孕妇对胎儿畸形认知、选择的伦理分析

Ethical Analysis on Cognizing and Choosing of Gravida for Fetal Anomaly

目的探讨胎儿畸形的超声诊断与干预处理中的伦理学问题。方法对广州市妇女儿童医疗中心经产前超声诊断胎儿畸形的120例孕妇进行问卷调查。结果 91例(76%)的孕妇能明白胎儿畸形的情况,特别是胎儿心脏畸形和体表畸形,共有68名孕妇因为胎儿畸形选择终止妊娠。结论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孕妇自主权的伦理学原则,也应遵循"敬畏生命"的伦理思想,还应普及孕前检查知识。

Objective ：To investigate the ethical issues in the ultrasonic diagnosis and medical intervention tor gravid with fetal anomaly. Methods： 120 gravidas with fetal anomaly were recruited and accepted the questionnaire survey. Result：Among the 120 cases, 91 （76.0%） understood the fetus＇ abnormalities especially the cardiac and appearance deformity. 68 cases decided to terminate pregnancy. Conclusions：Doctors should abide by the ethical principles of patient interests first and respecting for pregnant women＇s autonomy. Doctors should also follow the ethics thought ＂reverence for life＂, still should popularize pregnant check knowledge.