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The perils of the imperfect expectation of the perfect baby.

By Frank A Chervenak, Laurence B McCullough and Robert L Brent


Advances in modern medicine invite the assumption that medicine can control human biology. There is a perilous logic that leads from expectations of medicine\u27s control over reproductive biology to the expectation of having a perfect baby. This article proposes that obstetricians should take a preventive ethics approach to the care of pregnant women with expectations for a perfect baby. We use Nathaniel Hawthorne\u27s classic short story, \u22The Birthmark,\u22 to illustrate the perils of the logic of control and perfection through science and then identify possible contemporary sources of the expectation of the perfect baby. We propose that the informed consent process should be used as a preventive ethics tool throughout the course of pregnancy to educate pregnant women about the inherent errors of human reproduction, the highly variable clinical outcomes of these errors, the limited capacity of medicine to detect these errors, and the even more limited capacity to correct them

Topics: Abortion, Spontaneous, Congenital Abnormalities, Female, Health Status, Humans, Infant, Newborn, Infant, Premature, Informed Consent, Male, Obstetrics, Physician\u27s Practice Patterns, Physician-Patient Relations, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Preventive Medicine, Reproductive History, Risk Assessment, Truth Disclosure, Bioethics and Medical Ethics, Pediatrics
Publisher: Jefferson Digital Commons
Year: 2010
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