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New approaches in the holistic treatment of women with rejected pregnancy & incomplete abortion. Dr. José David Ortiz Mariscal Mexico. DECLARATIONS.
Dr. José David Ortiz Mariscal
In my practice as Obstetrician & Gynecologist, I am guided by the framework of my Constitution, including treaties, conventions and international declarations signed by my Government, as well as the legal framework that regulates health.
In my professional practice, I am guided by scientific evidence, the principles of public health and implementation of human, sexual and reproductive rights of women, in health services.
I have practiced obstetrics and Gynecology for 45 years and I understand that my main goal is to protect and safeguard my patients health, and in general of all women.
I am absolutely against women terminating a pregnancy, planned or unplanned, in unsafe conditions because it is unfair and also determines high rates of morbidity and maternal mortality.
therefore I am not obligated to think, feel and act, as these
institutions impose it to those who belong to them.
Of women being treated for:
DOES NOT EXIST
SO WE HAVE TO CENTER OUR APROACHES ON THEM.
WOMEN with an unplanned and rejected
pregnancy puts herself in a situation of
emotional, physical and social vulnerability.
It may cause injury or death to woman and has
conceived product, if not detected and duly
Dr. José David Ortiz Mariscal 2013
Every time that a woman has an unplanned pregnancy or arrives at a hospital with signs of having tried to terminate her pregnancy, this means that the family, the health, religious and educational sectors and the whole state has failed.
It means that we as a society have failed her.
Women with Unplanned and Rejected
Pregnancy, during Legal termination of her
Pregnancy or in Post abortion period, must
be treated under the umbrella of sexual
and reproductive rights.
The Right to Freedom of Thought:
which includes freedom from the restrictive interpretation of religious texts, beliefs, philosophies and customs as tools used to curtail freedom of thought on sexual and reproductive health care and other issues.
Be guided by Principles of Bioethics
Beneficence (maximize the best health outcomes)
Non-maleficence(do no harm)
Autonomy (to ensure and respect the rights of individuals to make informed decisions about their own health care)
Justice (ensure fairness or fair distribution of costs and benefits)
Equity (To ensure that everybody gets what is fair for their needs)
The purpose of human rights is to promote human dignity implies the obligation of the States to:
Benefit the physical, mental and social health of patient in the course of her treatment (Beneficence)
The commitment not to damage or cause unnecessary damage. (Non - maleficence)
Bioethics and human rights are related to sexual and reproductive health
Human rightsare protected by:
laws and treaties national and international
Medical ethic is protected by national constitutions, by codes, primarily controlled by the medical profession.
Have the right to the highest attainable health standard and the benefits of scientific progress:
Form the basis of the professional commitment of Beneficence and Justice.
Freedom of conscience and
The freedom and security of person
Are key elements of autonomy which includes a
duty to protect confidentiality in health care.
Consider the EthicalObligations
To respect the autonomy of
women and the confidentiality
2. Makearespectful professional behavior that promotes the dignityandsecurityof women (not to judge).
3. Ensurethat the right of the physician to preserve their own moral or religious values does not result in the imposition to women of these personal values.
In these circumstances, women should be
referred to another health care providerwho
does not have this problem.
The conscientious objection to attend women for TOP or PAC does not absolve physicians take steps so that in case of emergency to provide the necessary treatment without delay.
Autonomy of women and confidentiality
My recommendation is to: undertake, adopt and promote these professional responsibilities, based on your commitment to make a reality the inclusion of human rights and bioethical principles in the care of the reproductive health of women and specially for the care of women that has decided to terminate her pregnancy or is in post abortion period.
The reproductive and sexual health is a subject of human development, since the women are essential for the social and economic stability and the progress in all the societies.
The potential contribution of women frequently is not performed due to limitations in their human rights, including lack of access to information and to a safe and proper care of her health.
Women with unplanned pregnancy deserves to be served as all other patients:
Under the umbrella of human rights, sexual and reproductive rights and principles of bioethics
With humanism, with respect
With confidentiality and privacy
Taking care of her physical, emotional and social integrity.
With modern and effective techniques(medical or surgical as manual aspiration), for LTOP
Contraception post immediate pregnancy termination.