{"title":"治疗非分娩和分娩患者的妇产科检查和程序。","authors":"Amber R Comer, Meredith Rappaport","doi":"10.1001/amajethics.2025.110","DOIUrl":null,"url":null,"abstract":"<p><p>Non-labor and delivery obstetrics and gynecology (OB/GYN) procedures are an important and necessary part of reproductive health care. However, performing a pelvic exam or procedure, which requires entry through the pelvis, is often an uncomfortable, painful, embarrassing, and anxiety-provoking experience. Given the delicate nature of these examinations and procedures, it is imperative that physicians uphold the inherent trust placed in them that derives from the patient-physician relationship. Respecting a patient's privacy-including physical, informational, decisional, and associational privacy-is a prerequisite for ensuring that a fundamental foundation of trust exists between the patient and physician. This essay explores the ethical issues physicians face during clinical practice when performing non-labor and delivery OB/GYN examinations and procedures.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 2","pages":"E110-116"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Treating Patients in Non-Labor and Delivery OB/GYN Examinations and Procedures.\",\"authors\":\"Amber R Comer, Meredith Rappaport\",\"doi\":\"10.1001/amajethics.2025.110\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Non-labor and delivery obstetrics and gynecology (OB/GYN) procedures are an important and necessary part of reproductive health care. However, performing a pelvic exam or procedure, which requires entry through the pelvis, is often an uncomfortable, painful, embarrassing, and anxiety-provoking experience. Given the delicate nature of these examinations and procedures, it is imperative that physicians uphold the inherent trust placed in them that derives from the patient-physician relationship. Respecting a patient's privacy-including physical, informational, decisional, and associational privacy-is a prerequisite for ensuring that a fundamental foundation of trust exists between the patient and physician. This essay explores the ethical issues physicians face during clinical practice when performing non-labor and delivery OB/GYN examinations and procedures.</p>\",\"PeriodicalId\":38034,\"journal\":{\"name\":\"AMA journal of ethics\",\"volume\":\"27 2\",\"pages\":\"E110-116\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AMA journal of ethics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1001/amajethics.2025.110\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Social Sciences\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AMA journal of ethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1001/amajethics.2025.110","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Social Sciences","Score":null,"Total":0}
Treating Patients in Non-Labor and Delivery OB/GYN Examinations and Procedures.
Non-labor and delivery obstetrics and gynecology (OB/GYN) procedures are an important and necessary part of reproductive health care. However, performing a pelvic exam or procedure, which requires entry through the pelvis, is often an uncomfortable, painful, embarrassing, and anxiety-provoking experience. Given the delicate nature of these examinations and procedures, it is imperative that physicians uphold the inherent trust placed in them that derives from the patient-physician relationship. Respecting a patient's privacy-including physical, informational, decisional, and associational privacy-is a prerequisite for ensuring that a fundamental foundation of trust exists between the patient and physician. This essay explores the ethical issues physicians face during clinical practice when performing non-labor and delivery OB/GYN examinations and procedures.
期刊介绍:
The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.