de Luca Daniele, Virdis Andrea, Pietro Maria Luisa di, Costa Simonetta, de Carolis Maria Pia, Romagnoli Costantino, Zecca Enrico
Division of Neonatology, Department of Paediatrics, Catholic University of the Sacred Heart, Rome, Italy.
J Matern Fetal Neonatal Med. 2008 Apr;21(4):219-22. doi: 10.1080/14767050801924811.
Secrecy and anonymity related to heterologous assisted reproduction may hide basic newborn data to neonatologists. Secrecy and anonymity are discussed in view of their possible consequences on relational dynamics and on developmental psychology. Nevertheless, they can also involve the offspring's genetic status regarding inheritable diseases. International guidelines have been recently published on this topic. Because no guidelines are 'ideal' unfortunate and possibly dramatic consequences can occur. We aimed to embark on a debate about this matter starting with a real clinical experience. In our case a rarely fatal but widespread disease, together with the lack of knowledge about parental status led, in a fast succession of clinical events, to the unavoidable insurgence of kernicterus.
与异源辅助生殖相关的保密和匿名可能会向新生儿科医生隐瞒新生儿的基本数据。鉴于保密和匿名对关系动态及发展心理学可能产生的影响，对其进行了讨论。然而，它们也可能涉及后代关于遗传性疾病的基因状况。最近已就这一主题发布了国际指南。由于没有“理想的”指南，可能会出现不幸且可能是严重的后果。我们旨在从一次真实的临床经历入手，就此事展开辩论。在我们的案例中，一种罕见但广泛传播的致命疾病，加上对父母状况缺乏了解，在一系列快速的临床事件中，导致了核黄疸的不可避免发生。
