Thomas Jefferson School of Law, 1155 Island Avenue, San Diego, CA 92101.
Semin Perinatol. 2017 Jun;41(4):252-255. doi: 10.1053/j.semperi.2017.03.012. Epub 2017 May 3.
Some governments, human rights organizations, intersex organizations, and doctors have called for a moratorium on genital and gonadal surgeries for infants born with atypical or ambiguous genitalia. Moratorium supporters believe that the surgeries carry physical and emotional risks, the psychosocial benefits of these procedures have not been proven, and the surgeries violate the patients׳ fundamental human rights if they are performed before these patients can provide informed consent. Given these calls for a moratorium, treatment teams must determine how to treat their patients and how to counsel their patients׳ parents. This article examines the treatment teams׳ ethical and legal responsibilities and provides advice for treatment teams to follow that will protect their patients and their practices.
一些政府、人权组织、两性人组织和医生呼吁暂停对出生时外生殖器或性腺具有非典型或模糊特征的婴儿进行生殖器和性腺手术。暂停手术的支持者认为这些手术存在身体和情感风险,这些手术的心理社会获益尚未得到证实,如果在这些患者能够提供知情同意之前进行手术,则侵犯了患者的基本人权。鉴于这些暂停手术的呼吁,治疗团队必须确定如何治疗他们的患者以及如何为患者的父母提供咨询。本文探讨了治疗团队的伦理和法律责任,并为治疗团队提供了遵循的建议,以保护他们的患者和他们的实践。