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Ethical issues in perinatal genetics.

Frank A Chervenak1, Laurence B McCullough

  • 1Department of Obstetrics and Gynecology, New York Weill Cornell Medical Center, New York, New York, USA. fac2001@med.cornell.edu

Seminars in Fetal & Neonatal Medicine
|November 6, 2010
PubMed
Summary
This summary is machine-generated.

This article introduces the ethical principles of beneficence and respect for autonomy in perinatal genetics. It proposes a framework viewing the fetus as a patient for risk assessment and managing genetic anomalies.

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Area of Science:

  • Perinatal genetics
  • Bioethics
  • Medical ethics

Background:

  • Ethics is crucial in perinatal genetics.
  • Existing frameworks may not fully address the fetus's status.
  • Perinatologists require guidance on ethical decision-making.

Purpose of the Study:

  • Introduce perinatologists to key ethical principles.
  • Articulate the ethical concept of the fetus as a patient.
  • Provide an ethical framework for risk assessment and management.

Main Methods:

  • Review of ethical principles: beneficence and respect for autonomy.
  • Application of principles to define the fetus as a patient.
  • Development of an ethical framework for clinical practice.

Main Results:

  • The fetus can be ethically conceptualized as a patient.
  • An ethical framework integrating beneficence and autonomy is proposed.
  • This framework aids in classifying patients for targeted genetic counseling and management.

Conclusions:

  • Ethical principles provide a robust foundation for perinatal genetics.
  • Viewing the fetus as a patient enhances care for genetic anomalies.
  • The proposed framework supports responsible management of high-risk pregnancies.