Prenatal screening and counseling in Iran and ethical dilemmas.

Community genetics Pub Date : 2008-01-01 Epub Date: 2008-05-20 DOI:10.1159/000121397
Mansooreh Saniei, Elnaz Jafari Mehr, Saeed Shahraz, Ladan Naz Zahedi, Ala Melati Rad, Saye Sayar, Roya Sherafat Kazemzade, Ahmad Shekarchi, Mohammad Reza Zali
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引用次数: 9

Abstract

Objective: Prenatal screening has become an increasingly common procedure all over the world. It offers couples useful information relating to the health of their fetus, although it faces us with serious ethical dilemmas as well. This study was conducted to find out the attitudes of Iranian scholars towards prenatal screening and counseling with respect to ethical issues.

Methods: Two hundred and one physicians, genetic and religious scholars were interviewed with regard to demographics and attitudes towards the ethical dilemmas in prenatal screening and counseling. Interviews were analyzed using the four-principle approach.

Results: Findings showed scholars' attitudes towards: (1) the right of couples to choose prenatal screening, (2) the role of prenatal screening and counseling concerning termination of an affected fetus, (3) screening results and emotional distress in couples, and (4) the impact of prenatal screening and counseling on disability rate.

Conclusion: Iranian scholars were willing to consider prenatal screening to help prevent transmission of diseases to the next generation. This goal is attained through the autonomous choice of the couple to participate in prenatal screening and counseling.

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伊朗的产前筛查和咨询以及伦理困境。
目的:产前筛查已成为世界各地越来越普遍的程序。它为夫妇提供了有关胎儿健康的有用信息,尽管它也使我们面临严重的道德困境。本研究旨在了解伊朗学者对产前筛查和咨询伦理问题的态度。方法:对251名医生、遗传学和宗教学者进行人口统计学访谈,了解他们对产前筛查和咨询中伦理困境的态度。访谈采用四原则方法进行分析。结果:研究结果显示了学者们对以下问题的态度:(1)夫妇选择产前筛查的权利;(2)产前筛查与咨询对终止影响胎儿的作用;(3)筛查结果与夫妇情绪困扰;(4)产前筛查与咨询对致残率的影响。结论:伊朗学者愿意考虑产前筛查,以帮助预防疾病传播给下一代。这一目标是通过夫妇自主选择参加产前筛查和咨询来实现的。
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