Jansen R P
Royal Prince Alfred Hospital, Sydney, Australia.
J Med Ethics. 1990 Jun;16(2):61-5; discussion 66-70. doi: 10.1136/jme.16.2.61.
A fetus may survive an intentional interference with its intrauterine environment (1) if gestational age is mistaken and the procedure of induced abortion does not kill the fetus, (2) if a change of heart takes place after abortifacient drugs are taken and the abortion does not proceed, and (3) if a high-multiple pregnancy is reduced to a singleton or a twin pregnancy to improve the likelihood that the remaining fetuses will reach viability. In each case, through cause or coincidence, an abnormal baby may be born. The well-intentioned physician, responding to a patient's medical or psychological needs, risks a legal action in negligence or assault brought by a deformed surviving child. This hazard means that medical termination of pregnancy and selective pregnancy reduction put the practising physician at substantial risk in a way not usually associated with induced abortion.
(1)如果孕周被误判且人工流产手术未杀死胎儿;(2)如果在服用堕胎药物后改变主意且未进行堕胎;(3)如果多胎妊娠减为单胎或双胎妊娠以提高剩余胎儿存活的可能性。在每种情况下,由于某种原因或巧合,可能会生出异常婴儿。出于善意响应患者医疗或心理需求的医生,可能会面临畸形存活儿童提起的过失或人身伤害法律诉讼风险。这种风险意味着,医学上的妊娠终止和选择性减胎会使执业医生面临一种通常与人工流产无关的重大风险。