Conscience and conscientious objection: The midwife's role in abortion services.
Conscience and conscientious objection: The midwife's role in abortion services.
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DOI：
10.1177/0969733020928416
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发表时间：
2020-07-06
期刊：
影响因子：
4.2
通讯作者：
Fleming V
中科院分区：
文献类型：
--
作者：
Ramsayer B;Fleming V
传统上，助产士的角色是在整个怀孕过程中陪伴女性，从受孕到产后结束。然而，助产士被指定为堕胎服务的主要提供者。虽然良心自由在欧洲受到法律保护，但助产和出于良心反对堕胎服务之间存在差异。助产士在学术讨论中基本上被忽视，尽管他们给予接受堕胎的妇女护理和支持。这些差异导致本文的目的是解决这个问题，讨论一些关键的道德和法律的概念，是相关的助产士在提供堕胎服务的作用。这篇文章表明，提供或反对堕胎服务的决定在伦理上仍然非常复杂，因为支持和反对堕胎服务的论点都存在。与妇女在一起可以有不同的解释，个人的护理情况是多方面的。出于良心反对堕胎服务是一个极具争议的问题，对助产士具有全面的重要性。注意到决定是个人的，可能改变或可能视情况而定;不能假定助产士的明确立场是支持或反对出于良心拒服兵役。尊重良心并承认支持和反对良心拒服兵役的各种论点可以促进广泛的理解。它既为助产士提供了出于良心反对提供堕胎服务的机会，又尊重妇女的自主权，以便就可能产生深远影响的问题达成相互协议。
Traditionally, the role of midwives has been to be with women throughout the pregnancy continuum, from conception until the end of the postnatal period. Midwives, however, have been named as key providers of abortion services. While freedom of conscience is legally protected within Europe, discrepancies exist between midwifery and conscientious objection to abortion-related services. Midwives are largely ignored within the academic discussion despite the care and support they give to women undergoing abortions. Those discrepancies led to the aim of this article to address this issue by discussing some of the key ethical and legal concepts that are relevant to midwives’ role in the provision of abortion services. This article shows that the decision to provide or object to abortion services remains ethically very complex because arguments exist both for and against its provision. Being with women can be interpreted differently and individual situations of care are multifaceted. Conscientious objection to abortion services is a highly contentious issue that has an overall importance to midwives. Noting that decisions are individual, may change or may be situationally dependant; a definitive position of midwives for or against conscientious objection cannot be assumed. Respecting conscience and acknowledging that there are various arguments for and against conscientious objection promotes widespread understanding. It accommodates both the opportunity for midwives to object on conscience grounds to the provision of abortion services and respect women’s autonomy so that mutual agreement may be reached on issues that may have far reaching consequences.
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影响因子：
2.7
作者：
Fleming V;Frith L;Luyben A;Ramsayer B
通讯作者：
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影响因子：
2.7
作者：
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影响因子：
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通讯作者：
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