Interruption sélective sur grossesse gémellaire monochoriale : étude nationale des pratiques des Centres Pluridisciplinaires de Diagnostic Prénatal

Arlicot, C.; Potin, J.; Simon, Emmanuel; Perrotin, F.

doi:10.1016/j.gyobfe.2014.01.019

Cited by 3 publications

(1 citation statement)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Puede demostrarse que, en el conocimiento actual de la medicina, "aborto terapéutico" es correcto, pues no queda otra alternativa que matar al feto (remoción de la causa de patología y por ende terapéutica) para salvar a la madre. La demostración proviene del caso de embarazo múltiple, en el que uno o más fetos, pero no todos, están causando el deterioro y muerte materna; en estos casos se ha matado selectivamente a ese o más fetos con lo que se ha conseguido salvar a la madre y a los otros fetos, llegando finalmente a un parto múltiple con uno o más fetos muertos y retenidos (24)(25)(26). Nótese que aquí no se produce la interrupción del embarazo ni tampoco el aborto entendido como expulsión ex útero de ese feto.…”

Section: Caso En Que No Se Aplica La Ddeunclassified

Aproximación ética científica al doble efecto o único bien posible en el aborto terapéutico

Valenzuela

2016

Acta bioeth.

View full text Add to dashboard Cite

Resumen: El estudio muestra como la doctrina o principio del doble efecto (DDE) de una acción con efecto secundario negativo no puede aplicarse a todos los casos de aborto terapéutico (AT). Con el análisis de las causas e indicación de AT se demuestra que solo algunos de estos corresponden a DDE. Cuando no es el feto el que lleva a la madre a tener un embarazo de alto riesgo con amenaza de daño severo o muerte para ella, el caso puede adscribirse a la DDE; cuando es el feto directa o indirectamente el que causa a lleva a ese riesgo materno, el caso no se adscribe a la DDE. Si el feto es la causa de la muerte inminente de la madre, la remoción de la causa, que es la terapia adecuada, coincide con matarlo; entonces la acción buena (salvar a la madre tratándola causalmente) es la misma que la mala (matar al feto), situación que no puede asimilarse sea a la DDE o a la doctrina del mal menor. Más aún, decidir no interrumpir el embarazo produciría la muerte de la madre y el feto. El caso debería adscribirse al principio del único bien posible.Palabras clave: aborto terapéutico, doble efecto, ética, ética científica, único bien posible Scientific ethical approach to double effect or only possible good in therapeutic abortionAbstract: This study shows the inapplicability of the doctrine of double effect (DDE) to all the cases of therapeutic abortion (TA). The causes of the maternal risk define cases that cannot be included in the DDE. When it is not the embryo or fetus that produces the mother pathology the case can be assigned to the DDE. When the embryo or fetus produces directly or indirectly the process that threatens the mother's life the case cannot be assigned to the DDE. If the fetus is the cause of the imminent mother's death, the removal of the cause, that is the proper therapy, coincides with killing him or her; then the good action (to save therapeutically the mother) is the same to the bad action (to kill the fetus) and this situation cannot be assimilated either to the DDE or to the doctrine of the lesser evil. Deciding not to kill the fetus will produce the death of the mother and the fetus. So this situation should be ascribed to the principle of the unique possible well. Key words: therapeutic abortion, double effect, ethics, scientific ethics, unique possible goodAproximação ética científica ao duplo efeito ou único bem possível no aborto terapêutico Resumo: O estudo mostra como a doutrina ou princípio do duplo efeito (DDE) de uma ação com efeito secundário negativo não pode aplicar-se a todos os casos de aborto terapêutico (AT). Com a análise das causas e indicação de AT se demonstra que só alguns destes correspondem a DDE. Quando não é o feto que leva a mãe a ter uma gravidez de alto risco com ameaça de dano severo ou morte para ela, o caso pode circunscrever-se à DDE; quando é o feto direta ou indiretamente quem causa ou leva a esse risco materno, o caso não se circunscreve a DDE. Se o feto é a causa da morte iminente da mãe, a remoção da causa, que é a terapia adequada, coincide em matá-lo; então a...

show abstract

Section: Caso En Que No Se Aplica La Ddeunclassified

Aproximación ética científica al doble efecto o único bien posible en el aborto terapéutico

Valenzuela

2016

Acta bioeth.

View full text Add to dashboard Cite

show abstract

Interruption sélective de grossesse

Sananès

Favre

2015

Rev. med. perinat.

View full text Add to dashboard Cite

Clinical analysis on the influencing factors related to preterm twin pregnancy

Du¹,

Du²,

Wang

et al. 2022

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

OBJECTIVE:The aim of this study was to explore the influencing factors of preterm twin pregnancy. METHODS: In total, 602 twin-pregnant women delivered from February 2016 to February 2020 were analyzed retrospectively. According to whether the pregnant women were preterm or not, they were divided into preterm group (n=363) and term group (n=239). Baseline information, such as maternal age, address, and education level of the pregnant women, were collected. The clinical information of pregnant women, such as chorionic, preeclampsia, gestational diabetes, premature rupture of membranes, abnormal fetal position, and fetal weight, were analyzed. Logistic regression analysis was used to analyze the risk factors. p-value <0.05 was considered statistically significant. RESULTS: In the preterm group, monochorionic diamniotic comorbidities were significantly higher compared with the control group (p<0.05). Higher risks of preterm group have lower education (p<0.05). Multiple logistic regression analysis demonstrated that education, preeclampsia, and premature rupture of membranes were risk factors for preterm twin pregnancy. CONCLUSIONS: Preterm birth in twin pregnancy is associated with many risk factors, such as education, preeclampsia, and premature rupture of membranes. Pregnancy supervision and prenatal guidance for twin pregnancy should be strengthened. Furthermore, early detection and diagnosis of comorbidities can improve maternal and neonatal outcomes.

show abstract

Interruption sélective sur grossesse gémellaire monochoriale : étude nationale des pratiques des Centres Pluridisciplinaires de Diagnostic Prénatal

Cited by 3 publications

References 36 publications

Aproximación ética científica al doble efecto o único bien posible en el aborto terapéutico

Aproximación ética científica al doble efecto o único bien posible en el aborto terapéutico

Interruption sélective de grossesse

Clinical analysis on the influencing factors related to preterm twin pregnancy

Contact Info

Product

Resources

About