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[法国目前治疗性堕胎实践中的伦理问题。第3部分:解决胎儿医学中的道德困境]

[Ethical problems with the current French practice in therapeutic abortions. Part 3: resolving moral dilemmas in fetal medicine].

作者信息

Gold F, Hervé C, Taurelle R, Bauberot J, Pierre F, Descamps P, Laugier J

机构信息

Centre de Diagnostic Prénatal et de Médecine Foetale, Hôpital Bretonneau, Tours.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1995;24(7):727-32.

PMID:8568181
Abstract

OBJECTIVE

Based on the information acquired in the first two parts of this study and the data in the literature, to propose ethic codifications for solving moral dilemmas concerning fetal medicine.

METHODS

Identification of situations where the object of the conflict is ethics: general methodology propositions for making individual decisions.

RESULTS

In all cases a rigorous method is required, based on three main elements: a complete and well documented medical file; the opinion of the couple after appropriate participative communication; case by case collegial discussion.

CONCLUSION

The methodology proposed underscores the roles played by health carers: obtain a medical file as complete as possible with prime emphasis on the infant; establish active communication with the parents giving greater value to their free examination of the situation; collegial discussion in order to be pertinent social partners.

摘要

目的

基于本研究前两部分获取的信息及文献数据,提出解决胎儿医学道德困境的伦理规范。

方法

识别冲突对象为伦理的情况:做出个人决策的一般方法建议。

结果

在所有情况下都需要一种严谨的方法,该方法基于三个主要要素:一份完整且记录详实的医疗档案;经过适当的参与式沟通后夫妻双方的意见;逐案进行的合议讨论。

结论

所提出的方法强调了医护人员所扮演的角色:获取尽可能完整的医疗档案,首要重点是婴儿;与父母建立积极沟通,高度重视他们对情况的自由审视;进行合议讨论以便成为相关的社会伙伴。

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[Ethical problems with the current French practice in therapeutic abortions. Part 3: resolving moral dilemmas in fetal medicine].[法国目前治疗性堕胎实践中的伦理问题。第3部分:解决胎儿医学中的道德困境]
J Gynecol Obstet Biol Reprod (Paris). 1995;24(7):727-32.
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[Ethical problems raised by the current French practice of therapeutic abortions. Part I: prospective study for 24 months at the University Hospital of Tours (76 cases)].[当前法国治疗性堕胎实践引发的伦理问题。第一部分:图尔大学医院为期24个月的前瞻性研究(76例)]
J Gynecol Obstet Biol Reprod (Paris). 1995;24(6):586-94.
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Parental role in medical decision-making: fact or fiction? A comparative study of ethical dilemmas in French and American neonatal intensive care units.父母在医疗决策中的角色:事实还是虚构?法国和美国新生儿重症监护病房伦理困境的比较研究。
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