诱导排卵和减胎存在的问题及伦理思考——以“四胎减胎案”为例  

The Problems and Ethical Consideration of Ovulation Induction and Fetal Reduction:A Case Study of the Reduction of Four Births

作　　者：郭翠翠 杨琳 黄丽萨[1] GUO Cui-cui;YANG Lin;HUANG Li-sa(Reproductive Medicine Center,Mianyang Central Hospital,Mianyang 621000,China)

机构地区：[1]绵阳市中心医院生殖医学中心,四川绵阳621000

出　　处：《医学与哲学》2021年第1期26-28,共3页Medicine and Philosophy

基　　金：2017年绵阳市卫生计生委医学科研项目(201753);2017年绵阳市中心医院院级科研项目(2017YJ08)。

摘　　要：以1例不明原因不孕症患者经诱导排卵后四胎妊娠减胎的诊疗经历及结局为例,探讨了诱导排卵、多胎妊娠、多胎减胎存在的医疗安全问题及伦理问题,并对如何在临床工作中做到有利于患者、有利于后代等伦理原则进行了思考。意在提醒医务工作者在不孕症的诊疗过程中应根据患者的具体情况,制定最有利于患者的治疗方案,同时避免发生医源性多胎。多胎妊娠一旦出现,需经患者充分知情同意后,在适当时机合理运用减胎术,优化治疗的安全性,以便保证母婴安全,改善母婴结局。This paper studied a case of an unexplainable infertility,which experienced ovulation induction with four births and fetal reduction.It discussed the medical safety and ethical problems in ovulation induction,multiple pregnancy and multiple pregnancy reduction.It also had a deep thinking on the ethical principles to benefit both patients and offspring in clinical practice.It is a reminder to doctors to practice situation-based,and to design the most patient-beneficial treatment,avoid the occurrence of iatrogenic-induced multiple births.Once the multiple pregnancy occurs,it is necessary to obtain the informed consent of the patient,and optimize the safety of fetal reduction at the appropriate time,so as to improve maternal and child outcomes.

关 键 词：不明原因不孕症 诱发排卵 多胎减胎 伦理原则 

分 类 号：R-05[医药卫生]