Nonaggressive Obstetric Management:  An Option for Some Fetal Anomalies During the Third Trimester

Frank A. Chervenak, MD; Laurence B. McCullough, PhD
JAMA. 1989;261(23):3439-3440. doi:10.1001/jama.1989.03420230093033.
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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.

(JAMA. 1989;261:3439-3440)


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