Home Birth What Are Physicians' Ethical Obligations When Patient Choices May Carry Increased Risk?

被引：14

作者：

Ecker, Jeffrey ^{[1
]}

Minkoff, Howard

机构：

[1] Harvard Univ, Sch Med, Dept Obstet & Gynecol, Massachusetts Gen Hosp, Boston, MA 02114 USA

来源：

OBSTETRICS AND GYNECOLOGY | 2011年 / 117卷 / 05期

关键词：

PLANNED HOME;

D O I：

10.1097/AOG.0b013e3182167413

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Patient choices and plans may sometimes carry increased risk or include alternatives that individual physicians feel uncomfortable supporting or recommending. We consider in this commentary how the ethical principles of respect for autonomy and nonmaleficence can be balanced using, among other examples, the choice by some for a home birth. We discuss how absolute rather than relative risk should guide individuals' evaluation of patient choices, and how in some circumstances the value and safety added by a physician's participation may outweigh a potentially small increment in absolute risk that a particular patient choice carries. (Obstet Gynecol 2011; 117: 1179-82) DOI: 10.1097/AOG.0b013e3182167413

引用

页码：1179 / 1182

页数：4