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选择性堕胎:一种新的道德秩序?医学界的共识与争论

Selective abortion: a new moral order? Consensus and debate in the medical community.

作者信息

Bouchard L, Renaud M, Kremp O, Dallaire L

机构信息

GRASP--Université de Montréal, Québec, Canada.

出版信息

Int J Health Serv. 1995;25(1):65-84. doi: 10.2190/TGDE-KMAP-6JYG-0T8N.

DOI:10.2190/TGDE-KMAP-6JYG-0T8N
PMID:7729967
Abstract

The authors discuss the results of a survey of the attitudes of Canadian and French (Picardie, Nord-Pas de Calais) physicians toward selective abortion of fetal anomalies detected by ultrasound, amniocentesis, or chorionic villus sampling. The study documents the threshold of acceptability of abortion of fetuses with selected anomalies, as well as the physicians' own perceptions of their role in the decision to abort. While there was no consensus among all Canadian physicians regarding the acceptability of abortion, more than 55 percent from France and Quebec would accept selective abortion of a fetus affected with trisomy 21, Duchenne muscular dystrophy, cystic fibrosis, Huntington's chorea, or spina bifida. In the province of Quebec, Anglophone physicians showed a greater acceptance of abortion than did their French-speaking colleagues. In reference to the physician's role in the decision to abort, French physicians are more directive than North American physicians. Cultural predispositions may explain these differences in attitudes.

摘要

作者探讨了一项针对加拿大和法国(皮卡第大区、北部加莱海峡大区)医生对通过超声、羊水穿刺或绒毛取样检测出的胎儿异常进行选择性堕胎态度的调查结果。该研究记录了患有特定异常胎儿堕胎的可接受阈值,以及医生对自己在堕胎决定中所起作用的看法。虽然所有加拿大医生对于堕胎的可接受性没有达成共识,但来自法国和魁北克的超过55%的医生会接受对患有21三体综合征、杜氏肌营养不良症、囊性纤维化、亨廷顿舞蹈病或脊柱裂的胎儿进行选择性堕胎。在魁北克省,说英语的医生比说法语的同事对堕胎的接受度更高。关于医生在堕胎决定中所起的作用,法国医生比北美医生更具指导性。文化倾向可能解释了这些态度上的差异。

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Selective abortion: a new moral order? Consensus and debate in the medical community.选择性堕胎:一种新的道德秩序?医学界的共识与争论
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Is selective abortion for a genetic disease an issue for the medical profession? A comparative study of Quebec and France.针对遗传疾病的选择性堕胎是医学专业领域的一个问题吗?魁北克与法国的比较研究。
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Attitudes on the ethics of abortion, sex selection, and selective pregnancy termination among health care professionals, ethicists, and clergy likely to encounter such situations.医疗保健专业人员、伦理学家和神职人员对堕胎、性别选择和选择性终止妊娠伦理问题的态度,这些人可能会遇到此类情况。
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