Uniwersytet Medyczny w Łodzi, I Katedra Psychiatrii, Klinika Zaburzeń Afektywnych i Psychotycznych.
Katedra Prawa Karnego Uniwersytetu Łódzkiego.
Psychiatr Pol. 2024 Aug 31;58(4):693-706. doi: 10.12740/PP/186637.
The article presents the provisions currently in force in Polish legislation regarding legal termination of pregnancy. In particular, it refers to the premise of a psychiatrist's decision that the health of a pregnant woman is at risk. Under Polish law, termination of pregnancy is generally prohibited and penalized. However, there are two exceptions to this prohibition. Such a procedure is permitted if: the pregnancy poses a threat to the life or health of the pregnant woman, or if there is a reasonable suspicion that the pregnancy was the result of a prohibited act. The text presents an overview of the relevant regulations and tips on their interpretation and application in everyday medical practice. This issue is particularly important for psychiatrists consulting maternity wards. In addition, the most important mental disorders related to pregnancy and childbirth are described. The clinical features and prevalence of perinatal mood disorders and psychoses are presented. The issue of suicide among pregnant and postpartum patients was also discussed. A sample certificate template was proposed, and guidelines were discussed as to what information and conclusions should be included in the opinion of a psychiatrist.
本文介绍了波兰立法中目前有效的关于合法终止妊娠的规定。特别是，它提到了精神科医生决定孕妇健康处于危险之中的前提。根据波兰法律，一般禁止并处罚终止妊娠。然而，有两个例外禁止这种程序是允许的，如果：怀孕对孕妇的生命或健康构成威胁，或者有合理的怀疑怀孕是禁止行为的结果。本文介绍了相关法规的概述，并就其在日常医疗实践中的解释和应用提供了一些提示。对于咨询产科病房的精神科医生来说，这个问题尤其重要。此外，还描述了与怀孕和分娩相关的最重要的精神障碍。介绍了围产期情绪障碍和精神病的临床特征和患病率。还讨论了孕妇和产后患者自杀的问题。提出了一个样本证书模板，并讨论了精神科医生的意见应包含哪些信息和结论。
