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Selective termination to a singleton pregnancy is ethically justified.

F A Chervenak1, L B McCullough, R J Wapner

  • 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, The New York Hospital-Cornell Medical Center, New York 10021, USA.

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|March 1, 1992
PubMed
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Selective termination of multifetal pregnancies to a singleton is ethically justifiable. This challenges the current consensus, arguing that previable fetuses lack independent moral status, supporting patient autonomy.

Area of Science:

  • Medical Ethics
  • Reproductive Medicine
  • Fetal Development

Background:

  • Current medical consensus generally opposes selective termination of multifetal pregnancies to a singleton.
  • Existing arguments supporting this consensus are critically examined and found to be deficient.

Purpose of the Study:

  • To challenge the prevailing ethical consensus against selective termination in multifetal pregnancies.
  • To argue for the ethical justification of selective termination to a singleton, irrespective of gestation order.

Main Methods:

  • Ethical analysis of arguments opposing selective termination.
  • Examination of the moral status attributed to previable fetuses.

Main Results:

  • The consensus against selective termination is based on the indefensible assumption of independent moral status for previable fetuses.

Related Experiment Videos

  • Selective termination of multifetal pregnancies to a singleton is ethically justifiable.

    • Conclusions:

    • Physicians should respect and implement a pregnant woman's request for selective termination to a singleton from twins or higher-order multiple gestations.
    • Physicians with conscientious objections must provide appropriate referrals for selective termination procedures.