Fair inclusion of pregnant women in clinical research: a systematic review of reported reasons for exclusion

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13 Citations (Scopus)

Abstract

This empirical chapter provides a systematic review of literature relevant to the inclusion of pregnant women in clinical trials. In particular, it addresses barriers to fair inclusion identified within the literature. The 31 articles reviewed discuss the exclusion of pregnant women from clinical trials. Reasons given for such exclusion were grouped under several themes, including: foetal safety, collective memory or social controversies, liability, regulations, research ethics committee interpretations, research design, willingness to participate and consent. The discussion reviews arguments in the literature for how many of these barriers to fair inclusion can be surmounted. The authors find that barriers to fair inclusion of pregnant women in clinical research interact. While there are practical solutions for surmounting some barriers, others require further discussion.
Original languageEnglish
Title of host publicationClinical research involving pregnant women
EditorsFrancoise Baylis, Angela Ballantyne
Place of PublicationSwitzerland
PublisherSpringer-Verlag
Pages65-94
Number of pages30
ISBN (Electronic)978-3-319-26512-4
ISBN (Print)978-3-319-26510-0
DOIs
Publication statusPublished - 2016

Publication series

NameResearch Ethics Forum
Volume3
ISSN (Print)2212-9529
ISSN (Electronic)2212-9537

Keywords

  • Research Ethics
  • Bioethics
  • Pregnancy
  • Pregnant women
  • Clinical research
  • Barriers to inclusion
  • Fair inclusion
  • Exclusion
  • Systematic review
  • Institutional review board (IRB)
  • Clinical trials

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