Malek Janet
Center for Medical Ethics and Health Policy, Baylor College of Medicine, One Baylor Plaza, Suite 310D, MS 420, Houston, TX 77030, USA.
Best Pract Res Clin Obstet Gynaecol. 2017 Aug;43:10-20. doi: 10.1016/j.bpobgyn.2017.02.002. Epub 2017 Feb 10.
Decision-making during pregnancy can be ethically complex. This paper offers a framework for maternal decision-making and clinical counseling that can be used to approach such decisions in a systematic way. Three fundamental questions are addressed: (1) Who should make decisions? (2) How should decisions be made? and (3) What is the role of the clinician? The proposed framework emphasizes the decisional authority of the pregnant woman. It draws ethical support from the concept of a good parent and the requirements of parental obligations. It also describes appropriate counseling methods for clinicians in light of those parental obligations. Finally, the paper addresses how cultural differences may shape the framework's guidance of maternal decision-making during pregnancy.
孕期决策在伦理上可能很复杂。本文提供了一个孕产妇决策和临床咨询的框架，可用于系统地处理此类决策。文中探讨了三个基本问题：（1）谁应该做出决策？（2）应该如何做出决策？以及（3）临床医生的角色是什么？所提出的框架强调了孕妇的决策权威。它从好父母的概念和父母义务的要求中获得伦理支持。它还根据这些父母义务描述了临床医生合适的咨询方法。最后，本文探讨了文化差异如何可能影响该框架对孕期孕产妇决策的指导。
