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Prenatal diagnosis and selective abortion.

T Jenkins, J G Kromberg

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |December 11, 1976
    PubMed
    Summary
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    The Abortion and Sterilisation Act, 1975, has seen limited use for fetal abnormalities in Johannesburg. However, advances in prenatal diagnosis are improving the management of heritable disorders in families.

    Area of Science:

    • Medical Law and Ethics
    • Reproductive Health
    • Genetics

    Background:

    • The Abortion and Sterilisation Act, 1975, has been operational for one year.
    • Experience with the Act's application in Johannesburg is detailed.
    • Focus is on pregnancy termination due to fetal abnormalities.

    Purpose of the Study:

    • To outline the operational experience of the Abortion and Sterilisation Act, 1975.
    • To assess the use of the Act for terminating pregnancies with fetal abnormalities.
    • To highlight the role of prenatal diagnosis in managing heritable disorders.

    Main Methods:

    • Review of case data from the Johannesburg area.
    • Analysis of the application of the Abortion and Sterilisation Act, 1975.

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  • Discussion of the impact of prenatal diagnostic techniques.

    • Main Results:

    • A relatively low number of abortions have been performed for fetal abnormalities under the Act.
    • The incidence of such abortions is anticipated to rise.
    • Prenatal diagnosis has significantly aided in managing families at risk of heritable disorders.

    Conclusions:

    • The Abortion and Sterilisation Act, 1975, has had limited initial impact on pregnancy terminations for fetal abnormalities.
    • Prenatal diagnosis is a crucial tool for genetic counseling and family planning.
    • Future trends suggest increased utilization of the Act as awareness and diagnostic capabilities grow.