Nonaggressive obstetric management. An option for some fetal anomalies during the third trimester.
Nonaggressive obstetric management was used in 13 cases of anomalous fetuses during the third trimester. Criteria that define these anomalies are (1) a very high probability of a correct diagnosis and (2) either (a) a very high probability of death as an outcome of the anomaly diagnosed or (b) a very high probability of severe and irreversible deficit of cognitive developmental capacity as a result of the anomaly diagnosed. On the basis of two approaches to obstetric ethics, we defend the legitimacy of nonaggressive management of third-trimester pregnancies complicated by fetal anomalies that meet these criteria.
Chervenak
F A
FA
Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, NY 10021.
McCullough
L B
LB
D026686:Beneficence; D001927:Brain Diseases; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000401:mortality; D030881:Disclosure; D026689:Ethical Analysis; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007258:Informed Consent; D028681:Moral Obligations; D009774:Obstetrics / Q000379:methods*; D018579:Patient Selection; D026684:Personal Autonomy; D011247:Pregnancy; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third; D037841:Pregnant People; D011296:Prenatal Diagnosis; D018570:Risk Assessment; D028761:Withholding Treatment