Two physicians offer commentaries about the use of prenatal predictive testing for a late-onset disease like Huntington's and question whether the pregnant woman should ultimately have the decisional autonomy to determine the quality of life of the unborn child.
Lynn P. Freedman, JD, MPH, Rana E. Barar, and Ann M. Drobnik, MPH
Physicians should play a critical role in expanding access to reproductive health choices for women, including the choice to give birth under the care of a midwife.
When a pregnant woman is knowingly causing harm to her unborn child, there are various legal interventions that can be taken to protect the rights if the fetus.
Physicians need to carefully explain the difficult medical realities of carrying a fetus with severe congenital abnormalities to term but then follow the wishes of a religious family who ask for reasonable medical care.