Assisted Reproduction and Selective Reduction of Pregnancy
Lancet. 1987 Dec 12; 2(8572): 1409-1410.
The commonest causes of high multiple pregnancies are now the drug treatment of anovulatory infertility and the implantation of a large number of embryos by in-vitro fertilization (IVF) or by gamete intrafallopian transfer (GIFT)...If the number of fetuses in a high multiple pregnancy is reduced, those remaining will have a much greater chance of survival...Is it ethical and legally appropriate to carry out a selective reduction of pregnancy--that is, to destroy one or more fetuses in order to give the remaining fetus or fetuses a better chance?...While it is too immature to be viable, any fetus may be legally aborted if the terms of the 1967 Abortion Act are met...Thus, it seems to me that the selective killing of some immature and non-viable fetuses in the womb could well come within the terms of the 1967 Abortion Act.
Abortion; Clinical Ethics; Clinical Ethics Committees; Drugs; Embryo Transfer; Embryos; Ethics; Ethics Committees; Fetuses; Gamete Intrafallopian Transfer; Government; Government Regulation; Health; Health Facilities; In Vitro Fertilization; Infertility; Institutional Policies; IVF; Killing; Legal Aspects; Legal Liability; Liability; Multiple Pregnancy; Physicians; Public Policy; Pregnancy; Regulation; Reproduction; Selective Abortion; Viability;
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