教医生电子胎儿监护的伦理学：现在讲讲后续情况。
The Ethics of Teaching Physicians Electronic Fetal Monitoring: And Now for the Rest of the Story.
作者信息
Sartwelle Thomas P, Johnston James C, Arda Berna
机构信息
Deans and Lyons, LLP, Houston, Texas.
Private Practice, San Antonio, Texas.
出版信息
Surg J (N Y). 2017 Mar 20;3(1):e42-e47. doi: 10.1055/s-0037-1599229. eCollection 2017 Jan.
Abstract
Electronic fetal monitoring (EFM) does not predict or prevent cerebral palsy (CP), but this myth remains entrenched in medical training and practice. The continued use of this ineffectual diagnostic modality increases the cesarean section rate with concomitant harms to mothers and babies alike. EFM, as it is used in defensive medical practice, is a violation of patient autonomy and raises serious ethical concerns. This review addresses the need for improved graduate medical education so that physicians and medical residents are taught both sides of the EFM-CP story.
摘要
电子胎儿监护（EFM）并不能预测或预防脑瘫（CP），但这一错误观念在医学培训和实践中依然根深蒂固。持续使用这种无效的诊断方式会提高剖宫产率，同时对母亲和婴儿都造成伤害。在防御性医疗实践中使用EFM，侵犯了患者的自主权，并引发了严重的伦理问题。本综述探讨了改进毕业后医学教育的必要性，以便让医生和住院医师了解EFM与CP关系的正反两方面情况。
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本文引用的文献
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Perpetuating Myths, Fables, and Fairy Tales: A Half Century of Electronic Fetal Monitoring.延续神话、传说和童话故事：电子胎儿监护的半个世纪
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