Ethical issues in therapeutic use and research in pregnant and breastfeeding women

Weld, Ethel D, Bailey, Theodore C and Waitt, Catriona ORCID: 0000-0003-0134-5855 (2022) Ethical issues in therapeutic use and research in pregnant and breastfeeding women. BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 88 (1). pp. 7-21.

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Abstract

Pregnant or potentially pregnant women have historically been excluded from clinical trials of new medications. However, it is increasingly recognised that it is imperative to generate evidence from the population in whom the drugs are likely to be used to inform safe, evidence-based shared clinical decision making. Reluctance by researchers and regulators to perform such studies often relates to concerns about risk, particularly to the foetus. However, this must be offset against the risk of untreated disease or using a drug in pregnancy where safety, efficacy and dosing information are not known. This review summarises the historical perspective, and the ethical and legal frameworks that inform the conduct of such research, then highlights examples of innovative practice that have enabled high quality, ethical research to proceed to inform the evidence-based use of medication in pregnancy.

Item Type:	Article
Uncontrolled Keywords:	drug development, ethics, pregnancy, research in special populations
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology
Depositing User:	Symplectic Admin
Date Deposited:	19 May 2021 08:12
Last Modified:	18 Jan 2023 22:46
DOI:	10.1111/bcp.14914
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3123248