Clinical Research Involving Pregnant Women Seeking Abortion Services: United States Perspectives

Clinical Research Involving Pregnant Women Seeking Abortion Services: United States Perspectives
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DOI:
10.1007/978-3-319-26512-4_15
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发表时间:
2016-01-01
期刊:
CLINICAL RESEARCH INVOLVING PREGNANT WOMEN
影响因子:
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通讯作者:
Harris, Lisa H.
Harris, Lisa H.
中科院分区:
其他
文献类型:
--
作者:
Harris, Lisa H.

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许多孕妇都曾引产。寻求堕胎的妇女是需要胚胎或胎儿组织的临床研究、对胎儿有已知风险的研究以及旨在改进人工流产方法的研究的适当参与者。堕胎时对临床研究持批评态度的人担心,研究机会会影响女性的堕胎决定,帮助女性使自己的堕胎合理化,或者利用她们的脆弱性。我反对这些论点,因为它们在很大程度上是基于对妇女和堕胎提供者的污名和负面刻板印象。然而,必须考虑经济和种族正义问题,因为低收入妇女和有色人种妇女不成比例地经历意外怀孕和堕胎。我的结论是,研究条例和机构审查委员会对这些条例的解释应该反映知识差距和生殖正义价值观,而不是污名、刻板印象和政治。在堕胎时对临床研究的担忧必须与不进行此类研究的潜在危害一起考虑。
Many pregnant women have induced abortions. Women seeking abortion are appropriate participants in clinical research requiring embryonic or foetal tissue, research with known risks to a foetus, and research designed to improve induced abortion methods. Critics of clinical research at the time of abortion are concerned that research opportunities will influence women's abortion decisions, help women 'rationalise' their abortion, or exploit their vulnerability. I reject these arguments because they are largely based on stigma and negative stereotypes about women and abortion providers. However, economic and racial justice issues must be considered, since low-income women and women of colour disproportionately experience unintended pregnancy and abortion. I conclude that research regulations, and Institutional Review Board interpretations of them, should reflect knowledge gaps and reproductive justice values, rather than stigma, stereotypes and politics. Concerns about clinical research at the time of abortion must be considered alongside the potential harms of not doing such research.