哺乳和哺乳干预的伦理问题:一个范围审查
Supriya Subramani1, Rasita Vinay2, Julian W März2
1Sydney Health Ethics, School of Public Health, Faculty of Medicine and Health, University of Medicine, Camperdown, NSW, Australia.
概括
在婴儿养干预中,伦理问题至关重要. 本次审查强调了母亲的自主权,知情选择和社会背景,强调需要将妇女的经验纳入有效的公共卫生战略.
科学领域:
- 公共卫生 公共卫生
- 生物伦理学生物伦理学
- 孕产妇和儿童的健康
背景情况:
- 支持母乳养的婴儿养干预措施是重要的公共卫生倡议.
- 这些干预往往涉及弱势群体和私人环境,需要仔细的伦理考虑.
- 伦理意识对于成功实施母乳养支持计划至关重要.
研究的目的:
- 对围绕母乳养和哺乳期干预措施的伦理话语进行范围审查.
- 识别和综合学术文献中讨论的关键伦理问题.
- 为了捕捉当前婴儿养支持的伦理考虑的现状.
主要方法:
- 使用了一个范围审查方法 (Arksey和O'Malley,2005).
- 在PubMed,ScienceDirect,JSTOR和Cochrane系统评论 (1990-2022) 数据库中进行文献搜索.
- 选了3715个摘要,最终得到了26个出版物的最终样本.
主要成果:
- 确定的主要伦理问题包括规范性母亲假设,母亲自主权和知情选择.
- 信息披露,风险效益平衡,咨询实践,耻辱,社会背景和健康沟通伦理是重复出现的主题.
- 此外,还检查了母乳养干预措施中财政激励的伦理可接受性.
结论:
- 哺乳干预一直专注于母亲的经验,选择和婴儿营养的公共卫生目标.
- 有效和道德的实施需要考虑社会,经济和文化背景.
- 需要超越个人与人口健康二分法,更充分地纳入女性的经验.
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