"临床胎儿解剖对生殖保健的意义:德国的伦理分析"。

IF 2.3 2区 哲学 Q1 ETHICS
Elisa Groff, Marta C Cohen, Florian Steger
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引用次数: 0

摘要

胎儿、死产婴儿或新生儿的临床尸检和胎盘检查有助于为母亲的决策和后续妊娠的医疗护理提供信息。事实上,这些验尸检查可以确定意外的先天性畸形或反复流产或死产的原因。然而,在计划生育的背景下,使用临床病理学进行诊断的目的是为了生育一个孩子的愿望未实现的丧亲父母,以及试管婴儿夫妇,迄今为止很少受到关注。本文应用Beauchamp和Childress的生物伦理框架来识别、评估和系统地讨论与德国法律背景下生殖保健中使用临床胎儿尸检相关的伦理问题。以临床伦理咨询的形式,文章审查了德国关于围产期尸检的现行政策,并询问为生殖健康目的进行的临床胎儿尸检是否应成为向失去亲人的父母提供的标准临床检查的一部分。我们的研究结论建议,只要有必要的资源,临床胎儿尸检在伦理上是可以接受的。这一建议是基于对作为病人的母亲的道德义务,这是基于自主和慈善的生物伦理原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"The significance of clinical foetal autopsy for reproductive health care: an ethical analysis in the German context".

The clinical autopsy of foetuses, stillborn babies, or neonates and the examination of the placenta help to inform the mother's decision-making and her medical care for subsequent pregnancies. Indeed, these post-mortem examinations can identify unexpected congenital malformations or the cause of repeated miscarriage or stillbirth. However, the use of clinical pathology for diagnostic purposes in the context of family planning for bereaved parents with an unfulfilled desire to have a child, and IVF couples has received little attention to date. This article applies Beauchamp and Childress' bioethical framework to identify, assess and systematically discuss ethical issues associated with the use of clinical foetal autopsy in reproductive healthcare within the German legal context. In the format of a clinical ethics consultation, the article examines the current policy on perinatal post-mortem examinations in Germany, and asks whether the clinical foetal autopsy for reproductive health purposes should be part of standard clinical examinations offered to bereaved parents. The conclusion of our research recommends clinical foetal autopsy as ethically acceptable, provided that the necessary resources are available. This recommendation is based on the ethical obligation towards the mother as the patient, which is grounded in the bioethical principles of autonomy and beneficence.

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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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