Abstract

CABRERA LOZADA, Carlos  and  UZCATEGUI, Ofelia. Aspectos bioéticos de la conducta expectante en la gestante con preeclampsia grave. Rev Obstet Ginecol Venez [online]. 2014, vol.74, n.2, pp.87-102. ISSN 0048-7732.

Objective: To describe the bioethics aspects that interact in the expectant conduct of the pregnant woman with arterial hypertension induced by pregnancy at the Maternal Fetal Medicine Service of the Maternity “Concepcion Palacios”, Caracas Venezuela 2011. Methods: Informed consent was implemented to 188 patients that were proposed of expectant conduct, it was elicited by questionnaire their opinion and of the medical personal that acted in each case implementing the four bioethical principles. Results: At higher educational level, the patient has mayor availability of accepting the risks for the expectant conduct. 168 patients were willing to continue the pregnancy and 20 were willing to interrupt it, all of the patients that accepted continuing their pregnancy although risks, revealed trust in the received information. From the medical personal view, it was revealed that in order to determine the hierarchy of the bioethical principles they state in a first place the autonomy, then justice, then beneficence and lastly nonmaleficence. When the conduct was negated the hierarchy was changed to: Non-maleficence, beneficence, justice and autonomy. Different opinions were obtained according to the status of the medical personal. Conclusions: Preeclampsia is an important cause of morbidity and mortality for that purpose medical conduction must be realized through the application of the informed consent, not involving the medical personal’s feelings in the decisions of the patient.

Keywords : Hypertension induced by pregnancy; severe preeclampsia; expectant conduct and informed consent.

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