摘要
随着生殖遗传学的发展,寻求辅助生殖技术助孕的人群(尤其是自身患有遗传病或者有不良妊娠史的患者),对生殖遗传咨询的需求急剧增加。生殖遗传咨询应充分告知患者遗传病或不良妊娠的风险,帮助其全面分析、判断,提供有价值的意见和切实可行的措施,指导患者如何去应对这些风险,从而让他们做好生殖方面的选择。遗传咨询后患者将面临助孕方式、产前诊断、是否继续妊娠的艰难选择,每一种选择都将引起各种伦理原则的碰撞。因此,生殖遗传咨询提供准确、完备、无偏倚的信息是患者选择治疗方案的基础,充分知情是患者做出选择的关键,而尊重其自主原则是诊疗可行性的前提。
With the development of reproductive genetics,the demand for reproductive genetic counseling has increased dramatically for patients who seek for assisted reproductive technology,especially those who have genetic diseases or a history of adverse pregnancy.Reproductive genetic counseling should fully inform patients of the risks of genetic diseases or adverse pregnancy,help them to comprehensively analyze and judge,provide valuable opinions and practical measures,guide patients how to deal with these risks,so as to so as to enable them to make good reproductive choices.After genetic counseling,patients will face some difficult choices,such as the way to help pregnancy,prenatal diagnosis and whether to continue pregnancy.Each choice will lead to the collision of various ethical principles.Therefore,providing accurate,complete and impartial information in reproductive genetic counselling is the basis for patients to choose treatment plan.Informed consent is the key for patients to make a choice,while respect the principle of autonomy is the prerequisite of feasibility.
作者
朱蕾
唐蓉
ZHU Lei;TANG Rong(Department of Female Reproductive,Reproductive Hospital Affiliated to Shandong University,Jinan 250001,China)
出处
《中国医学伦理学》
2020年第1期26-29,共4页
Chinese Medical Ethics
关键词
体外受精-胚胎移植
医学伦理学
产前诊断
生殖遗传咨询
患者自主权
辅助生殖技术
In Vitro Fertilization-Embryo Transfer
Medical Ethics
Prenatal Diagnosis
Reproductive Genetic Counseling
Patient Autonomy
Assisted Reproductive Technology
