I Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, 01-004 Warsaw, Poland.
Department of Educational Sciences, University of Catania, 951234 Catania, Italy.
Int J Environ Res Public Health. 2020 May 31;17(11):3895. doi: 10.3390/ijerph17113895.
This paper aims to explore the attitudes and opinions of a group of Polish young gynecologists toward pregnancy termination.
An anonymous questionnaire was completed by physicians who participated in obligatory trainee courses held in 2019 in Warsaw.
The study group included 71 physicians with an average age of 29 years (SD 3.05). A considerable number of the physicians accepted terminations for medical reasons up to the end of pregnancy, especially in cases of lethal defects (46%) and a serious disease in the mother (34%). Only 6% of the group of gynecologists not performing terminations claimed that the procedure was contrary to their conscience, and 62% of them stated that such procedures were not performed at their hospital. Terminations would be performed by 90% of the respondents in cases of lethal defects of the fetus and by 80% if severe irreversible fetal defects were diagnosed.
The main problem associated with the inaccessibility of pregnancy termination in Poland is not linked to individuals, meaning medical personnel and the possibility of invoking the conscience clause, but probably to the lack of approval for terminations granted by hospital supervisors. Adequate knowledge on pregnancy termination procedures, fetal defects, and diseases in the mother translated into the changes of opinions on pregnancy terminations.
本文旨在探讨一组波兰年轻妇科医生对终止妊娠的态度和看法。
在 2019 年于华沙举行的强制性实习课程中，参与的医生完成了一份匿名问卷。
研究小组包括 71 名平均年龄为 29 岁（SD3.05）的医生。相当一部分医生出于医疗原因接受妊娠终止，尤其是在致命缺陷（46%）和母亲严重疾病（34%）的情况下。只有 6%的不进行终止妊娠的妇科医生声称该程序违反了他们的良心，而 62%的医生表示他们所在的医院没有进行该程序。如果胎儿存在致命缺陷，90%的受访者会进行终止妊娠，如果诊断出严重的不可逆转的胎儿缺陷，则 80%的受访者会进行终止妊娠。
波兰无法进行终止妊娠的主要问题不是与个人有关，即医务人员和援引良心条款的可能性，而是可能与医院主管部门不批准终止妊娠有关。对终止妊娠程序、胎儿缺陷和母亲疾病的充分了解转化为对终止妊娠的意见变化。
