北京市某医院未尽告知义务致不当出生探讨

Exploration on Wrongful Birth Caused by Insufficient Inform in a Hospital in Beijing

受环境、饮食、生活习惯等影响,我国胎儿先天性疾病发生的概率有所提升,而现阶段医疗水平又难以在孕期明确诊断出所有的先天性疾病,由此引发的不当出生事件也日益增多。为此,医院除了严谨、科学的进行产前检查外,还应对产前检查所具有的风险及不确定性对患者进行充分告知,因未进行充分告知致不当出生的,医院对此应承担责任。此外,残疾儿的出生也给患儿自身、家庭及社会产生严重问题,主要为经济问题及社会保障问题。因此,为防范"不当出生",医务人员应切实尽到高度注意义务,加强"三级预防"的实施力度,以提高风险告知意识。

Affected by the environment, diet and living habits, the occurrence rate of fetal congenital diseases is increasing in China. How- ever, currently it is still difficult to diagnose clearly all the congenital diseases in pregnancy, which causes the ＂wrongful birth＂ disputes increas- ing. Besides rigorous and scientific prenatal care, hospital needs to inform patients with prenatal risk and uncertainty fully. If insufficient inform of the hospital causes any wrongful birth, hospital must take responsibility. Moreover, children born with disabilities bring serious problems to themselves, their family and the whole society. And most of these problems are economic and social secune problems. As a result, to prevent wrongful birth, hospitals should strengthen the implementation of tertiary prevention system and enhance awareness of risk inform.