Women's Views About a Paternal Consent Requirement for Biomedical Research in Pregnancy

Women's Views About a Paternal Consent Requirement for Biomedical Research in Pregnancy
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DOI:
10.1177/1556264618783834
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发表时间:
2018-10-01
影响因子:
1.3
通讯作者:
Lyerly, Anne Drapkin
Lyerly, Anne Drapkin
中科院分区:
人文科学3区
文献类型:
--
作者:
Sullivan, Kristen A.;Little, Maggie;Lyerly, Anne Drapkin

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临床研究提供证据基础,以指导怀孕期间的非产科护理,对妇女及其未来后代的福祉至关重要。关于此类研究条例的讨论,包括是否需要征得父亲的同意,应该从受影响最大的人,即孕妇的角度出发。我们对140名马拉维70名和美国70名感染艾滋病毒或有感染艾滋病毒风险的孕妇进行了深入访谈,探讨他们对孕妇参加试验需要征得父亲同意的看法,这些试验仅对胎儿有直接益处的前景。大多数妇女支持这一要求;其他人则表示关切。三个主题父亲或孕妇的权利,胎儿保护和性别/关系的动态特征的观点都支持和反对一个父亲的同意要求,扩大了范围的考虑,应该告知方法,父亲参与研究与孕妇。
Clinical research to inform the evidence base to guide nonobstetrical care during pregnancy is critically important for the well-being of women and their future offspring. Conversations about regulations for such research, including whether paternal consent should ever be required, should be informed by the perspectives of those most affected, namely, pregnant women. We conducted in-depth interviews with 140 pregnant women living with or at risk of HIV70 in Malawi, 70 in the United Statesexploring their views on requiring paternal consent for pregnant women's participation in trials offering the prospect of direct benefit solely to the fetus. The majority of women supported such a requirement; others raised concerns. A trio of themesthe father's or pregnant woman's rights, fetal protection, and gender/relationship dynamicscharacterized views both supporting and against a paternal consent requirement, expanding the range of considerations that should inform approaches to paternal involvement in research with pregnant women.