探索黑人妇女在分娩期间同意阴道检查的经历
Emma W Van der Stede1, Anne Lanceley1, Katherine Maslowski1
1UCL EGA, Institute of Women's Health, 74 Huntley Street, London WC1E 6AU, UK.
European journal of obstetrics, gynecology, and reproductive biology
|September 20, 2025
概括
黑人妇女在分娩期间经常经历不满意的阴道检查同意. 他们不知道自己的拒绝权,缺乏足够的信息,影响了他们的自主权和知情决策.
科学领域:
- 产科和妇科 产科和妇科
- 生物伦理学生物伦理学
- 健康 公平 卫生 公平
背景情况:
- 知情同意对于伦理和法律临床实践至关重要.
- 妇女在产科环境中获得同意的经验往往不够理想,她们的自主权往往被忽视.
- 黑人妇女面临负面产科经验和不公平的健康结果的不成比例的风险.
研究的目的:
- 探索黑人妇女在分娩期间接受阴道检查 (VE) 的同意过程的经验.
- 调查VEs的同意如何与法律和专业标准保持一致,特别是对于黑人女性.
主要方法:
- 进行了一项定性研究,对15名黑人女性进行了半结构面试.
- 用专题分析来分析采访数据.
主要成果:
- 三个主要主题出现了:未被认可的选择 (女性不知道他们可以拒绝VE),信息不足 (信息不足的细节可以做出明智的决定),以及痛苦/惊喜 (对VE的负面情绪反应).
- 黑人女性并不认为 VE 是一种选择,并且往往缺乏有效同意的充分信息.
结论:
- 黑人妇女所经历的VE的同意过程经常不足以满足法律和专业要求.
- 黑人妇女在与VEs有关的决策中的自主性被忽视了,同意往往不是自愿的或完全知情的.
- 医疗保健专业人员迫切需要改善对VEs的同意实践,确保尊重黑人妇女的权利和选择.
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