title: [Aporia of prenatal medicine].
abstract: Prenatal medicine touches upon elementary questions of the quality of life - of the mother as well as of the unborn child and of the physician. In essence, it is always about the determination of human worth by human beings. Each prenatal care examination is a measure of prenatal medicine. Prenatal medicine has gained today, and rightly so, a high and positive position in obstetrics and within our society. Without a doubt however, the advancements of prenatal medicine have also awakened demands and desires. We are increasingly faced with the 'demand for a healthy child'. In the ethical evaluation, intrauterine diagnostic measures are questionable as long as no intrauterine therapy is possible and only the killing of the child follows as 'therapy'. The contents of the 'indication', especially with respect to what can reasonably be demanded from the mother or the parents, are discussed with respect to liability law - 'the child as damage'. The reform of 218 StGB (German criminal law code) has provoked, among other issues, the pre- and postnatal problem of iatrogenic preterm birth. The ever present question is becoming more transparent with the liveborn sick child, which should have actually died, i.e. why instead the life of this child suddenly assumes the full legal protection so that active handling is replaced by passiveness. The two-facedness of prenatal medicine appears even more clearly when picturing the current political discussions concerning what is newly feasible in prenatal medicine, namely preimplantation diagnostics.
authors.affiliation: Frauenklinik im Klinikum Grosshadern der Ludwig-Maximilian-Universität, München, Deutschland. hermann.hepp@helios.med.uni-muenchen.de
authors.forename: H
authors.initials: H
authors.lastname: Hepp
mesh_terms: D000025:Abortion, Eugenic / Q000331:legislation & jurisprudence*; D004992:Ethics, Medical; D005260:Female; D005544:Forecasting; D005858:Germany; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D019836:Preimplantation Diagnosis / Q000639:trends*; D011296:Prenatal Diagnosis / Q000639:trends*; D011788:Quality of Life