pregnancy. While the fetus is often considered a patient with its own health interests, a majority of participants did give priority to maternal health interests. Health professionals appear to favour increased legal protection of the fetus. Strengthening the legal status of the fetus might have adverse implications for maternal autonomy. Measures to restrict maternal autonomy might require close observation to ensure that maternal reproductive rights are protected.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Mogren et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

BMC Pregnancy Childbirth. 2019 Jan 16;19(1):33. (PMID: 30651083)
New Genet Soc. 2001;20(3):225-38. (PMID: 15584143)
Glob Health Action. 2016 Jul 22;9:31062. (PMID: 27452066)
Midwifery. 2017 Sep;52:1-10. (PMID: 28528239)
Best Pract Res Clin Obstet Gynaecol. 2014 Apr;28(3):443-51. (PMID: 24374013)
Annu Rev Popul Law. 1989;16:5, 290-2. (PMID: 12344447)
Soc Sci Med. 2007 Jun;64(11):2248-59. (PMID: 17403563)
Health Care Anal. 2001;9(4):387-400. (PMID: 11874254)
Glob Health Action. 2017;10(1):1350451. (PMID: 28764602)
BMC Pregnancy Childbirth. 2013 Apr 04;13:84. (PMID: 23557134)
Midwifery. 2010 Feb;26(1):18-26. (PMID: 18571818)
PLoS One. 2018 Dec 4;13(12):e0208387. (PMID: 30513102)
Ultrasound Med Biol. 1999 Jan;25(1):3-56. (PMID: 10048801)
Semin Perinatol. 2022 Apr;46(3):151520. (PMID: 34839938)
Reprod Health. 2018 Jul 20;15(1):129. (PMID: 30029609)
J Fam Plann Reprod Health Care. 2011 Oct;37(4):216-24. (PMID: 21733914)
Sex Reprod Healthc. 2018 Mar;15:69-76. (PMID: 29389504)
Am J Bioeth. 2011 May;11(5):39-49. (PMID: 21534151)
BMC Health Serv Res. 2011 May 23;11:120. (PMID: 21605446)
Children (Basel). 2022 Dec 28;10(1):. (PMID: 36670618)
Sex Reprod Healthc. 2020 Jun;24:100508. (PMID: 32278314)
J Paediatr Child Health. 2003 Jan-Feb;39(1):58-9. (PMID: 12542815)
Sex Reprod Healthc. 2018 Mar;15:28-34. (PMID: 29389498)
BMC Pregnancy Childbirth. 2015 Aug 27;15:195. (PMID: 26311437)
Semin Fetal Neonatal Med. 2018 Feb;23(1):64-67. (PMID: 28986215)
BMC Med Ethics. 2015 May 08;16:31. (PMID: 25953252)
Reprod Health Matters. 2007 May;15(29):163-71. (PMID: 17512387)
Health Care Anal. 2021 Dec;29(4):301-318. (PMID: 34674098)
Reprod Health Matters. 2008 May;16(31 Suppl):46-56. (PMID: 18772083)
Cochrane Database Syst Rev. 2015 Jul 14;(7):CD007058. (PMID: 26171896)
Aust J Midwifery. 2003 Mar;16(1):23-6. (PMID: 12858480)
Int J Epidemiol. 2006 Oct;35(5):1220-30. (PMID: 16543362)
Trop Med Int Health. 2011 Dec;16(12):1525-35. (PMID: 21883723)
Stud Fam Plann. 1993 Mar-Apr;24(2):73-86. (PMID: 8511808)
J Obstet Gynecol Neonatal Nurs. 2008 May-Jun;37(3):315-28. (PMID: 18507602)
Trop Med Int Health. 2016 Jul;21(7):895-906. (PMID: 27125579)
Best Pract Res Clin Obstet Gynaecol. 2008 Oct;22(5):983-96. (PMID: 18693070)
BMC Pregnancy Childbirth. 2015 Nov 20;15:304. (PMID: 26589489)
BMC Pregnancy Childbirth. 2014 Oct 22;14:363. (PMID: 25336335)
Midwifery. 2016 Nov;42:46-53. (PMID: 27788415)
Soc Sci Med. 2000 Mar;50(5):689-701. (PMID: 10658849)
Sex Reprod Healthc. 2016 Mar;7:8-13. (PMID: 26826039)
BMJ Open. 2019 Sep 22;9(9):e031761. (PMID: 31548354)
Glob Health Action. 2015 Oct 29;8:28405. (PMID: 26519131)

Date Created: 20240911 Date Completed: 20240911 Latest Revision: 20241009

20241010

PMC11389908

10.1371/journal.pone.0310029

39259744