Wessex Fetal Medicine Unit, Princess Anne Hospital, Southampton SO16 5YA, UK.
Best Pract Res Clin Obstet Gynaecol. 2014 Apr;28(3):443-51. doi: 10.1016/j.bpobgyn.2013.10.005. Epub 2013 Dec 12.
Prenatal ultrasound has opened new opportunities to examine, diagnose and treat the fetus, but these advances bring with them ethical dilemmas. In this chapter, I address the ethical principles that need to be considered when treating both mother and fetus as patients, and how these can be applied in practice. In particular, ultrasound practitioners have an ethical duty to maintain their theoretical knowledge and practical skills to ensure they advise parents correctly. I also discuss the ethical issues in carrying out intrauterine therapy, ultrasound-related research, and termination of pregnancy for fetal abnormality.
产前超声为检查、诊断和治疗胎儿开辟了新的机会，但这些进步也带来了伦理困境。在本章中，我将探讨在将母亲和胎儿均视为患者时需要考虑的伦理原则，以及如何将这些原则应用于实践。具体而言，超声医师有责任保持其理论知识和实践技能，以确保为父母提供正确的建议。我还讨论了在进行宫内治疗、与超声相关的研究以及因胎儿异常而终止妊娠时的伦理问题。
