title: [Duty of the gynecologist to inform a pregnant patient about the need for or desirability of amniocentesis].
abstract: When a woman above age 35 even a multiparous women asks her obstetrician about the necessity or desirability of a genetic amniocentesis the obstetrician is obliged to inform the patient comprehensively about the risks of amniocentesis and the advantages of amniocentesis. Advantages are detection of chromosomal abnormalities, risks are premature rupture of the membranes or abortion. The obstetricians contract obliges him to recommend or not recommend such tests. If the obstetrician does not give the information to the patient because he is not familiar with the newest scientific standards or because his personal conscience is against amniocentesis because of the possibility of a subsequent eugenic therapeutic abortion the obstetrician must refer the patient to another obstetrician. If the obstetrician does not inform the parents he is liable for the total cost of maintaining a mongoloid infant.
mesh_terms: D000328:Adult; D000649:Amniocentesis; D004992:Ethics, Medical; D005260:Female; D005860:Germany, West; D006801:Humans; D007258:Informed Consent; D007603:Jurisprudence; D008423:Maternal Age; D011247:Pregnancy; D012306:Risk
vernacular_title: Zur Beratungspflicht des Gynäkologen seiner schwangeren Patientin über die Zweckmässigkeit oder Notwendigkeit einer Amniozentese.