医生如何应对孕妇的无指征剖宫产要求?——基于裁判文书的实证分析  

How Do Doctors Respond to Nonoperative Indications Caesarean Section Requirements for Pregnant Women:empirical analysis based on adjudicative instruments

作　　者：尹口[1] YIN Kou(Hangzhou Medical College,Hangzhou 310053,China)

机构地区：[1]杭州医学院,浙江杭州310053

出　　处：《医学与哲学（B）》2018年第7期1-5,共5页Medicine & Philosophy(B)

摘　　要：从医学科学来说,医生应拒绝孕妇提出的无指征剖宫产要求。然而,司法判决统计数据表明,拒绝比同意剖宫产败诉率更高,医院赔偿金额也更多;从临床实践来看,由于剖宫产手术的医学指征难以准确把握,拒绝孕妇剖宫产请求后配套措施难以满足,更容易产生不良后果;从法律上来看,孕妇才是其最佳利益的判断者,医生的治疗特权并不适用于孕妇的剖宫产请求。因此,无论是基于合法性还是现实性考虑,医生都应该同意孕妇提出的无指征剖宫产请求。From the perspective of medical science,doctors should reject a pregnant woman's request for a nonoperative indications cesarean section.However,judicial decision statistics show that the rate of losing a lawsuit and the amount of compensation paid by the hospitals are higher if they reject the pregnant women's request for cesarean section as compared with providing the service for those who demand it;From the clinical practice,the operative indications of cesarean section are difficult to grasp accurately,and it is difficult to provide supporting measures after refusing the request of cesarean section of pregnant women,so it is more likely to have adverse consequences.Legally,the pregnant woman is the judge of her best interests,and doctors have no therapeutic privilege to reject a pregnant woman's request for cesarean section.On this basis,whether on the grounds of legality or reality,doctors should agree to the request for a nonoperative indications cesarean section by the pregnant woman.

关 键 词：手术指征 剖宫产 治疗特权 

分 类 号：R05[医药卫生] R719.8