Chervenak Frank A, McCullough Laurence B
Department of Obstetrics and Gynecology, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, NY, 10075, USA.
Department of Obstetrics and Gynecology, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, New York, USA.
Semin Perinatol. 2022 Apr;46(3):151520. doi: 10.1016/j.semperi.2021.151520. Epub 2021 Nov 9.
We describe the essential elements of professional ethics in perinatology and explain how professional ethics in perinatology should guide decision making with pregnant patients and with parents.
Professional ethics in perinatology draws on two ethical principles, beneficence and respect for patient autonomy, the ethical concept of the fetus as a patient, and the best interests of the child standard and the concept of parental permission. Counseling about intrapartum management should be based on the ethical concept of the fetus as a patient and on the role of the pregnant patient as the ultimate decision maker. Counseling about setting ethically justified limits on perinatal clinical management should be based on four specified concepts of futility, but not on quality-of-life futility. Counseling about innovation and research should emphasize that investigation clinical management is an experiment.
Professional ethics in perinatology is an essential component of perinatal practice, innovation, and research.
我们描述围产医学中职业道德的基本要素，并解释围产医学中的职业道德应如何指导针对孕妇及父母的决策制定。
围产医学中的职业道德借鉴了两条伦理原则，即行善原则和尊重患者自主权，胎儿作为患者的伦理概念，儿童最大利益标准以及父母许可的概念。关于产时管理的咨询应基于胎儿作为患者的伦理概念以及孕妇作为最终决策者的角色。关于在围产期临床管理中设定符合伦理的合理界限的咨询应基于四个特定的无效概念，而非基于生活质量无效概念。关于创新与研究的咨询应强调临床管理研究是一种实验。
围产医学中的职业道德是围产期实践、创新及研究的重要组成部分。
