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Article
June 16, 1989

Nonaggressive Obstetric ManagementAn Option for Some Fetal Anomalies During the Third Trimester

Author Affiliations

From the Department of Obstetrics and Gynecology, The New York (NY) Hospital-Cornell Medical Center (Drs Chervenak and McCullough); and the Center for Ethics, Medicine, and Public Issues, Baylor College of Medicine, Houston, Tex (Dr McCullough).

From the Department of Obstetrics and Gynecology, The New York (NY) Hospital-Cornell Medical Center (Drs Chervenak and McCullough); and the Center for Ethics, Medicine, and Public Issues, Baylor College of Medicine, Houston, Tex (Dr McCullough).

JAMA. 1989;261(23):3439-3440. doi:10.1001/jama.1989.03420230093033
Abstract

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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