In addressing the September 2007 theme—the parental-fetal disconnect—contributors explore the physician’s role in managing conflicts between the behavior and wishes of parents and the best interest of the fetus. Using assisted reproductive technology (ART), it is now possible to select embryos with specific traits for implantation, donate sperm and eggs posthumously, and bear children after menopause. Septemberauthors sort out whether these and other ART-related possibilities serve the best interest of the offspring.
When the patient delivers a low-birth-weight infant that requires extensive time in the neonatal intensive, should she be held responsible? Where do we draw the line? More importantly, on what basis do we draw the line?
The stigma associated with HIV has diminished with its spread among the heterosexual population and the development of effective treatments. This normalization may justify assuming a more traditional public health perspective about mandatory prenatal screening.