key: cord-1049874-a68pu5zf
authors: HABIBA, Marwan
title: Professionally responsible Covid-19 vaccination counseling. Response to Chervenak et al.
date: 2021-06-09
journal: Am J Obstet Gynecol
DOI: 10.1016/j.ajog.2021.05.046
sha: 27d4e1c47f3c57afba44eb0aaf8df8e67560b5fe
doc_id: 1049874
cord_uid: a68pu5zf

nan

In their paper, Chervenak et al 1 designate their favoured approach to counselling pregnant 51 women for Covid-19 vaccination as 'professionally responsible'. However, their stance 52 diverges in important aspects from product licenses and from guidance issued by 53 professional bodies. Their approach aims to increase vaccine uptake. Their view is rooted in 54 willingness to view caution as necessarily or primarily a legalistic concern, coupled with their 55 readiness to substitute experiment based scientific evidence with inferences or 56 suppositions. 57

The choices. However, they need to address the concern that their approach risks undermining 70 the fiduciary relationship and the essence of trust. In addition, they need to provide an 71 account as to how to reconcile respect for autonomy with advocating persistent efforts to 72 sway women towards a particular choice, or to reverse expressed preferences. Counselling 73 for consent ought not to be grounded in a conviction that particular choices are irrational or 74 irresponsible. Thus, Chervenak and colleagues need to describe how to reconcile the tension 75 inherent in providing care with the standpoint that pregnant women who hesitate about

Professionally responsible 86 coronavirus disease 2019 vaccination counseling of obstetrical and 87 gynecologic patients