産科医療における問題点(第6回日本生命倫理学会年次大会ワークショップ「先端医療とバイオエシックス」発表 : 報告)
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概要
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The improvement of medical technology has raised several points in the clinical field of obstetrics. Here are presented three among those cases where the prognosis of newborns may be unsatisfactorily. 1. artificial reproduction and selective reduction operation The improvement on reproductive technology has presented a sterility couple a good news. However at the same time it has caused a high frequency of multiple pregnancy, which would make both physical and economical burdon heavier on the couple. Though an operation of selective reduction is a temporary expedient for this, it should be applicable within the limits of the Eugenic Protection Law. 2. management of delivery of extremely immature infant Usually Cesarean section is operated in case of delivery at twenty-six (26) weeks of pregnancy with breech presentation following prolapse of cord. We had this case but having Cesarean section for two times in the past and were refused for the third time. In such a case, a Hospital Committee for Bioethics should be organized right away to draw a conclusion according to the concept of bioethics. A discussion should be made by phone or even by facsimile. 3. prenatal diagnosis on congenital anomalies A prenatal diagnosis on congenital anomalies has been made an operative treatment in utero or early treatment possible by an improvement of ultrasonic technology. Any case at medical institutes in Level I or II, which an identification of disease is in suspicion is referred to those in Level III. Not only the announcement of the name of disease but also its treatment at the time, whether that treatment is a fixed one or on an experimental stage, its prognosis, etc. have to be explained to the obstetrician in detail.
- 日本生命倫理学会の論文
- 1995-04-30