Calhoun Byron
West Virginia University-Charleston, Charleston, WV, USA.
Linacre Q. 2013 Aug;80(3):264-276. doi: 10.1179/2050854913Y.0000000004. Epub 2013 Aug 1.
It was quoted recently in the literature that "The risk of death associated with childbirth is approximately 14 times higher than with abortion." This statement is unsupported by the literature and there is no credible scientific basis to support it. A reasonable woman would find any discussion about the risk of dying from a procedure as material, i.e., important and significant. In order for the physician-patient informed consent dialogue to address this critical issue, the physician must rely upon objective and accurate information concerning abortion. There are numerous and complicated methodological factors that make a valid scientific assessment of abortion mortality extremely difficult. Among the many factors responsible are incomplete reporting, definitional incompatibilities, voluntary data collection, research bias, reliance upon estimations, political correctness, inaccurate and/or incomplete death certificate completion, incomparability with maternal mortality statistics, and failing to include other causes of death such as suicides. Given the importance of this disclosure about abortion mortality, the lack of credible and reliable scientific evidence supporting this representation requires substantial discussion.
“与分娩相关的死亡风险比堕胎高约14倍。” 这一说法没有文献依据,也没有可靠的科学依据来支持。一个理性的女性会认为任何关于因某种手术而死亡风险的讨论都是重要的,即重要且意义重大的。为了使医患之间的知情同意对话能够解决这一关键问题,医生必须依赖有关堕胎的客观准确信息。有许多复杂的方法学因素使得对堕胎死亡率进行有效的科学评估极其困难。造成这种情况的众多因素包括报告不完整、定义不一致、自愿数据收集、研究偏差、依赖估计、政治正确性、死亡证明填写不准确和/或不完整、与孕产妇死亡率统计数据不可比,以及未包括自杀等其他死因。鉴于关于堕胎死亡率披露的重要性,缺乏支持这一表述的可信可靠科学证据需要进行大量讨论。