Incorporando la bioética ambiental a los cuidados materno perinatales para disminuir los riesgos de la Pan-Sindemia en el proceso reproductivo.

Abstract

Until now, the bioethical approach to maternal perinatal care is projected from the integral vision of bio-psycho-social health, the perspective of Human Rights and the gender perspective. In general, the ecological bioethics that arises from the perspective of environmental health has not been incorporated into maternal-perinatal care with regard to “global ethics”, environmental bioethics, the perspective of “consilience” and the importance of the healthy environment as a human right. The current global crisis situation due to the combination of the COVID 19 Pandemic and the Global Syndemic, characterized as Pan Syndemic, increases the risks and damages in the reproductive process, especially in populations violated in their rights. JUSTIFICATION It is necessary to minimize the effect of the Pan Syndemic on the human reproductive process. On the global agenda, humanity must reverse the causes of the Pan Syndemic. Meanwhile, health professionals and teams must reformulate their role when it comes to maternal-perinatal care, incorporating into the clinic the right to a healthy environment for reproduction. PERSPECTIVES Modifications in the clinical practice of sexual and reproductive health teams should be aimed at: incorporate ecological bioethics into maternal perinatal care from training to clinical practice; develop a comprehensive approach to major perinatal obstetric syndromes, prematurity and fetal growth restriction, to minimize the impact of the Pan Syndemic on the human reproductive process.