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妇女对怀孕同意过程的经验仍然是早期流产后的处置
1Department of Anthropology, University College London, London, UK s.kilshaw@ucl.ac.uk.
BMJ sexual & reproductive health
|January 5, 2024
概括
经历流产的妇女经常发现,管理怀孕的同意过程仍然令人痛苦. 当前的做法可能与他们的观点不一致,强调需要更多以个人为中心的方法来处理怀孕残骸.
科学领域:
- 生殖健康 生殖健康
- 卫生社会学 卫生社会学
- 医学伦理 医学伦理
背景情况:
- 英国的临床实践涉及对管理怀孕遗产的记录同意.
- 妇女被提供各种处置选择,包括火葬,埋葬或释放给葬礼主任.
研究的目的:
- 探索女性对怀孕同意过程的理解,态度和经验.
- 为了评估当前临床实践与女性对怀孕的看法之间的一致性,仍然需要管理.
主要方法:
- 在一个国家卫生服务 (NHS) 信托中进行了20个月的民族学实地研究.
- 对妊娠残骸处置 (n=28) 的同意过程的观察.
- 采访了27名女性,其中19名女性有同意程序的经验.
主要成果:
- 大多数参与者在讨论之前没有考虑处理方法.
- 妇女表达了惊,并发现该过程不合适,特别是在怀孕早期 (<12周).
- 同意过程对一些女性造成了痛苦,原因是怀孕残留的错误框架.
结论:
- 当前对怀孕遗体处置的做法可能与经历流产的妇女的观点相冲突.
- 建议以人为中心的方法来尊重女性的经验和对她们的身体和怀孕残留的选择权.
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