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分娩并非医疗紧急情况:产妇在整个分娩过程中的知情同意权。

Childbirth Is Not a Medical Emergency: Maternal Right to Informed Consent throughout Labor and Delivery.

作者信息

Stohl Hindi

出版信息

J Leg Med. 2018 Jul-Dec;38(3-4):329-353. doi: 10.1080/01947648.2018.1482243.

Abstract

Labor and delivery often involves medical interventions for which a pregnant woman must provide consent. The expectant mother consents on her own behalf and on behalf of her unborn child. The medical emergency exception to the doctrine of informed consent permits health care practitioners to provide life-saving treatments in the absence of explicit assent by the patient. Though emergent interventions may be necessary in the context of childbirth, the pregnant woman-except under extremely limited and rare clinical circumstances-retains capacity for decision making throughout her labor and delivery course. The physical pain, emotional stress, or medical interventions commonly associated with childbirth do not remove a laboring woman's legal competence. No treatments or therapies, even if with the best of intentions, can be given to her (or her fetus) without her consent.

摘要

分娩过程通常涉及医疗干预措施,对此孕妇必须给予同意。准妈妈代表自己和未出生的孩子给予同意。知情同意原则的医疗紧急情况例外允许医护人员在患者未明确同意的情况下提供挽救生命的治疗。尽管在分娩情况下紧急干预可能是必要的,但孕妇——除了在极其有限和罕见的临床情况下——在整个分娩过程中都保留决策能力。分娩通常伴随的身体疼痛、情绪压力或医疗干预并不会消除分娩妇女的法律行为能力。未经她同意,不能对她(或她的胎儿)进行任何治疗或疗法,即使是出于最善意的目的。

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