胎儿畸形产前诊断与干预的伦理学研究

Ethical lssues of Prenatal Diagnosis and lntervention of Fetal Anomalies

在产前诊断与干预处理中 ,医师应该遵循病人利益第一和尊重病人自主选择的伦理学原则 ,并提出应当把胎儿当作病人对待的伦理学概念。产前诊断与干预处理前 ,医师应向孕妇详细告知方案的利弊 ,供孕妇选择和做出最终的决定。对于出生后具有生存能力的畸形胎儿 ,尽管存在增加发病率和死亡率的危险 ,然而除非孕妇本身的情况不允许继续妊娠 ,否则胎儿伦理学原则反对终止妊娠。

This article suggests that doctors should keep the principle that patients’interest should be the first and respect the autonomy of pregnant woman during the prenatal diagnosis and intervention,and brings the ethical concept of fetus as a patient.Before prenatal diagnosis and intervention,doctors should tell the pregnant woman about the advantages and disadvantages of the project for her to make decision.For the fetus born with deformity but still having survival ability,fetal ethical principle prohibits against termination unless pregnant woman has diseases not permitting to continue pregnancy,although there is an increasing risk of morbidity and mortality.