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迈向新生儿重症监护的核心领域

Towards the Womb of Neonatal Intensive Care.

作者信息

van Manen Michael A

机构信息

John Dossetor Health Ethics Centre, University of Alberta, 5-16 University Terrace, 8303 - 112 Street, Edmonton, AB, T6G 2T4, Canada.

出版信息

J Med Humanit. 2019 Jun;40(2):225-237. doi: 10.1007/s10912-017-9494-9.

DOI:10.1007/s10912-017-9494-9
PMID:29130125
Abstract

Within the mother's womb, life finds its first stirrings. The womb shelters the fetus, the growing child within. We recognize the existential traces of a wombed existence when a newborn calms in response to being held; when a newborn stills in response to his or her mother's heartbeat; and, when a newborn startles in the presence of bright light. Yet, how does experiential human life begin within another human being? What are the conditions and paths of becoming for the fetus within the womb? And for the child born early, what "womb" welcomes the premature child in neonatal intensive care?

摘要

在母亲的子宫里,生命开始有了最初的胎动。子宫庇护着胎儿,即子宫内正在成长的婴儿。当新生儿因被抱持而安静下来时;当新生儿因听到母亲的心跳而安静下来时;以及当新生儿在强光下受到惊吓时,我们便能识别出子宫内生存的存在痕迹。然而,人类的体验式生命是如何在另一个人体内开始的呢?子宫内胎儿的成长条件和路径是什么?对于早产的婴儿来说,新生儿重症监护室里有什么“子宫”迎接这个早产儿呢?

相似文献

1
Towards the Womb of Neonatal Intensive Care.迈向新生儿重症监护的核心领域
J Med Humanit. 2019 Jun;40(2):225-237. doi: 10.1007/s10912-017-9494-9.
2
A description of externally recorded womb sounds in human subjects during gestation.对人类妊娠期间子宫外记录到的声音进行描述。
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3
Artificial womb technology and the frontiers of human reproduction: conceptual differences and potential implications.人工子宫技术与人类生殖的前沿:概念差异与潜在影响。
J Med Ethics. 2018 Nov;44(11):751-755. doi: 10.1136/medethics-2018-104910. Epub 2018 Aug 10.
4
Neonatal incubator or artificial womb? Distinguishing ectogestation and ectogenesis using the metaphysics of pregnancy.新生儿孵化器还是人造子宫?运用怀孕的形而上学来区分外孕和外生。
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The role of the artificial uterus in embryo adoption and neonatal intensive care.人工子宫在胚胎收养和新生儿重症监护中的作用。
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Artificial placenta and womb technology: Past, current, and future challenges towards clinical translation.人工胎盘和子宫技术:向临床转化的过去、现在和未来挑战。
Prenat Diagn. 2021 Jan;41(1):145-158. doi: 10.1002/pd.5821. Epub 2020 Sep 19.
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Ethics Considerations Regarding Artificial Womb Technology for the Fetonate.关于为胎儿提供人工子宫技术的伦理考虑。
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The path toward ectogenesis: looking beyond the technical challenges.走向体外生殖:超越技术挑战。
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Could We Be Marsupials? Very Premature Babies and Artificial Wombs.我们能像有袋动物一样吗?极早产儿和人工子宫。
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本文引用的文献

1
Mounting evidence favoring single-family room neonatal intensive care.越来越多的证据支持单人房间新生儿重症监护。
J Neonatal Perinatal Med. 2015;8(3):177-8. doi: 10.3233/NPM-15915035.
2
Fetal Behavioural Responses to Maternal Voice and Touch.胎儿对母亲声音和触摸的行为反应。
PLoS One. 2015 Jun 8;10(6):e0129118. doi: 10.1371/journal.pone.0129118. eCollection 2015.
3
Barriers and enablers of kangaroo mother care practice: a systematic review.袋鼠式护理实践的障碍与促进因素:一项系统综述
PLoS One. 2015 May 20;10(5):e0125643. doi: 10.1371/journal.pone.0125643. eCollection 2015.
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Sensory development.感觉发育
Pediatr Clin North Am. 2015 Apr;62(2):367-84. doi: 10.1016/j.pcl.2014.11.003. Epub 2015 Jan 21.
5
Prenatal maternal stress predicts stress reactivity at 2½ years of age: the Iowa Flood Study.产前母亲压力可预测2.5岁时的应激反应性:爱荷华洪水研究。
Psychoneuroendocrinology. 2015 Jun;56:62-78. doi: 10.1016/j.psyneuen.2015.02.015. Epub 2015 Mar 2.
6
Unexpected behavioural consequences of preterm newborns' clothing.早产儿服装意外的行为后果。
Sci Rep. 2015 Mar 17;5:9177. doi: 10.1038/srep09177.
7
Impact of hospital-based environmental exposures on neurodevelopmental outcomes of preterm infants.基于医院的环境暴露对早产儿神经发育结局的影响。
Curr Opin Pediatr. 2015 Apr;27(2):254-60. doi: 10.1097/MOP.0000000000000190.
8
The ethics of an ordinary medical technology.一项普通医疗技术的伦理问题。
Qual Health Res. 2015 Jul;25(7):996-1004. doi: 10.1177/1049732314554101. Epub 2014 Oct 8.
9
First-time events between parents and preterm infants are affected by the designs and routines of neonatal intensive care units.父母与早产儿之间的首次接触会受到新生儿重症监护病房的设计和常规安排的影响。
Acta Paediatr. 2014 Oct;103(10):1045-52. doi: 10.1111/apa.12719. Epub 2014 Aug 2.
10
Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis.产前心理社会压力对儿童结局影响的作用机制:超越 HPA 轴。
Eur Child Adolesc Psychiatry. 2014 Oct;23(10):943-56. doi: 10.1007/s00787-014-0566-3. Epub 2014 May 30.