Freedman Lori R, Landy Uta, Steinauer Jody
Department of Obstetrics, Gynecology and Reproductive Sciences, UCSF Bixby Center for Global Reproductive Health, 1330 Broadway Street, Ste 1100, San Francisco, CA 94110, USA.
Am J Public Health. 2008 Oct;98(10):1774-8. doi: 10.2105/AJPH.2007.126730. Epub 2008 Aug 13.
As Catholic-owned hospitals merge with or take over other facilities, they impose restrictions on reproductive health services, including abortion and contraceptive services. Our interviews with US obstetrician-gynecologists working in Catholic-owned hospitals revealed that they are also restricted in managing miscarriages. Catholic-owned hospital ethics committees denied approval of uterine evacuation while fetal heart tones were still present, forcing physicians to delay care or transport miscarrying patients to non-Catholic-owned facilities. Some physicians intentionally violated protocol because they felt patient safety was compromised. Although Catholic doctrine officially deems abortion permissible to preserve the life of the woman, Catholic-owned hospital ethics committees differ in their interpretation of how much health risk constitutes a threat to a woman's life and therefore how much risk must be present before they approve the intervention.
随着天主教医院与其他医疗机构合并或接管其他设施，它们对生殖健康服务施加了限制，包括堕胎和避孕服务。我们对在美国天主教医院工作的妇产科医生的访谈显示，他们在处理流产方面也受到限制。天主教医院的伦理委员会拒绝在胎儿心跳仍存在时批准子宫排空，迫使医生延迟治疗或将流产患者转运至非天主教医院。一些医生故意违反规定，因为他们觉得患者安全受到了威胁。尽管天主教教义官方认为为保护女性生命堕胎是允许的，但天主教医院的伦理委员会在对何种健康风险构成对女性生命的威胁以及因此在批准干预之前必须存在多大风险的解释上存在差异。
