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The physically handicapped child--is active management justified?

S Cywes

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |October 18, 1980
    PubMed
    Summary
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    This study discusses the ethical considerations of treating congenital and acquired deformities, including those linked to Down syndrome. Prevention strategies like amniocentesis and legal aspects are also explored.

    Area of Science:

    • Medical ethics
    • Pediatric surgery
    • Genetics

    Background:

    • Deformities arise from congenital causes or acquired conditions, such as post-surgical complications.
    • Congenital anomalies, particularly those associated with Down syndrome, present complex ethical dilemmas regarding initial treatment.
    • The profound impact of major handicaps on children, families, and society necessitates careful consideration.

    Observation:

    • The decision to treat congenital anomalies involves weighing potential major handicaps.
    • Acquired deformities, often resulting from trauma or extensive cancer surgery, require distinct management approaches.
    • Ethical frameworks guide the evaluation of treatment necessity for various deformities.

    Findings:

    • Certain congenital anomalies can be prevented through prenatal screening methods like amniocentesis and selective termination.

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  • Some acquired deformities may also be preventable through advancements in medical interventions and safety protocols.
  • The study highlights the multifaceted nature of deformity management, encompassing ethical, social, and legal dimensions.

    • Implications:

    • Prenatal diagnostics offer opportunities for early intervention and prevention of certain congenital conditions.
    • Understanding the long-term effects of handicaps informs treatment decisions and support systems.
    • Legal considerations are integral to the comprehensive management of deformities and patient care.