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Is pregnancy a disease? A normative approach.
1IFIKK, University of Oslo, Oslo, Norway anna.smajdor@ifikk.uio.no.
Journal of Medical Ethics
|January 29, 2024
Summary
This study argues pregnancy shares key characteristics with diseases, including health impacts, medical treatability, and pathogen involvement. These similarities suggest compelling reasons, both normative and pragmatic, to classify pregnancy as a disease.
Area of Science:
- Medical Philosophy
- Reproductive Health
- Pathology
Background:
- The definition of 'disease' is debated, particularly when applied to conditions considered 'normal' or essential for species survival.
- Pregnancy, while essential for human reproduction, presents physiological changes and health risks comparable to recognized diseases.
Purpose of the Study:
- To critically evaluate whether pregnancy aligns with established criteria for defining a disease.
- To explore the implications of classifying pregnancy as a disease for medical and philosophical understanding.
Main Methods:
- Comparative analysis of pregnancy's characteristics against standard disease criteria.
- Examination of existing disease theories and their applicability to pregnancy.
- Philosophical argumentation regarding the 'normality' and value of pregnancy in disease classification.
Main Results:
- Pregnancy exhibits key disease features: adverse health effects, potential for medical intervention, causative agents (pathogens), and susceptibility to prophylactic measures.
- The 'normality' or reproductive necessity of pregnancy does not inherently exclude it from being considered a disease.
- Existing disease theories often struggle to consistently include or exclude pregnancy, revealing theoretical limitations.
Conclusions:
- There are strong normative and pragmatic justifications for considering pregnancy a disease.
- Classifying pregnancy as a disease can illuminate inconsistencies within current medical and philosophical disease models.
- This perspective challenges conventional views on health, normality, and disease in reproductive contexts.
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