"A Picture Paints a Thousand Words"-A Systematic Review of the Ethical Issues of Prenatal Ultrasound.

IF 1.8 3区 哲学 Q2 ETHICS
M Favaretto, M Rost
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引用次数: 0

Abstract

Prenatal ultrasound is a non-invasive diagnostic examination. Despite the recognized diagnostic value, this technology raises complex ethical questions. The aim of this study is to provide a comprehensive analysis that coherently maps the ethical challenges raised by prenatal ultrasound examination, both 2D and 3D. We performed a systematic literature review. Six databases were systematically searched. The results highlight how concerns related to beneficence, informed consent, and autonomy are mainly related to routine use of prenatal ultrasound in the clinical context, while considerations linked to overmedicalization of pregnancy, discrimination, and fetal ontology were often reported in relation to the impact ultrasound is having on medicine and society. Ethical issues in the context of pre-abortion ultrasound, obstetric practices in low-income settings, and keepsake ultrasound imaging were also greatly discussed. Since prenatal ultrasound practices critically impact pregnant people's autonomy and their role within pregnancy, we conclude that information providing strategies should be developed to appropriately inform pregnant people about the nature, purpose, risks, and choices revolving around prenatal ultrasound. In addition, as it is becoming increasingly difficult to separate the social and clinical dimensions of prenatal ultrasound, future research should focus on examining if and how such dimensions should be reconciled.

Abstract Image

"一图绘千言"--产前超声波伦理问题系统回顾。
产前超声波检查是一种无创诊断检查。尽管该技术具有公认的诊断价值,但也引发了复杂的伦理问题。本研究旨在提供全面的分析,连贯地描绘产前二维和三维超声检查所带来的伦理挑战。我们进行了系统的文献综述。我们系统地检索了六个数据库。结果凸显了与获益、知情同意和自主权相关的问题主要与产前超声在临床中的常规使用有关,而与妊娠过度医疗化、歧视和胎儿本体论相关的问题则经常与超声对医学和社会的影响有关。堕胎前超声、低收入环境下的产科实践以及超声成像纪念品等方面的伦理问题也得到了广泛的讨论。由于产前超声波检查对孕妇的自主权及其在妊娠中的角色有着至关重要的影响,因此我们得出结论,应制定信息提供策略,让孕妇适当了解产前超声波检查的性质、目的、风险和选择。此外,由于产前超声波检查的社会性和临床性越来越难以分开,未来的研究应侧重于探讨是否以及如何协调这两个方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Bioethical Inquiry
Journal of Bioethical Inquiry 医学-医学:伦理
CiteScore
5.20
自引率
8.30%
发文量
67
审稿时长
>12 weeks
期刊介绍: The JBI welcomes both reports of empirical research and articles that increase theoretical understanding of medicine and health care, the health professions and the biological sciences. The JBI is also open to critical reflections on medicine and conventional bioethics, the nature of health, illness and disability, the sources of ethics, the nature of ethical communities, and possible implications of new developments in science and technology for social and cultural life and human identity. We welcome contributions from perspectives that are less commonly published in existing journals in the field and reports of empirical research studies using both qualitative and quantitative methodologies. The JBI accepts contributions from authors working in or across disciplines including – but not limited to – the following: -philosophy- bioethics- economics- social theory- law- public health and epidemiology- anthropology- psychology- feminism- gay and lesbian studies- linguistics and discourse analysis- cultural studies- disability studies- history- literature and literary studies- environmental sciences- theology and religious studies
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