Janiak Elizabeth, Goldberg Alisa B
Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA.
Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA; Planned Parenthood League of Massachusetts, Boston, MA 02215, USA.
Contraception. 2016 Feb;93(2):89-92. doi: 10.1016/j.contraception.2015.10.008. Epub 2015 Oct 19.
The phrase "elective abortion" is often used to describe induced abortions performed for reasons other than a direct, immediate threat to maternal physical health. We argue that the term "elective abortion" is variably defined, misrepresents the complexity and multiplicity of indications for abortion and perpetuates stigma. In practice, restricting access to abortion at the legal, regulatory or institutional level based on subjective perceptions of patient need constrains health care providers' ability to act according to their best clinical judgments and limits patient access to care. The phrase "elective abortion" should be eliminated from scientific and medical discourse to prevent further damage to the public understanding of the variety of indications for which women require expeditious and equitable access to induced abortion.
“选择性堕胎”一词常被用于描述因非直接、即刻危及孕产妇身体健康的原因而实施的人工流产。我们认为，“选择性堕胎”这一术语定义不一，歪曲了堕胎指征的复杂性和多样性，并延续了污名化。在实际操作中，基于对患者需求的主观认知，在法律、监管或机构层面限制堕胎服务，会限制医疗服务提供者依据最佳临床判断行事的能力，并限制患者获得医疗服务的机会。应从科学和医学论述中剔除“选择性堕胎”这一表述，以防止对公众对女性需要迅速、公平地获得人工流产的各种指征的理解造成进一步损害。
