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Chapter-06 Ethical Aspects in Management of the Malformed Fetus

BOOK TITLE: Ethical Dilemmas in Perinatal Medicine

Author
1. McCullough Laurence B
2. Chervenak Frank A
ISBN
9789380704050
DOI
10.5005/jp/books/11363_6
Edition
1/e
Publishing Year
2010
Pages
7
Author Affiliations
1. Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas, USA, Baylor College of Medicine, Center for Ethics, Medicine and Public Issues, Houston, Texas, USA, Weill Medical College of Cornell University, New York, New York, USA, Lenox Hill Hospital, Zucker School of Medicine, Hofstra/Northwell, New York, USA
2. New York Weill Cornell Medical Center, Fellow of World Academy of Art and Science, New York, New York, USA, Weill Medical College of Cornell University, New York, USA, E-mail: fac2001@med.cornell.edu, The New York Hospital - Cornell Medical Center , New York, Joan and Sanford I Weill Medical College of Cornell University, The New York Presbyterian Hospital, New York, USA, Weill Medical College of Cornell University, 525 E. 68th Street, J-130, New York, New York, USA, Weill Medical College of Cornell University; New York Presbyterian Hospital, New York, USA, Weill Medical College of Cornell University/New York, Presbyterian Hospital, New York, USA, Weill Medical College of Cornell, University, New York, New York, USA, Lenox Hill Hospital, Zucker School of Medicine, Hofstra/ Northwell, New York, USA, Lenox Hill Hospital, Zucker School of Medicine, Hofstra/Northwell, New York, USA, Lenox Hill Hospital; Zucker School of Medicine at Hofstra/Northwell, New York, USA, Lenox Hill Hospital, International Medicine, Zuc
Chapter keywords

Abstract

Ethics is an essential dimension of the management of pregnancies complicated by a malformed fetus. This chapter provides an overview of obstetric ethics, with a central focus on the ethical concept of the fetus as a patient. On this basis, the authors analyze the ethical and clinical dimensions of the obstetric management options for pregnancies complicated by a malformed fetus. These management options include aggressive management, abortion, termination of pregnancy during the third trimester, non-aggressive management, and cephalocentesis. The emerging area of fetal research is addressed in the final section.

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