[Pregnancy interruption from the pediatric viewpoint].

Abstract:

:Therapeutic abortion is foremost a biological problem. The abrupt termination of the physiologic phenomenon of pregnancy is a sudden interference with the biology of the interaction between mother and fetus. Therapeutic abortion is also a psychological, a sociological and a political problem. Today therapeutic abortion is legal under certain condition and done by physicians. This review supports therapeutic abortion for prenatally determined abnormalities which have a scientifically high risk of defective offspring especially trisomy 21. Intensive genetic counselling prior to the therapeutic abortion is necessary. The last decision for the therapeutic abortion rests with the pregnant mother. The genetic medical problem is only part of the decision making since a number of familial, personal, religious and human factors are involved in the decision. The experience of the physician, his world view, his medical education, his knowledge of the psychological and physical and social anxieties of the pregnant patient also modify the decision making. The gynaecologist who carried out the therapeutic abortion needs to take these factors into account. Considering how difficult and depressing the development of severely mentally retarded persons is especially when they reach adulthood and how limited there life is by suffering, limitations and isolation therapeutic abortion is a valuable method to spare parents the stress of caring for severely mentally retarded offspring for years and decades. :Therapeutic abortion is foremost a biological problem. The abrupt termination of the physiological phenomenon of pregnancy is a sudden interference with the biology of the interaction between mother and fetus. Therapeutic abortion is also a psychological, sociological, and political problem. Today, therapeutic abortion is legal when done by a physician under certain conditions. This review supports therapeutic abortion for prenatal situations where determined abnormalities indicate a high risk of defective offspring, especially trisomy 21. Intensive genetic counseling prior to the abortion is necessary. The final decision for the therapeutic abortion rests with the pregnant mother. The genetic medical problem is only a part of the decision making process since a number of familial, personal, religious, and human factors are involved in the decision. The experience of the physician, his work, his world view, his medical education, knowledge of physical, psychological, and social anxieties of the pregnant patient also modify the decision making. The gynecologist who carries out the therapeutic abortion must take these factors into account. Considering how difficult and depressing the development of mentally retarded persons is, especially in adulthood, and how limited their lives are, therapeutic abortion is a valuable method to help spare parents the stress of caring for severely mentally retarded offspring for the longterm. (author's)

authors

Rett A

doi

10.1055/s-2008-1037102

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

259-62

issue

4

eissn

0016-5751

issn

1438-8804

journal_volume

43

pub_type

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