Prenatal diagnosis and abortion for congenital abnormalities :is it ethical to provide one without the other?

Dublin Core

Title

Prenatal diagnosis and abortion for congenital abnormalities :is it ethical to provide one without the other?

Author

Ballantyne, Angela
Newson, Ainsley
Luna, Florencia
Ashcroft, Richard

Publisher

2009/08/00

Language

English

Publication Date

20090800

Abstract

This target article considers the ethical implications of providing prenatal diagnosis (PND) and antenatal screening services to detect fetal abnormalities in jurisdictions that prohibit abortion for these conditions. This unusual health policy context is common in the Latin American region. Congenital conditions are often untreated or under-treated in developing countries due to limited health resources, leading many women/couples to prefer termination of affected pregnancies. Three potential harms derive from the provision of PND in the absence of legal and safe abortion for these conditions: psychological distress, unjust distribution of burdens between socio-economic classes, and financial burdens for families and society. We present Iran as a comparative case study where recognition of these ethical issues has led to the liberalization of abortion laws for fetuses with thalassemia. We argue that physicians, geneticists and policymakers have an ethical and professional duty of care to advocate for change in order to ameliorate these harms.

Primary Classification

15.2

Secondary Classification

15.2;12.4.2;21.1

Primary keywords

abortion--[pri];congenital disorders--[pri];international aspects--[pri];legal aspects--[pri];moral policy--[pri];prenatal diagnosis--[pri];public policy--[pri];selective abortion--[pri];socioeconomic factors--[pri]

Secondary keywords

case studies;comparative studies;developed countries;developing countries;genetic disorders;genetic services;health services accessibility;illegal abortion;justice;moral obligations;pregnant women;religion;social impact;thalassemia

Subject

Latin America--[pri]

Subject

Brazil;Iran

Journal Article

American Journal of Bioethics.2009 August; 9(8):48-56

Note

36

Primary Document Type

ja

Call Number

journal

Subject Captions

l

Bibliography

49 refs.

Comment on:

See comments in:American Journal of Bioethics 2009 August; 9(8): 57-72

ISSN

1536-0075

Collection

Citation

“Prenatal diagnosis and abortion for congenital abnormalities :is it ethical to provide one without the other?,” Islamic Medical & Scientific Ethics, accessed June 19, 2024, http://imse.ibp.georgetown.domains/items/show/34567.