Bioethical approach to curative tactics in syphilis in pregnant women

Abstract

Introduction: Active engagement of bioethics in modern medical act opens new opportunities for a successful accomplishment of the curative process in case of pregnant women with syphilis. The multidisciplinary ethical approach of bioethics reunites the capacity of the course treatment with the contingent suffering from this veneric disease, which is extremely dangerous both for the woman herself, as well as for the future child. Contemporary social reality and civilization emphasize two major trends: on the one hand, syphilis medication in pregnant mothers is complicated, due to the fact that this disease has a deep social conditioning. On the other hand however, a broad scientific and curative experience with vast possibilities of solving problematic situation is being accumulated. In this respect, bioethics comes to assert its role as an efficient solution and catalyst of the respective possibilities. Purpose and Objectives: The main purpose consists of pinpointing the possibility of bioethics’ implication in different aspects of the process of treatment of syphilis in pregnant mothers. In connection with this major goal, the accomplishment of the following objectives is necessary: presentation of the medical bioethics potential in dealing with the subjects of the veneric diseases treatment in certain social groups with high risk for life and health; bioethical approach to the doctor patient relationship of information consent type; active monitoring and effective involvement of the respect of bioethical principles at all stages of the curative process; highlighting the efficacy of the ethical potential in studying the correlation: veneric disease - social framework etc. Materials and methods: Use of corresponding specialized materials: relevant scientific literature (monographs, articles, collections of conference and symposium papers); statistical and sociological edited sources; clinical protocols; case studies; ethical (bioethical) codes etc. The application of the clinical-analytical, bioethical, comparative, medical-historical and biostatistics methods has been opportune. Results: In Europe and Central Asia, but especially in autochthonic space (Republic of Moldova) a persistant increase of syphilis morbidity has been noticed. The offensive incidence of syphilis among women, including pregnant mothers, is also growing. This fact enforces an improvement, a high-quality transformation of the curative process elements and its management in case of pregnant women. The respective disease is closely linked to social realities existing at the moment in the region, directly depending on such factors as: low living standards of population, precarious level of individual education and sanitary culture. The role of medical and social bioethics’ implication in the process of monitoring and cure of syphilis in pregnant mothers increases in such conditions. The bioethics „tools” become potentially active and efficient mainly on segments of interference between social framework and the one of veneric disease in pregnant women contingent. At the same time, a special role to the doctor-patient relation based on informed consent model is being conferred. Each phase syphilis treatment in pregnant mothers arouses certain theoretical and practical applications offered by the live ethic arsenal. In this context, the major role of (theoretical and practical) bioethics committees, (theoretical and practical) bioethics education of doctors in the field and elaboration of corresponding codes of ethics is being visibly accentuated. The need of introduction of a new special division in clinical protocol is imposed. Conclusion: In current conditions, an increasing role in the curative process of syphilis in pregnant women is attributed to bioethics. Appropriate involvement of bioethical principles potentially streamlines the medical act, supplementing it with new elements and opportunities and orienting it towards evident positive effects.