Selective termination in multiple pregnancies: ethical considerations.

Abstract:

:For those patients who have multiple pregnancies there are several considerations that must be made. When the pregnancies are the result of induced ovulation there is a significant iatrogenic element. Counselling must be provided for couples throughout the entire process. From the beginning of the inductio n program emphasis on the risks associated with multiple gestations must be clearly explained. Such events increase the risk of fetal anomalies, premature births, and poorer outcomes. The alternatives, including selective reduction must be discussed because of these risks. Also, while the patient may recognize the risks of such therapy, it is critical that they be provided with numerous chances to reassess their decision. Thus, informed consent is much broader than merely signing a form. It must be an on going process in which the patient is given any chance necessary to modify the therapy. Further, selective reduction, if it is chosen as an option, must be performed by caring and competent health professionals who are fully cognizant of the ethical and moral issues that are involved with the procedure. It is essential that physicians recognize the fact that abortion is not always something that women plan deliberately or necessarily regard as morally correct. Often times it is viewed as a necessary intervention resorted to only if the alternatives would be worse than the act itself.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Zaner RM,Boehm FH,Hill GA

doi

10.1016/s0015-0282(16)53689-9

subject

Has Abstract

pub_date

1990-08-01 00:00:00

pages

203-5

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)53689-9

journal_volume

54

pub_type

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