Anomaly means a deviation from the ... – PowerPoint PPT presentation . The psychologist argued that a severely impaired fetus is in itself a traumatic event: There is guilt, self-reproach, dejection, depression, etc. 2017;95:175–180. If it’s for the best [for it to die], OK, then that’s how it should be. Questions posed to health care providers centered on medical and personal experiences and on their views on the decriminalization of abortion on fatal fetal anomaly grounds. If there’s a request for induction we will take it to the ethics committee, but it usually doesn’t go over well. Email: lidia.casas@udp.cl. Hydrops fetalis is a serious, life-threatening condition in which a fetus or newborn has an abnormal buildup of fluids in the tissue around the lungs, heart, or abdomen, or under the skin. Fetal abnormality incompatible with life is a fact and the options for dealing with it are abortion or birth followed by death. -, Lotto R., Armstrong N., Smith L. “Care provision during the termination of pregnancy following diagnosis of a severe congenital anomaly: A qualitative study of what is important to parents”. except in cases of serious fetal anomalies incompatible with life" (Epner 1998). Multiple logistic regression showed This article is an orphan, as no other articles link to it. When faced with a difficult situation, he asks colleagues for a second opinion, but there is no comprehensive approach. Contraception. A confirmed diagnosis triggers a range of feelings that may vary over time but are best described as “a sense of overflowing bereavement,” as one of the women interviewed put it. Midwives noted that because of their rapport with patients and their ability to use less technical language, it often falls to them to provide details and explain the pathology. The sense of disbelief that follows a malformation diagnosis is often followed by feelings of unfitness to be a wife and mother. Some women turned to Chile Crece Contigo (Chile Grows with You), a nationwide social program for parents and family members that, for these specific cases, offers support and counseling designed to ease guilt and prevent pathological grief.18. From July through September 2015, we conducted 22 semi-structured interviews with one psychiatrist, one psychologist, nine certified nurse-midwives, one neonatologist, nine obstetrician-gynecologists, and one sociologist in public and private practice in the cities of Santiago, Valparaíso, and Valdivia. 2007 Nov;15(30):202-10. doi: 10.1016/S0968-8080(07)30328-5. If there aren’t any health issues, you wait until the situation calls for action. Chile bans abortion even in cases of congenital malformation with little or no life expectancy. Health conditions are also weighed in pondering induction. “La criminalización del aborto como una violación a los derechos humanos de las mujeres”; pp. Some medical respondents said that pregnancy termination may be discussed in meetings with department heads and ethics committees as a means to reduce suffering or health risks. -, Gawron L., Watson K. “Documenting moral agency: A qualitative analysis of abortion decision making for fetal indications”. Committee on Economic, Social and Cultural Rights, General Comment No. It’s torture … At night I feel a lot of anguish, but ten minutes later I’ll be laughing my head off, and after that, I’ll start crying. Their only choices are safe termination abroad or safe or unsafe illegal abortion at home. After the woman underwent an emergency early induction of labor, Chile’s main conservative newspaper ran a front-page headline stressing that this was pregnancy termination, not abortion.27 In 2017, the former health minister who had reminded the affected woman that abortion was illegal signed and sponsored a paid ad opposing Bachelet’s bill in the same newspaper. In Chile, the formal training of midwives, obstetrician-gynecologists, and other practitioners does not include dealing with these difficult pregnancies. 22, The Right to Sexual and Reproductive Health, UN Doc. A legal analysis. Health care staff, for their part, confront their own dilemmas. The AMA recommends that the intact dilatation and extraction procedure not be used unless alternative procedures pose materially greater risk to the woman and that abortions not be performed in the third trimester except in cases of serious fetal anomalies incompatible with life. Almost all medical staff respondents interviewed supported therapeutic abortion on grounds of fatal impairment. Posted on September 1, 2016 by gabrielsmemoryboxes. They don’t really have the time to process their grief, because life must go on and in this macho society women are the tower of strength that must bite the bullet. While the severe fetal congenital indication in the proposed Chilean bill may be seen as a medical issue, in fact agency is the key. In simple terms, congenital refers to the existence at or before birth. Isaiah’s Story. Whether it's fetal anomaly incompatible with life or congenital malformation resulting in little or no life expectancy, all Chilean women are expected to carry their pregnancies to term. Psychological experiences of women with pregnancy termination due to fetal anomalies: a qualitative study from the perspective of women, their spouses, and healthcare providers in Iran. The two women and the former partner, for their part, were asked about medical treatment received, options given during gestation, whether they sought or thought about pregnancy termination, and their views on the decriminalization of abortion on fatal fetal anomaly grounds, as there is evidence that at least some women are given the option of terminating the pregnancy or inducing early labor.4. This should be recognized, and women—whether they choose to continue or terminate—should receive support and care, while states should guarantee appropriate conditions that allow women to make a very difficult decision. Isaiah’s Story. Methods: This is a descriptive study, which assessed 78 medical charts of patients in the Prenatal Fetal Medicine Division of the Federal University of São Paulo; the women gave birth at the same institution, between 2000 and 2006. 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