School of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA.
Department of Obstetrics and Gynecology, Division of Gyncologic Oncology, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
J Med Ethics. 2021 Feb;47(2):69-72. doi: 10.1136/medethics-2020-106646. Epub 2020 Oct 12.
Healthcare policies developed during the COVID-19 pandemic to safeguard community health have the potential to disadvantage women in three areas. First, protocols for deferral of elective surgery may assign a lower priority to important reproductive outcomes. Second, policies regarding the prevention and treatment of COVID-19 may not capture the complexity of the considerations related to pregnancy. Third, policies formulated to reduce infectious exposure inadvertently may increase disparities in maternal health outcomes and rates of violence towards women. In this commentary, we outline these challenges unique to women's healthcare in a pandemic, provide preliminary recommendations and identify areas for further exploration and refinement of policy.
在 COVID-19 大流行期间制定的保障社区健康的医疗政策可能会在三个方面使妇女处于不利地位。首先，推迟选择性手术的方案可能会降低重要生殖结果的优先级。其次，关于预防和治疗 COVID-19 的政策可能无法捕捉与怀孕相关的复杂性考虑因素。第三，为减少感染暴露而制定的政策可能会无意中增加母婴健康结果和妇女遭受暴力的差异。在本评论中，我们概述了大流行期间妇女医疗保健面临的这些独特挑战，提出了初步建议，并确定了进一步探讨和完善政策的领域。
