Englert Y, Lesage B, Place I, Kirkpatrick C, Farber M C, Devrecker F, Liesnard C, Van Vooren J P
Clinique de fertilité, laboratoire de recherche en reproduction humaine, laboratoire de référence SIDA de l'U.L.B., Unité de traitement de l'immunodéficience humaine, Hôpital Erasme, Bruxelles.
Bull Mem Acad R Med Belg. 2002;157(1-2):103-9; discussion 109-10.
Today, in developed countries, many HIV-infected people remain in good health thanks to antiviral medication, and a growing number of them want to have children. The benefit of resorting to assisted procreation and the contamination prevention strategies, throughout pregnancy, are summarized as well as the changes in ethical considerations. The balance between the importance of the message of prevention and the benefit for patients of being assisted in their desire for a child, has evolved towards a growing interest for medical intervention in order to avoid the risks of spontaneous conception outside health care structures. We are presenting the medical structure adapted at Erasme hospital and the 38 first requests taken into account by our pluridisciplinary team. This approach, which is coherent from a scientific point of view, respects both the autonomy of people, carrying HIV as well as the essential interest of the child, in being born uninfected, and also has the enormous advantage of allowing access to parenthood without destroying the consistency and coherence of the message of prevention of sexual contamination.
如今，在发达国家，许多感染艾滋病毒的人因抗病毒药物而保持健康，并且越来越多的人想要孩子。本文总结了采用辅助生殖技术的益处以及整个孕期的感染预防策略，同时也阐述了伦理考量的变化。预防信息的重要性与帮助患者实现生育愿望的益处之间的平衡，已朝着对医疗干预的兴趣日益增长的方向发展，以便避免在医疗保健机构之外自然受孕带来的风险。我们介绍了伊拉斯谟医院采用的医疗模式以及我们多学科团队处理的首批38个请求。这种方法从科学角度来看是连贯一致的，既尊重感染艾滋病毒者的自主权，也尊重孩子未感染艾滋病毒出生这一基本利益，而且还有一个巨大优势，即允许人们成为父母，同时又不破坏性传播感染预防信息的连贯性和一致性。
