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An Option for Some Fetal Anomalies During the Third Trimester

Frank A. Chervenak, MD; Laurence B. McCullough, PhD

JAMA. 1989;261(23):3439-3440.

Abstract
Nonaggressive obstetric management was used in 13 cases of anomalous fetuses during the third trimester. Criteria that define these anomalies are (1) a very high probability of a correct diagnosis and (2) either (a) a very high probability of death as an outcome of the anomaly diagnosed or (b) a very high probability of severe and irreversible deficit of cognitive developmental capacity as a result of the anomaly diagnosed. On the basis of two approaches to obstetric ethics, we defend the legitimacy of nonaggressive management of third-trimester pregnancies complicated by fetal anomalies that meet these criteria.

(JAMA. 1989;261:3439-3440)

Author Affiliations
From the Department of Obstetrics and Gynecology, The New York (NY) Hospital-Cornell Medical Center (Drs Chervenak and McCullough); and the Center for Ethics, Medicine, and Public Issues, Baylor College of Medicine, Houston, Tex (Dr McCullough).

Footnotes
Reprint requests to Department of Obstetrics and Gynecology, M036, The New York Hospital-Cornell Medical Center, 525 E 68th St, New York, NY 10021 (Dr Chervenak).

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