Pinkerton J V, Finnerty J J
Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville, USA.
Am J Obstet Gynecol. 1996 Aug;175(2):289-95. doi: 10.1016/s0002-9378(96)70137-0.
A serious ethical dilemma occurs when a pregnant woman refuses a medically indicated intervention. Should respect for her autonomy preclude any approach other than to accept her decision? Should the caregivers have recourse to "gentle persuasion"? Is there ever a justification for invoking the power of court-ordered intervention? The societal views on this subject are first developed from an ethical perspective. The pertinent court cases that reflect on this topic are reviewed. The process of developing guidelines within our institution is related. Finally, the guidelines that were eventually developed are offered.
当一名孕妇拒绝医学上建议的干预措施时，就会出现严重的伦理困境。尊重她的自主权是否意味着除了接受她的决定之外不能采取任何其他方法？医护人员是否应该诉诸“温和劝说”？是否有理由援引法院强制干预的权力？社会对这个问题的看法首先从伦理角度展开。回顾了反映该主题的相关法院案例。讲述了我们机构制定指南的过程。最后，给出了最终制定的指南。
