妇女和提供者的道德推理关于在出生时强迫的允许性:一个描述性的伦理研究研究
Johanna Eichinger1, Andrea Büchler2, Louisa Arnold3
1Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland. johanna.eichinger@unibas.ch.
Health care analysis : HCA : journal of health philosophy and policy
|January 23, 2024
概括
妇女在分娩期间经常面临未经同意的护理,侵犯了她们的自主权. 这项研究探讨了提供者和患者对强制分娩实践的看法,强调需要更好的教育来保护生殖权利.
科学领域:
- 产科和妇科 产科和妇科
- 医学伦理 医学伦理
- 生殖健康 生殖健康
背景情况:
- 产妇护理经常涉及未经同意的行为和胁迫,破坏了妇女的自主权.
- 这种做法与强调知情同意和尊重患者自主权的法律和道德标准相矛盾.
研究的目的:
- 实证地调查产妇护理提供者和妇女在分娩期间对强制措施的道德审议.
- 了解法律/道德准则与出生经验的现实之间的矛盾.
主要方法:
- 从与15名提供者和14名妇女进行的1对1访谈中获得的定性数据.
- 来自对118名女性的调查的定量数据.
- 关于强迫在分娩时是否允许的反应的分析,根据瑞士医疗伦理准则进行了调整.
主要成果:
- 确定了强制性审议中的道德相关因素:决策能力,慈善,提供权威,系统缺陷和保护弱势群体.
- 揭示了误解,包括为病态分娩辩护强迫或优先考虑胎儿权利而不是母亲自主权.
- 针对强制措施的/反对强制措施的群集理由,以形成一个解释框架.
结论:
- 迫切需要加强关于强迫分娩的信息和教育,以赋予妇女生殖自主权.
- 解决强迫是防止不利的母亲和儿童健康结果至关重要的.
- 调和医学在减少围产死亡率方面的进步与妇女在护理中的权利是必不可少的.
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