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Related Experiment Videos

Ethical issues involving multifetal pregnancies

R L Berkowitz1

  • 1Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, New York, NY 10029, USA.

The Mount Sinai Journal of Medicine, New York
|June 6, 1998
PubMed
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Selective termination and multifetal pregnancy reduction are procedures for high-risk pregnancies. While both aim for healthier outcomes, their distinct ethical considerations and applications are discussed.

Area of Science:

  • Perinatology
  • Reproductive Medicine
  • Medical Ethics

Background:

  • Multifetal pregnancies carry increased risks for both the mother and infants.
  • Selective termination and multifetal pregnancy reduction are interventions to manage these risks.
  • These procedures raise complex ethical questions due to differing indications and outcomes.

Purpose of the Study:

  • To differentiate between selective termination and multifetal pregnancy reduction.
  • To analyze the efficacy and safety data for each procedure.
  • To discuss the distinct ethical issues associated with selective termination versus multifetal pregnancy reduction.

Main Methods:

  • Review of existing data on the efficacy and safety of selective termination.
  • Review of existing data on the efficacy and safety of multifetal pregnancy reduction.
Keywords:
Genetics and Reproduction

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  • Ethical analysis comparing the two procedures based on their distinct goals and implications.

    • Main Results:

    • Selective termination involves removing an anomalous fetus to improve the chances of a healthy singleton or twin birth.
    • Multifetal pregnancy reduction aims to decrease the number of fetuses (from three or more) to reduce prematurity risks.
    • The ethical considerations for selective termination (fetal anomaly) differ significantly from those for multifetal pregnancy reduction (elective risk reduction).

    Conclusions:

    • Selective termination and multifetal pregnancy reduction are distinct procedures with different indications and ethical frameworks.
    • Understanding these differences is crucial for patient counseling and clinical decision-making.
    • Further discussion is needed to navigate the ethical complexities of managing multifetal pregnancies.