Department of Anesthesiology and Pain Medicine, University of Washington, 1959 Northeast Pacific Street, Box 356540, Seattle WA 98195, USA.
Department of Anesthesiology and Pain Medicine, University of Washington, University of Washington Medical Center, 1959 Northeast Pacific Street, Box 356540, Seattle WA 98195, USA.
Anesthesiol Clin. 2024 Sep;42(3):503-514. doi: 10.1016/j.anclin.2023.12.008. Epub 2024 Feb 28.
The 4 basic principles of ethics (beneficence, nonmaleficence, autonomy, and justice) can guide clinical decision-making for the pregnant patient during labor and delivery, as well as when undergoing nonobstetric surgery. An evidence-based decision-making conversation with the patient facilitates obtaining informed consent. When maternal-fetal conflict arises, both during labor and delivery and nonobstetric surgery, beneficence-based obligations to both parties should be considered, with discussions and decisions well documented. Labor is not an impediment to women providing consent for care. A careful balance between evidence-based clinical judgment and patient autonomy is necessary when addressing cesarean delivery.
伦理的 4 项基本原则（有益、无害、自主和公正）可以指导孕妇在分娩和接受非产科手术时的临床决策。与患者进行基于证据的决策对话有助于获得知情同意。当母婴发生冲突时，无论是在分娩和分娩期间还是在非产科手术期间，都应考虑到双方基于有益的义务，并对讨论和决策进行详细记录。分娩并不会妨碍妇女为护理提供同意。在处理剖宫产时，需要在基于证据的临床判断和患者自主之间取得谨慎的平衡。
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