FIGO Working Group for the Prevention of Unsafe Abortion, London, UK; Center for Research on Human Reproduction of Campinas, Campinas, Brazil.
Center for Research on Human Reproduction of Campinas, Campinas, Brazil.
Int J Gynaecol Obstet. 2013 Dec;123 Suppl 3:S57-9. doi: 10.1016/S0020-7292(13)60003-X.
Conscientious objection is a legitimate right of physicians to reject the practice of actions that violate their ethical or moral principles. The application of that principle is being used in many countries as a justification to deny safe abortion care to women who have the legal right to have access to safe termination of pregnancy. The problem is that, often, this concept is abused by physicians who camouflage under the guise of conscientious objection their fear of experiencing discrimination and social stigma if they perform legal abortions. These colleagues seem to ignore the ethical principle that the primary conscientious duty of OB/GYNs is-at all times-to treat, or provide benefit and prevent harm to, the patients for whose care they are responsible. Any conscientious objection to treating a patient is secondary to this primary duty. One of the jobs of the FIGO Working Group for the Prevention of Unsafe Abortion is to change this paradigm and make our colleagues proud of providing legal abortion services that protect women's life and health, and concerned about disrespecting the human rights of women and professional ethical principles.
出于良心拒绝对医生来说是一项合法权利，即拒绝从事违反其伦理或道德原则的行为。许多国家都在应用这一原则，以此作为拒绝向合法堕胎的妇女提供安全堕胎护理的理由。问题在于，这一概念常常被医生滥用，他们以出于良心拒绝对幌子，掩饰自己如果实施合法堕胎，就会担心遭受歧视和社会耻辱的恐惧。这些同事似乎忽略了这样一个伦理原则，即妇产科医生的首要良心责任是——始终——治疗、提供利益和防止对其负责的患者受到伤害。任何对治疗患者的出于良心的反对都次于这首要责任。FIGO 防止不安全堕胎工作组的工作之一是改变这种模式，让我们的同事为提供保护妇女生命和健康的合法堕胎服务感到自豪，同时关注不尊重妇女人权和专业伦理原则的问题。
