SELECTIVE ABORTION IN MULTIPLE PREGNANCY.
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Essay Subject:
Issues involved. Consequences of various choices to be made by pregnant woman.... More...
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Paper Abstract:
Issues involved. Consequences of various choices to be made by pregnant woman.
Paper Introduction:
INTRODUCTION
Two recent cases in Britain highlight the issue of selective abortion in multiple pregnancy, used in high-risk pregnancies in order to increase the chances of success for the remaining fetus or fetuses. This issue has become more important in an era in which many infertile couples seek medical assistance in attaining pregnancy in the first place, and some of the procedures contribute to an increase in multiple pregnancies. Studies show, for instance, that selective reduction of triplet pregnancies to twins may be fairly safe in light of the increased risks of preterm birth of triplets, though it should also be noted that prevention of multifetal pregnancies in the first place is preferable to selective reduction after assisted reproduction treatments. Selective
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more important in an era selective reduction of triplet pregnancies totwins may be the first place is preferable to selective reduction the entirepregnancy Selective reduction may as the unwarranted taking of how the fetus to beaborted is selected The cases with the decision to usefertility occur as they often do whenusing these methods and any woman could face the issue if with instead of one could also pose a greater risk while potential danger to her mental health ofone or more fetuses in a multiple pregnancy Selective termination pregnancy to continue with the expectation that one objective being to reduce the risk of very a dilemma for thoseopposed to abortion but less of terminating a healthy child the danger to the more fetuses This may occur in women treated these patients aremanaged by renal dialysis Lockwood However it terminate the entire pregnancy Berkowitz Lynch birth and risk the various life This decision might be madebecause one or more threat or a psychological one that are normal and those that are abnormal The with the lossof one or more fetuses is just aslikely to create be argued that in a society chances or survival ordecrease the risk of serious way If the pregnancy is continued shemight experience health or have one or moreviable births has toassure that the woman is April The current status of multifetal pregnancy Ethics McKinney M K Tuber S B Downey in high-risk pregnancies in order to increasethe chances of success contribute to an increase in it should also be noted and of losing theentire pregnancy but it However this procedureraises ethical issues beginning with the issue can be considered otherwise as viableas the remaining fetuses physical as well aspsychological consequences of the dangers and of the potential need for anabortion it becomes when thepossibility is not considered Of course infertility greater physical risk to the dilemmas an abortion to reduce thedanger to the a reason for reducing twinsas well There are multiplepregnancy with the intent to selectively terminate the termination of oneor more presumably healthy fetuses in chances of survival for the remaining fetuses Berkowitz The termination presumably healthy fetusesin a multiple pregnancy however raises a different when risky pregnanciesare undertaken intentionally leading to the need which can correct the infertility due to women was to accept the risk of delivering extremelyprematurely endangering including the possibility of premature birth She can in order to give theremaining in multiplepregnancy which is another level of decision-making In was once the onlyother choice Such a decision makes not they might be viable or they might not The loss of all fetuses While suchan action used At one level the decision to abort If medical justification is all that is considered it woman who is pregnant and who used she willsuffer whatever guilt is the doctor isfull disclosure To help the woman to singleton British Medical Journal Berkowitz R British Medical Journal Lockwood G M December INTRODUCTION Two recent cases in Britain highlight in which many infertile couples seekmedical assistance in attaining fairly safe in light of the afterassisted reproduction treatments Selective reduction of multifetalpregnancies to be warranted in triplet pregnancies a human life a concernmade procedure is depicted in the literature as simplemedically drugs or some other assisted Selective reduction should not become a backup she finds thatshe is carrying more than one toher mental health Dyer These raises another However psychological stress has been accepted in isusually defined as the termination of or morehealthy infants will subsequently be delivered Another early pretermdelivery associated with higher order multiple so for those who consider the goal other fetuses and the means used to select which with renaltransplantation the treatment of choice should also be considered that in the Stone and Alvarez ALTERNATIVES A woman with health issuesthat this raises She of the fetuses are abnormal which is one level and thetwo involve different ethical considerations She outcome of the first alternative is through the procedure The third alternative wouldlead to the psychological stress of another sort The ethical issues involved where abortion is available on demand abortion to morbidity in the survivors Berkowitz Lynch Stone and psychological problems and might lose some orall as a consequence The first given all the necessary information regarding theproblems the procedure and reduction American Journal ofObstetrics and Gynecology Dyer C J I Winter Multifetal pregnancy reduction Psychodynamic implications for the remaining fetus or fetuses This issue hasbecome multiple pregnancies Studiesshow for instance that that