Committee Opinion No. 664: Refusal of Medically Recommended Treatment During Pregnancy.
Committee Opinion No. 664: Refusal of Medically Recommended Treatment During Pregnancy.
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DOI：
10.1097/aog.0000000000001485
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发表时间：
2016-06-01
影响因子：
7.2
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中科院分区：
文献类型：
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产科护理中最具挑战性的场景之一发生在怀孕患者拒绝旨在支持她的健康，她的胎儿的健康或两者的推荐医疗时。在这种情况下，妇产科医生保护孕妇自主权的道德义务可能与优化胎儿健康的道德愿望相冲突。强迫服从-尊重患者拒绝治疗的替代方案-提出了关于患者权利、尊重自主权、侵犯身体完整性、权力差异和性别平等的深刻重要问题。本文件的目的是为妇产科医生提供一种道德方法，以解决孕妇拒绝推荐的医疗治疗的决定，承认孕妇的决定权的中心地位以及孕妇和胎儿之间的相互联系。
One of the most challenging scenarios in obstetric care occurs when a pregnant patient refuses recommended medical treatment that aims to support her well-being, her fetus's well-being, or both. In such circumstances, the obstetrician-gynecologist's ethical obligation to safeguard the pregnant woman's autonomy may conflict with the ethical desire to optimize the health of the fetus. Forced compliance-the alternative to respecting a patient's refusal of treatment-raises profoundly important issues about patient rights, respect for autonomy, violations of bodily integrity, power differentials, and gender equality. The purpose of this document is to provide obstetrician-gynecologists with an ethical approach to addressing a pregnant woman's decision to refuse recommended medical treatment that recognizes the centrality of the pregnant woman's decisional authority and the interconnection between the pregnant woman and the fetus.