Benciolini P, Aprile A, Frignani C
Istituto di Medicina Legale, Università degli Studi, Padova, Italia.
Pediatr Med Chir. 1994 Jul-Aug;16(4):335-7.
The authors underline the relevance of the medical-legal participation and contribution in dealing with the problems of neonatology, and delineate their area of communication in this matter. They first remind the principles (legal, but also ethical) that need to be referred to: the concept of health, the attention of a real interest for the children, and the engagement to protect the life of the newborn, even though premature. Secondly, they discuss some specific questions, as 1) adequate information and communication; 2) informed consent; 3) care and withdraw treatment; 4) communication between different operators, and finally; 5) Ethical Committees as appropriate consultation reference, especially for more complex cases.
作者强调了医疗法律参与及贡献在处理新生儿学问题中的相关性,并划定了在此问题上的沟通领域。他们首先提醒了需要遵循的原则(包括法律和伦理原则):健康的概念、对儿童真正利益的关注以及保护新生儿生命的承诺,即使是早产儿。其次,他们讨论了一些具体问题,如1)充分的信息与沟通;2)知情同意;3)护理与停止治疗;4)不同医护人员之间的沟通,最后;5)伦理委员会作为适当的咨询参考,特别是对于更复杂的病例。