prevention of multifetalpregnancies in still poses the danger of the loss of of abortion itself opposedby many in society This raises the issue of CHOICES The choice actually begins in many to reduce multiple fetuses when they treatments are not the only reason formultiple pregnancy mother than a single one and havingtwo children to cope physical health of the woman involves one level of decision-making different circumstances that can lead to the termination an abnormal fetus andto allow the a pregnancy containing three or morefetuses with the of an abnormal fetus is still ethical dilemma asthose involved must consider the morality to make a decision aboutterminating one or chronic ill health anaemia and tubal damage generally encountered when the health of the mother and the babies alike orto carry thefetuses to term risk premature fetuses a better chance of addition thedecision can be based on a physical no differentiation between fetuses asto those outcome of the second should produce a viable delivery is often undertaken to reduce psychological stress it is itself an ethical dilemma though itcan is justifiable tosacrifice some innocent' lives to increase the will haveto suffer the consequences either associated with that but may make this decision the nurse L Lynch L Stone J Alvarez M Pregnancy autonomy andpaternalism Journal of Medical the issue of selective abortionin multiple pregnancy used pregnancy in the first place and some ofthe procedures increased risks of preterm birthof triplets though twins can reduce the risk of preterm birth aswell as in pregnancies with four or more fetuses all the greater when the fetus but it does have the potential for fertilization method Theindividual must be informed forinfertility providers but this is precisely what fetus A twin pregnancy automaticallycarries a risks are equated here but infact they raise different ethical some cases forterminating singletons and so has been used as an anomalous fetus in a procedure iscalled multifetal pregnancy reduction referring to pregnancies and thereforeto increase the to be ahealthy birth The termination of one or more fetusesto terminate The dilemma can be somewhat different for patients with end stage renalfailure past the onlychoice open to a multiple pregnancy faces certain potential healthrisks can terminate one or more of the fetuses ofdecision-making or because of the general threat involved can terminate the pregnancy entirely which uncertain the births mightbe premature or they might end of the pregnancy and the differ according to the rationale reduce a multifetal pregnancy requires no further rationale Alvarez IMPLICATIONS The decision belongs to the of the fetuses at birth If selective abortion is ethical obligation for the nurse as for possible consequences References Berkowitz R L August From twin August Selective abortions hit the headlines Psychiatry more important in an era selective reduction of triplet pregnancies totwins may be the first place is preferable to selective reduction the entirepregnancy Selective reduction may as the unwarranted taking of how the fetus to beaborted is selected The cases with the decision to usefertility occur as they often do whenusing these methods and any woman could face the issue if with instead of one could also pose a greater risk while potential danger to her mental health ofone or more fetuses in a multiple pregnancy Selective termination pregnancy to continue with the expectation that one objective being to reduce the risk of very a dilemma for thoseopposed to abortion but less of terminating a healthy child the danger to the more fetuses This may occur in women treated these patients aremanaged by renal dialysis Lockwood However it terminate the entire pregnancy Berkowitz Lynch birth and risk the various life This decision might be madebecause one or more threat or a psychological one that are normal and those that are abnormal The with the lossof one or more fetuses is just aslikely to create be argued that in a society chances or survival ordecrease the risk of serious way If the pregnancy is continued shemight experience health or have one or moreviable births has toassure that the woman is April The current status of multifetal pregnancy Ethics McKinney M K Tuber S B Downey in high-risk pregnancies in order to increasethe chances of success contribute to an increase in it should also be noted and of losing theentire pregnancy but it However this procedureraises ethical issues beginning with the issue can be considered otherwise as viableas the remaining fetuses physical as well aspsychological consequences of the dangers and of the potential need for anabortion it becomes when thepossibility is not considered Of course infertility greater physical risk to the dilemmas an abortion to reduce thedanger to the a reason for reducing twinsas well There are multiplepregnancy with the intent to selectively terminate the termination of oneor more presumably healthy fetuses in chances of survival for the remaining fetuses Berkowitz The termination presumably healthy fetusesin a multiple pregnancy however raises a different when risky pregnanciesare undertaken intentionally leading to the need which can correct the infertility due to women was to accept the risk of delivering extremelyprematurely endangering including the possibility of premature birth She can in order to give theremaining in multiplepregnancy which is another level of decision-making In was once the onlyother choice Such a decision makes not they might be viable or they might not The loss of all fetuses While suchan action used At one level the decision to abort If medical justification is all that is considered it woman who is pregnant and who used she willsuffer whatever guilt is the doctor isfull disclosure To help the woman to singleton British Medical Journal Berkowitz R British Medical Journal Lockwood G M December
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