Prenatal Genetic Screening - Physicians need to determine when to offer such tests and how to explain the results
- to the patient.
- This has long been one of the most divisive issues in medical ethics ,both for physicians and for public authorities.
- The WMA Statement on Therapeutic Abortion acknowledges this diversity of opinion and belief and concludes that “This is a matter of individual conviction and conscience that must be respected”
- Severely compromised neonates
- Because of extreme pre-maturity or congenital abnormalities , some neonates have a very poor prognosis for survival.
- Difficult decisions often have to be made to attempt to prolong their lives or allow them to die.
- These include the production of new embryos or the use of spare embryos (those not wanted for reproductive purposes ) to obtain stem cells for potential therapeutic application ,testing of new techniques for assisted reproduction, and experimentation of foetuses.
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- In between these extremes lay numerous issues regarding the initiation or withdrawing of potentially life-extending treatments , the care of terminally ill patients and the advisability and use of advance directives.
- Two issues deserve particular attention :-
- Euthanasia and Assistance in suicide.
- Euthanasia means knowingly and intentionally performing an act that is clearly intended to end another person' life that includes the following elements :
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