Laslie A E
J Med Philos. 1982 May;7(2):179-95. doi: 10.1093/jmp/7.2.179.
Medical intervention in childbirth raises a number of ethical issues which have received too little attention in American obstetrics. A number of these issues are surveyed in the first section of this essay. In the second section, the hospital and the roles characteristically ascribed to patients, staff, and obstetrical practitioners are shown to provide an unsatisfactory social setting for birth. Several proposals for improving existing arrangements or for providing alternatives are offered. It is argued that procedures for eliciting and maintaining fidelity to patient values for the birth experience are crucial elements in acceptable care.
分娩中的医疗干预引发了一些伦理问题，而这些问题在美国产科学中受到的关注太少。本文第一节对其中一些问题进行了概述。在第二节中，医院以及通常赋予患者、医护人员和产科从业者的角色被证明为分娩提供了一个不尽人意的社会环境。文中提出了一些改进现有安排或提供替代方案的建议。有人认为，在可接受的护理中，引出并维持对患者分娩体验价值观的忠诚的程序是关键要素。
