Obstet Gynecol. 2018 Nov;132(5):e221-e227. doi: 10.1097/AOG.0000000000002929.
Global surgical care programs present obstetrician-gynecologists with important opportunities to address disparities in women's health and health care worldwide. However, these programs also present a unique set of practical and ethical challenges. Obstetrician-gynecologists are encouraged to participate in surgical care efforts abroad while taking the necessary steps to ensure that their patients can make informed decisions and receive benefit from and are not harmed by their surgical care. In this document, the Committee on Ethics highlights some of the ethical issues that may arise when providing surgical care in low-resource settings to help guide obstetrician-gynecologists in providing the best care possible. This document has been updated to broaden its focus beyond the example of obstetric fistulae, to address issues pertinent to medical trainees, and to include new information to guide physicians' return home from participation in global surgical care programs. Although clinical research has an important role in the surgical care of patients in global settings, a complete discussion of the conduct of ethical research in global settings is beyond the scope of this document.
全球外科护理项目为妇产科医生提供了重要机会，可以解决全球范围内妇女健康和医疗保健方面的差异。然而，这些项目也带来了一系列独特的实际和伦理挑战。鼓励妇产科医生参与国外的外科护理工作，同时采取必要措施确保患者能够做出明智的决策，并从外科护理中受益，而不会受到伤害。在本文件中，伦理委员会强调了在资源匮乏地区提供外科护理时可能出现的一些伦理问题，以帮助指导妇产科医生提供尽可能好的护理。本文件已更新，将重点扩大到产科瘘管以外的例子，以解决与医学实习生相关的问题，并纳入新的信息，以指导医生从参与全球外科护理项目回国。尽管临床研究在外科护理全球患者中具有重要作用，但本文件的范围不包括全面讨论全球环境中伦理研究的开展。
