Faúndes Anibal, Miranda Laura
Center for Research in Reproductive Health - (CEMICAMP), Campinas, São Paulo, Brazil; FIGO Working Group on the Prevention of Unsafe Abortion, Campinas, São Paulo, Brazil; Emeritus Professor of State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Best Pract Res Clin Obstet Gynaecol. 2017 Aug;43:50-57. doi: 10.1016/j.bpobgyn.2016.12.005. Epub 2017 Jan 20.
The provision of abortion care represents a great ethical challenge to physicians, particularly in countries where the law states that abortion is a crime. The concept that it is a crime carries a stigma that is worse than that associated with other acts qualified by law as crimes. This stigma leads to at least two different kinds of unethical behavior. One is the refusal to provide safe abortion services to women who comply with the legal requirements, alleging conscientious objection, and the other is to discriminate against women with complications of induced abortion. Both unethical behaviors may be associated with severe consequences for the health of women whose care was refused or delayed. Less attention is given to the ethical obligation to prevent induced abortion from recurring by offering postabortion contraception to comply with the ethical obligation of preventing harm to the patients for whose care they are responsible.
提供堕胎护理对医生来说是一项巨大的伦理挑战，尤其是在法律规定堕胎属于犯罪行为的国家。将堕胎视为犯罪的观念所带来的污名，比法律认定的其他犯罪行为更为严重。这种污名至少导致两种不道德行为。一种是拒绝为符合法律要求的女性提供安全堕胎服务，声称出于良心拒斥；另一种是歧视有人工流产并发症的女性。这两种不道德行为都可能给那些护理被拒绝或延误的女性的健康带来严重后果。人们较少关注通过提供堕胎后避孕措施来履行防止再次意外怀孕的伦理义务，而这是履行防止伤害其所负责护理的患者这一伦理义务的一部分。
