DOI:10.18643/gieu.2014.20
"> DOI:10.18643/gieu.2014.20
"> DOI:10.18643/gieu.2014.20
"/> Confidentiality in obstetrics in the XIXth century Romania
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Confidentiality in obstetrics in the XIXth century Romania

S. Hostiuc, I. Negoi, O. Buda, A. Punga, T. Hangan


Abstract: Before the last part of XIXth century one cannot speak about obstetrics as a distinct medical discipline in Romania (nor in the most of Europe as a matter of fact). The act of birth was aided by untrained midwifes, whose empirical skills were responsible for numerous deaths. The purpose of this article is to present the way medical secret was implemented in obstetrics in Romania, its particularities and the influences guiding its development. Understanding the particularities and the evolution of the ethical ideas in medicine may aid our understanding of today’s particularities of medical ethics in Romania and the way it is implemented in clinical practice. By using original and derived sources obtained from the States Archive, the old fund of books from the Romanian Academy, and the National Library of France, and also online resources of old books (DacoRomanica for Romanian documentary materials, Gallica for French documentary materials, and Google Books and archive.org for materials in English) we were able to draw a sketch of the medical secret in obstetrics, whose main conclusions are: (1) medical confidentiality in Romanian Principalities, even if it has specific elements, like the almost complete absence of regulations or etiquette regarding the medical secret, is highly influenced by French and Ottoman culture; (2) the most preeminent regulations regarding medical secret belong to Midwifery institution, being implemented 30 years before the law regulating it for all medical disciplines; (3) knowing what are the origins of the medical confidentiality (and medical ethics in general), may lead to a better understanding of the way ethical principles are implemented in today’s clinical practice.
DOI:10.18643/gieu.2014.20

Keywords: confidentiality, obstetrics, evolution, ethical ideas

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