妊娠合并HIV感染继续妊娠的治疗障碍与伦理思考

Treatment Obstacles and Ethical Consideration of Continuous Pregnancy with HIV Infection

妊娠合并HIV感染一旦被发现,临床诊疗与护理就要采取相应的措施,而这也会使患者考虑是否继续妊娠?医务人员在诊疗中也会面临伦理困境。一般来说,感染HIV后,是否继续妊娠由孕妇本人决定。而孕妇一旦决定继续妊娠,医护人员应当发扬人道主义精神,协助患者作好治疗决策,并积极配合疗护,采取有效措施确保患者安全。医护人员还应注意实践医学伦理学精神:尊重患者自主权、平等对待患者、保护患者隐私、注意其家庭关系的处理、鼓励其树立战胜病患顺利生产的信心。

Once HIV infection in pregnancy is detected, the clinical diagnosis, treatment and nursing should adopt appropriate programs, which will also enable patients to consider whether to continue pregnancy? Medical staff will also face ethical dilemma in diagnosis and treatment.Generally speaking,it is the pregnant woman herself who decides whether to continue pregnancy after HIV infection. Once pregnant women decide to continue pregnancy, medical staff should carry forward the humanitarianism spirit, help patients make good treatment decisions and actively cooperate with care, and take effective measures to ensure patient safety.Medical staff should also pay attention to the practice of medical ethics spirit: respecting patients’autonomy, treating patients equally, protecting patients’ privacy, paying attention to the treatment of their family relations, encouraging them to build up confidence in conquering diseases and smoothly producing.