Ethical issues in therapeutic use and research in pregnant and breastfeeding women. Issue 1 (30th May 2021)

• Record Type: Journal Article
• Authors: Weld, Ethel D.; Bailey, Theodore C.; Waitt, Catriona
• Other Names: Magavern Emma guestEditor.; Piasecki Jan guestEditor.; Cremers Serge guestEditor.; Cohen Adam guestEditor.
• Is Part Of: British journal of clinical pharmacology. Volume 88:Issue 1(2022)
• Page Start: 7
• Page End: 21
• Publication Date: 2021-05-30
• Subjects: drug development -- ethics -- pregnancy -- research in special populations; Pharmacology -- Periodicals; Drugs -- Periodicals; 615.1
• DOI: 10.1111/bcp.14914
• Languages: English
• ISSNs: 0306-5251

Abstract

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. Abstract :