意大利的非处方紧急避孕药：伦理思考与医学法律问题。
Over-the-counter emergency contraception in Italy: ethical reflections and medico-legal issues.
作者信息
Scendoni Roberto, Cingolani Mariano, Cembriani Fabio, Fedeli Piergiorgio, Tambone Vittoradolfo, Terranova Corrado, De Micco Francesco
机构信息
Department of Law, Institute of Legal Medicine, University of Macerata, Macerata, Italy.
Operative Unit of Legal Medicine, Provincial Authority for Health Services of Trento, Trento, Italy.
出版信息
Front Glob Womens Health. 2023 Sep 18;4:1205208. doi: 10.3389/fgwh.2023.1205208. eCollection 2023.
Although more than ten years have passed since the marketing of Ulipristal acetate in Europe, emergency contraception remains a complex issue with many scientific, legal, ethical and social implications. The topic is an example of the differences that can exist between scientific evidence, the certainties on which law is based, and social implications. This paper shows the incompleteness of the scientific reconstruction on the effects of emergency hormonal contraceptives and the dangerousness of the decision to alienate the supply of over-the-counter drugs from the general rules of health care. This report shows the incompleteness of the scientific reconstruction on the effects of emergency hormonal contraceptives and the dangerousness of the decision to alienate the supply of over-the-counter drugs from the general rules of health care. Various ethical and medico-legal issues will be addressed, also focusing attention on underage women whose sexual and reproductive health requires not abandoning them, but actually taking charge of them without medicalizing their choices.
尽管醋酸乌利司他在欧洲上市已有十多年，但紧急避孕仍然是一个复杂的问题，具有许多科学、法律、伦理和社会影响。该主题体现了科学证据、法律所基于的确定性以及社会影响之间可能存在的差异。本文揭示了关于紧急激素避孕药效果的科学重构并不完整，以及将非处方药供应从医疗保健一般规则中分离出来这一决定的危险性。本报告显示了关于紧急激素避孕药效果的科学重构并不完整，以及将非处方药供应从医疗保健一般规则中分离出来这一决定的危险性。还将探讨各种伦理和医学法律问题，同时关注未成年女性，她们的性健康和生殖健康需要的不是抛弃她们，而是切实负责她们的情况，且不将她们的选择医学化。
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