Chervenak F A, McCullough L B
New York Hospital, Cornell Medical Center, New York 10021, USA.
Clin Obstet Gynecol. 1996 Jun;39(2):411-9. doi: 10.1097/00003081-199606000-00013.
The clinical management of the HIV-infected pregnant woman and newborns involves multifaceted ethical challenges. We have argued that rights-based approaches, based on a civil rights model, are not adequate to clinically address these challenges. We have argued instead for a more nuanced ethical framework that emphasizes the beneficence-based obligations of the physician of the pregnant woman, to the fetal patient, and to the newborn, as well as the beneficence-based obligations of the pregnant woman to the fetal patient and to the newborn. The ethical principle of respect for autonomy shapes the counseling process about termination of pregnancy, contraception, and advance directives.
对感染艾滋病毒的孕妇和新生儿的临床管理涉及多方面的伦理挑战。我们认为，基于民权模式的权利本位方法不足以在临床上应对这些挑战。相反，我们主张建立一个更细致入微的伦理框架，该框架强调孕妇的医生对胎儿患者和新生儿基于行善的义务，以及孕妇对胎儿患者和新生儿基于行善的义务。尊重自主权的伦理原则塑造了关于终止妊娠、避孕和预先指示的咨询过程。
