• JAMA · Jun 1989

    Nonaggressive obstetric management. An option for some fetal anomalies during the third trimester.

    • F A Chervenak and L B McCullough.
    • Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, NY 10021.
    • JAMA. 1989 Jun 16; 261 (23): 343934403439-40.

    AbstractNonaggressive 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.

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