Khong T Y
Department of Pathology, Women's and Children's Hospital, North Adelaide, Australia.
J Med Ethics. 1996 Apr;22(2):111-4. doi: 10.1136/jme.22.2.111.
The perinatal necropsy is an important investigation following fetal or neonatal loss. Legal requirements on registration decree that consent is needed before necropsy can proceed in some of these babies. However, there are ill-defined grey areas which are open to legal and ethical difficulties. This paper discusses the problems that can arise with consent for a necropsy in the perinatal period. Some of these problems are clearly legal or ethical but all can cause distress to parents at a time of grief and bereavement. The issues may not be readily resolved but public debate and ad hominem decisions on each perinatal loss may help to alleviate the problems.
围产期尸检是胎儿或新生儿死亡后的一项重要调查。登记方面的法律要求规定，对于其中一些婴儿，尸检前需要获得同意。然而，存在一些定义不明确的灰色地带，容易引发法律和伦理难题。本文讨论了围产期尸检同意可能出现的问题。其中一些问题显然是法律或伦理方面的，但所有这些问题都可能在父母悲痛和丧亲之时给他们带来痛苦。这些问题可能不容易解决，但公开辩论以及针对每例围产期死亡的具体决策或许有助于缓解这些问题。
