Chichester Melanie
Christiana Care Health System, Newark, DE, USA.
MCN Am J Matern Child Nurs. 2007 Mar-Apr;32(2):81-6; quiz 87-8. doi: 10.1097/01.NMC.0000264286.03609.bd.
The subject of perinatal autopsy is not frequently seen in the literature. Perinatal loss, particularly stillbirth, frequently remains unexplained, despite current technology and diagnostic procedures. Parents may automatically refuse an autopsy, despite the potentially valuable information it could provide about the current pregnancy and subsequent pregnancies and despite the possible comfort the results could provide for relatives. Other reasons for declining an autopsy could be cultural or religious prohibitions. In addition, healthcare providers sometimes lack the knowledge of circumstances under which a postmortem examination is permitted, and fail to use culturally sensitive and culturally competent discussions about the reasons a postmortem examination is important and permissible. This purpose of this article is to provide information on selected cultural and religious groups to assist the nurse who is seeking consent for a perinatal autopsy.
围产期尸检这一主题在文献中并不常见。尽管有当前的技术和诊断程序，但围产期损失，尤其是死产，常常原因不明。父母可能会自动拒绝尸检，尽管尸检可能会提供有关当前妊娠及后续妊娠的宝贵信息，且其结果可能会给亲属带来慰藉。拒绝尸检的其他原因可能是文化或宗教禁忌。此外，医疗服务提供者有时缺乏关于允许进行尸检情况的知识，并且未能就尸检重要且可行的原因进行具有文化敏感性和文化胜任力的讨论。本文的目的是提供有关特定文化和宗教群体的信息，以帮助寻求围产期尸检同意的护士。
