Post-diagnostic abortion in Germany: reproduction gone awry, again?

Post-diagnostic abortion in Germany: reproduction gone awry, again?
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DOI:
10.1016/s0277-9536(02)00218-6
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发表时间:
2003-05-01
影响因子:
5.4
通讯作者:
Erikson, SL
Erikson, SL
中科院分区:
医学2区
文献类型:
--
作者:
Erikson, SL

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常规使用产前诊断技术(pdt),如超声和羊膜穿刺术,可以检测到一小部分胎儿异常。对于那些面临胎儿残疾诊断的妇女,必须作出继续或终止妊娠的决定。当诊断仅仅是假设时,诊断后堕胎的话语幽灵是由社会和历史背景塑造的,在这些背景中,感兴趣的话语(地区的、政治的、伦理的和宗教的)以不同程度的权威和影响进行权衡。然而,当诊断是真实的,在这个妇女样本人群中,估计至少有90%的人选择终止妊娠。从两家德国医院收集的数据——一家在前东德,一家在前西德——阐明了PDT的使用率,并为讨论诊断后堕胎的幽灵与主流医学话语、德国分裂的历史、堕胎政治、女权主义、残疾人行动主义和宗教之间的关系提供了数据。这些数据表明,生殖话语是如何受到意识形态和历史偶然因素的影响,即使女性最终的生育决定并非如此。(C) 2002 Elsevier Science Ltd.版权所有。
Routine use of prenatal diagnostic technologies (PDTs) such as ultrasound and amniocentesis result in the detection of a small percentage of fetal anomalies. For those women faced with the diagnosis of fetal disability, a decision must be made to continue or terminate the pregnancy. When the diagnosis is merely hypothetical, the discursive specter of post-diagnostic abortion is shaped by social and historical contexts in which interested discourses (regional, political, ethical, and religious) weigh in with varying degrees of authority and influence. However, when the diagnosis is actual, in this sample population of women, an estimated minimum of 90% opt to terminate their pregnancies. Data collected at two German hospitals-one in former East Germany, one in former West Germany-illuminate rates of PDT use and provide data with which to discuss the specter of post-diagnostic abortion in relation to mainstream medical discourses, Germany's divided history, abortion politics, feminism, disability activism, and religion. These data demonstrate how reproductive discourses are shaped by ideological and historical contingencies, even when women's ultimate reproductive decisions are not. (C) 2002 Elsevier Science Ltd. All rights reserved.