Three ethically justified indications for selective termination in multifetal pregnancy: a practical and comprehensive management strategy

Journal of Assisted Reproduction and Genetics
Frank A ChervenakR J Wapner

Abstract

The authors provide an ethical justification for three indications for performing selective termination of multi-fetal pregnancies. These indications are (1) achieving a pregnancy that results in a live birth or one or more infants with minimal neonatal morbidity and mortality, (2) achieving a pregnancy that results in a live birth of one or more infants without antenatally detected anomalies, and (3) achieving a pregnancy that results in a singleton live birth. This ethical justification is based on two basic approaches to obstetric ethics that emphasize that these indications must be established on the basis of informed consent. The authors underscore the importance of matters of private conscience and demonstrate the consistency of ethical justification with existing public policy in the United States.

References

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Citations

Feb 13, 2014·Best Practice & Research. Clinical Obstetrics & Gynaecology·Michael Bebbington
Jul 2, 2003·Obstetrical & Gynecological Survey·Frank A ChervenakStephen T Chasen
Jan 22, 2000·Journal of Perinatal Medicine·D ChallisJ A Deprest
Jul 16, 2010·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·M Sara Rosenthal
Nov 1, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·M F G VerbergB C J M Fauser
Jan 27, 2004·Seminars in Perinatology·Frank A ChervenakZev Rosenwaks
Jul 29, 2004·Best Practice & Research. Clinical Obstetrics & Gynaecology·Isaac Blickstein
Jul 29, 2004·Best Practice & Research. Clinical Obstetrics & Gynaecology·Mark I EvansDavid W Britt
Apr 17, 2003·Clinics in Perinatology·Mark I EvansRonald J Wapner
Mar 23, 2013·Reproductive Biomedicine Online·Claire-Marie LegendreChantal Bouffard
Nov 6, 2010·Seminars in Fetal & Neonatal Medicine·Frank A Chervenak, Laurence B McCullough
Oct 6, 2018·The Journal of Obstetrics and Gynaecology Research·Mi Sun KimMyoung Jin Moon
Jul 2, 2004·Obstetrics and Gynecology·Mark I EvansJohn C Fletcher
Jul 25, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Mi Sun KimMin Jung Baek

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