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An Analysis of Institutional Responsibility for Safeguarding Fetal Health in Light of the Transition from Individualistic to Societal Ethics | ||
| Theosophia Islamica | ||
| مقاله 12، دوره 6، شماره 2 - شماره پیاپی 12، مهر 2026، صفحه 1-22 اصل مقاله (778.75 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.22081/jti.2026.74800.1125 | ||
| نویسندگان | ||
| Mahmoud Abbasi1؛ Meysam Kalahernia Golkar2 | ||
| 1Professor and Director of the Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences; Head of the International Think Tank for Human Dignity; and Director of the Bioethics and Health Law Research Institute (Corresponding Author). | ||
| 2Researcher at the Bioethics and Health Law Research Institute and Associate Member of the Iranian Scientific Association of Children’s Rights. | ||
| تاریخ دریافت: 03 خرداد 1405، تاریخ بازنگری: 20 خرداد 1405، تاریخ پذیرش: 20 خرداد 1405 | ||
| چکیده | ||
| Background and Objective: In recent decades, the evolution of ethical and legal perspectives related to fetal health has caused traditional, individual-centered approaches to give way to broader concepts such as collective ethics and institutional responsibility. While individual ethics focuses mainly on the duties of the mother or physician, collective ethics redistributes responsibility at the level of policymaking institutions, the health system, and social structures. The present study aims to elucidate the foundations, dimensions, and necessities of this transition and to examine its implications in determining the responsibility of institutions toward fetal health. Method: This study was conducted using a descriptive-analytical approach based on library resources. By analyzing the literature of bioethics and the philosophy of responsibility, the fundamental principles of collective ethics and its position in maternal-fetal health policies were examined, and then the role of various institutions—ranging from the government and legislative bodies to the health system, research, and cultural centers—was analyzed in light of these principles. Findings: The findings indicate that within the framework of collective ethics, fetal health is not merely the responsibility of a single individual (the mother or physician), but rather the result of a systematic interaction among institutional, social, economic, and cultural factors. Therefore, realizing the notion of collective ethics regarding fetal health necessitates coordination among institutions responsible for health, legislation, economy, education, and the media. This perspective emphasizes the necessity of fair policymaking, professional ethics training, cultural development, social support for pregnant mothers, and multi-level ethical oversight. Conclusion: The transition from individual ethics to collective ethics in the realm of fetal health is a strategic necessity in contemporary ethics that can provide the foundation for formulating preventive, fair, humane, and community-interest-based policies. Institutions, especially within the health system, are obligated to move beyond purely individual ethical frameworks and recognize their collective responsibility in safeguarding the health and dignity of the fetus and mother. | ||
| کلیدواژهها | ||
| Collective Ethics؛ Moral Communitarianism؛ Institutional Responsibility؛ Legislation؛ Cultural Development؛ Fetal Health | ||
| مراجع | ||
|
Abbasi, M., Rezaei, R., & Dehghani, G. (2014). "The concept and status of the right to health in the legal system of Iran." Medical Law Journal, 8(30), pp. 183–199. [In Persian]
Azh, N., Ghasemi, M., Khani, M., Mafi, M., & Ranjkesh, F. (2019). "Investigating the relationship between maternal stress and pregnancy outcomes: A prospective study." Journal of Midwifery and Reproductive Health, 22(5), pp. 27–36. [In Persian]
Azizi, A. (2024). "Civil liability of trustee organizations regarding maternal health in the Family Support and Youthful Population Act passed in 2021 in light of the components of the right to health." Iran Medical Council Journal, 42(1), pp. 39–52. [In Persian]
Braveman, P., & Gottlieb, L. (2014). "The social determinants of health: It's time to consider the causes of the causes." Public Health Reports, 129(1_suppl2), pp. 19–31. https://doi.org/10.1177/00333549141291S206
Daniels, N. (2007). Just health: Meeting health needs fairly. Cambridge: Cambridge University Press.
Dawson, A. (Ed.). (2011). Public health ethics: Key concepts and issues in policy and practice. Cambridge: Cambridge University Press.
Falah, M. J., & Karnokar, N. (2018). "Demarcation of individual and social ethics and analysis of its valuation with Islamic criteria." Pajohesh-haye Akhlagh, 11(42), pp. 113–132. [In Persian]
Hajipour, S. (2025). Examining the mother's responsibility in preserving fetal life. In: Proceedings of the First National Conference on Fetal Life Preservation. First National Conference on Fetal Life Preservation, Isfahan: Isfahan University of Medical Sciences and Health Services. https://civilica.com/doc/2438726. [In Persian]
Heilig, C. M., & Charles, W. (2005). "A critical history of individual and collective ethics in the lineage of Lellouch and Schwartz." Clinical Trials, 2(3), pp. 244–253. https://doi.org/10.1191/1740774505cn084oa
Iacoban, S. R., Piron-Dumitrascu, M., Bohiltea, C. L., Suciu, I. D., Voinea, S. C., & Suciu, N. (2024). "Socio-economic disparities in prenatal prognosis and intervention accessibility." Journal of Mind and Medical Sciences, 11(2), pp. 402–411. https://doi.org/10.22543/2392-7674.1541
Jafree, S. R., Shah, G., Zakar, R., Muzamill, A., Ahsan, H., Burhan, S. K., Javed, A., & Durrani, R. R. (2023). "Characterizing social determinants of maternal and child health: A qualitative community health needs assessment in underserved areas." Healthcare, 11(15), p. 2224. https://doi.org/10.3390/healthcare11152224
Karimzadeh, M. A. (2012). "Medical law and ethics in dealing with a laboratory fetus as a patient" (Special issue on medical ethics and reproductive health). Ethics and History of Medicine in Iran, 5(8), pp. 1-45. [In Persian]
Kickbusch, I. S. (2001). "Health literacy: Addressing the health and education divide." Health Promotion International, 16(3), pp. 289–297. https://doi.org/10.1093/heapro/16.3.289
Kotha, R. (2025). "Environmental and social factors in urban settings influencing placental immunology and pregnancy outcomes: A narrative review." Caspian Journal of Reproductive Medicine, 11(2), pp. 7–13. https://doi.org/10.22088/caspjrm.11.2.7
Marmot, M., & Wilkinson, R. (Eds.). (2005). Social determinants of health. Oxford: Oxford University Press.
Marmot, M., Friel, S., Bell, R., Houweling, T. A. J., & Taylor, S. (2008). "Closing the gap in a generation: Health equity through action on the social determinants of health." The Lancet, 372(9650), pp. 1661–1669. https://doi.org/10.1016/S0140-6736(08)61690-6
Miller, S. (2006). Collective Moral Responsibility: An Individualist Account. Midwest Studies In Philosophy (Wiley-Blackwell), 30(1), pp. 176–193.
Nattell, N. (2024). Addressing social and structural determinants of health in the delivery of reproductive health care: ACOG Committee Statement No. 11. https://doi.org/10.1097/AOG.0000000000005721
Roshan, M., & Abiri, F. (2023). "Legal responsibility of the mother regarding the health and hygiene of the fetus." Legal Studies, 14(1), pp. 103–126. [In Persian]
Sadeghi, K., & Alavi, A. (2018). "The relationship between awareness, sensitivity, and moral performance in nurses of emergency departments." Bioethics, 8(30), pp. 35–44. [In Persian]
Zahabi, E., Nafisi, N., & Ahmadnia, S. (2025). "Pregnancy and inequality: From conception to newborn in the womb of the health system." Social Welfare Quarterly, 24(92), pp. 79–116. [In Persian] | ||
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