Frente a los desafíos de la asistolia fetal inducida en México: reflexiones éticas, legales y clínicas.

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Title: Frente a los desafíos de la asistolia fetal inducida en México: reflexiones éticas, legales y clínicas.
Alternate Title: Addressing the Challenges of Induced Fetal Asystole in Mexico: Ethical, legal, and clinical reflections.
Authors: Rodríguez Sibaja, María J.1, Ramírez Calvo, José A.1, Gallardo Gaona, Juan M.1, López Rodríguez, Larissa2, Rodríguez Bosch, Mario R.3, Valencia Contreras, Carolina4, Acevedo Gallegos, Sandra1 dracevedo_sandra@yahoo.com.mx
Source: Ginecología y Obstetricia de México. oct2025, Vol. 93 Issue 10, p432-439. 16p.
Subjects: ETHICAL problems, ABORTION, PRENATAL diagnosis, REPRODUCTIVE rights, LEGAL instruments, OBSTETRICS, FETAL diseases, MEDICAL protocols
Geographic Terms: MEXICO
Abstract (English): Induced fetal asystole presents some of the most ethically and clinically complex dilemmas in maternal-fetal medicine, especially when it comes to late-term abortions. Although advances in prenatal diagnostics have improved early detection and informed decision-making possibilities, equitable access to safe and dignified care remains a significant challenge, especially in settings with unclear or inconsistent legal frameworks and clinical guidelines. This essay examines the complexities of induced fetal asystole in Mexico, drawing on ethical principles, comparative legal analysis, and international experiences. The essay emphasizes the necessity of institutional protocols that are context-sensitive, ethically grounded, and aimed at safeguarding the rights and well-being of patients and healthcare providers alike. Through structured reflection, the essay contributes to the ongoing dialogue about reproductive justice, clinical safety, and shared responsibility in gestational care. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La asistolia fetal inducida representa uno de los dilemas más complejos en la medicina materno-fetal, tanto en el plano ético como clínico, especialmente en el contexto de la interrupción del embarazo en etapas avanzadas. Si bien los avances en el diagnóstico prenatal han ampliado las posibilidades de detección temprana y toma de decisiones oportunas, el acceso equitativo a una atención segura y digna sigue siendo limitado, particularmente en contextos donde los marcos legales y las guías clínicas son ambiguos o inconsistentes. Este ensayo analiza los desafíos relacionados con la asistolia fetal inducida en México, a partir de principios éticos, análisis legal comparado y experiencias internacionales. Se subraya la necesidad de establecer protocolos institucionales sensibles al contexto, con fundamentos éticos sólidos y orientados a proteger los derechos y el bienestar de las pacientes y del personal de salud. Mediante esta reflexión se busca contribuir a la discusión continua de los derechos reproductivos, seguridad clínica y responsabilidad compartida en la atención del embarazo. [ABSTRACT FROM AUTHOR]
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Frente a los desafíos de la asistolia fetal inducida en México: reflexiones éticas, legales y clínicas.
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  Data: Addressing the Challenges of Induced Fetal Asystole in Mexico: Ethical, legal, and clinical reflections.
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  Data: <searchLink fieldCode="AR" term="%22Rodríguez+Sibaja%2C+María+J%2E%22">Rodríguez Sibaja, María J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ramírez+Calvo%2C+José+A%2E%22">Ramírez Calvo, José A.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gallardo+Gaona%2C+Juan+M%2E%22">Gallardo Gaona, Juan M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22López+Rodríguez%2C+Larissa%22">López Rodríguez, Larissa</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodríguez+Bosch%2C+Mario+R%2E%22">Rodríguez Bosch, Mario R.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Valencia+Contreras%2C+Carolina%22">Valencia Contreras, Carolina</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Acevedo+Gallegos%2C+Sandra%22">Acevedo Gallegos, Sandra</searchLink><relatesTo>1</relatesTo><i> dracevedo_sandra@yahoo.com.mx</i>
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  Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. oct2025, Vol. 93 Issue 10, p432-439. 16p.
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  Data: <searchLink fieldCode="DE" term="%22ETHICAL+problems%22">ETHICAL problems</searchLink><br /><searchLink fieldCode="DE" term="%22ABORTION%22">ABORTION</searchLink><br /><searchLink fieldCode="DE" term="%22PRENATAL+diagnosis%22">PRENATAL diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22REPRODUCTIVE+rights%22">REPRODUCTIVE rights</searchLink><br /><searchLink fieldCode="DE" term="%22LEGAL+instruments%22">LEGAL instruments</searchLink><br /><searchLink fieldCode="DE" term="%22OBSTETRICS%22">OBSTETRICS</searchLink><br /><searchLink fieldCode="DE" term="%22FETAL+diseases%22">FETAL diseases</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+protocols%22">MEDICAL protocols</searchLink>
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– Name: Abstract
  Label: Abstract (English)
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  Data: Induced fetal asystole presents some of the most ethically and clinically complex dilemmas in maternal-fetal medicine, especially when it comes to late-term abortions. Although advances in prenatal diagnostics have improved early detection and informed decision-making possibilities, equitable access to safe and dignified care remains a significant challenge, especially in settings with unclear or inconsistent legal frameworks and clinical guidelines. This essay examines the complexities of induced fetal asystole in Mexico, drawing on ethical principles, comparative legal analysis, and international experiences. The essay emphasizes the necessity of institutional protocols that are context-sensitive, ethically grounded, and aimed at safeguarding the rights and well-being of patients and healthcare providers alike. Through structured reflection, the essay contributes to the ongoing dialogue about reproductive justice, clinical safety, and shared responsibility in gestational care. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La asistolia fetal inducida representa uno de los dilemas más complejos en la medicina materno-fetal, tanto en el plano ético como clínico, especialmente en el contexto de la interrupción del embarazo en etapas avanzadas. Si bien los avances en el diagnóstico prenatal han ampliado las posibilidades de detección temprana y toma de decisiones oportunas, el acceso equitativo a una atención segura y digna sigue siendo limitado, particularmente en contextos donde los marcos legales y las guías clínicas son ambiguos o inconsistentes. Este ensayo analiza los desafíos relacionados con la asistolia fetal inducida en México, a partir de principios éticos, análisis legal comparado y experiencias internacionales. Se subraya la necesidad de establecer protocolos institucionales sensibles al contexto, con fundamentos éticos sólidos y orientados a proteger los derechos y el bienestar de las pacientes y del personal de salud. Mediante esta reflexión se busca contribuir a la discusión continua de los derechos reproductivos, seguridad clínica y responsabilidad compartida en la atención del embarazo. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.24245/gom.v93i
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        PageCount: 16
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      – SubjectFull: ETHICAL problems
        Type: general
      – SubjectFull: ABORTION
        Type: general
      – SubjectFull: PRENATAL diagnosis
        Type: general
      – SubjectFull: REPRODUCTIVE rights
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      – SubjectFull: LEGAL instruments
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      – SubjectFull: OBSTETRICS
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      – SubjectFull: FETAL diseases
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      – SubjectFull: MEXICO
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      – TitleFull: Frente a los desafíos de la asistolia fetal inducida en México: reflexiones éticas, legales y clínicas.
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              M: 10
              Text: oct2025
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              Y: 2025
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