The parturient woman: can there be room for more than 'one person with full and equal rights inside a single human skin'?
The parturient woman: can there be room for more than 'one person with full and equal rights inside a single human skin'?
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DOI：
10.1046/j.1365-2648.2001.01700.x
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发表时间：
2001-03-01
影响因子：
3.8
通讯作者：
Burrows, J
中科院分区：
文献类型：
--
作者：
Burrows, J
论文的目的。该文件的目的是提高对未经同意的妇女实施剖腹产所涉及的法律的和伦理问题的认识。该文件审议了在母亲的意愿可能导致胎儿伤害或死亡的情况下母亲和胎儿的权利冲突问题。鉴于各种法院关于强制执行剖腹产的判决，本文探讨了相关的法律的和伦理问题，认识到卫生专业人员需要在明确的法律的和伦理框架内运作。对有关妇女自主决策权和胎儿绝对生命权的论点进行了审查，重点始终放在法律的框架上。卫生专业人员需要在这方面的工作，以及避免诱惑，个人的临床决定或专业行为的基础上主观的道德判断强调。司法机构的态度被认为是沿着与最近的法律的发展。报告分析了有时绕过既定法律的原则而凌驾于妇女自主权之上的方式。律师和卫生专业人员在否认妇女的能力，同意，以实现他们批准的结果所发挥的作用是批判性的评价。在这些情况下的决定的基础是解构，沿着讨论的作用，卫生专业人员在促进突出的困境。护理孕妇的护士或助产士必须充分了解围绕这一复杂和情绪化领域的法律的和伦理问题，以及他们作为卫生专业人员在其中的位置。这一主题也是一个有用的竞技场，可用于辩论诸如同意的能力和权限以及任何病人享有充分自主权的程度等道德和法律的问题。
Aims of the paper. The aim of the paper is to raise awareness around the legal and ethical issues involved in the enforcement of caesarean sections on non-consenting women. The paper considers the competing rights of mother and foetus in situations where a mother's wishes may result in harm or death to the foetus.Background/Rationale. In this light of various court decisions about enforcing caesarean sections, the paper examines the pertinent legal and ethical issues, recognising that health professionals need to operate within an explicit legal and ethical framework.Content. The arguments about a woman's right to autonomous decision-making and a foetus' absolute right to life are examined with the focus throughout being on the legal framework. The need for health professionals to work within this as well as to avoid the temptation to base individual clinical decisions or professional behaviour on subjective moral judgements is emphasized.The attitudes of the judiciary are considered along with recent legal developments. There is an analysis of the way in which established legal principle is sometimes circumvented to override a woman's right to autonomy. The part played by lawyers and health professionals in denying a woman's competence to consent in order to achieve an outcome of which they approve is critically appraised The basis for the decisions in these cases is deconstructed, along with a discussion of the role of health professionals in contributing to the dilemmas highlighted.Conclusion. It is essential that nurses or midwives caring for pregnant women have a full understanding of the legal and ethical issues surrounding this complicated and emotive area and where they, as health professionals, fit within this. The subject matter is also a useful arena for debating such ethical and legal issues as capacity and competence to consent as well as the extent of the right of any patient to full autonomy.