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Question:

Case Study

Fetal Abnormality." Be sure to address the following questions: Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain. How does the theory determine or influence each of their recommendation for action? What theory do you agree with? How would the theory determine or influence the recommendation for action?

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last 3 years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant, and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.   Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome. Dr. Wilson, the primary attending physician is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying out loud. Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears. Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult to not view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother.

 

Answer:

Fetal Abnormality

Fetal abnormality is very unfortunate to any couple. Jessica and her husband Marco have been in the U.S. for the last 3 years. Six months before, they had moved to an apartment from their aunt’s house. They are very hard workers. Jessica works 50 hours a week at a local restaurant, and Marco has been contracting side jobs in construction. Jessica finds out she is pregnant. Unfortunately the preliminary ultrasound indicated a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome. Down syndrome is gene related problem that occurs before birth. Due to Down syndrome the baby may have some mental and physical misbalance (Nhs.uk, 2015). The prenatal care of the baby did not take by the Macro and Jessica because of their financial problem. Seeing the all complications of the baby the Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica is not influenced by the doctor. At that kind of situation of the baby abortion is scientifically right (Healthtalk.org, 2015). Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother.  I am totally agreed with the decision which has taken by Jessica and her family.

 

References

Healthtalk.org,. (2015). The 18-20 week scan and further tests | Topics, Ending a pregnancy for fetal abnormality, Pregnancy & children, People's Experiences | healthtalk.org. Retrieved 14 March 2015, from https://www.healthtalk.org/peoples-experiences/pregnancy-children/ending-pregnancy-fetal-abnormality/18-20-week-scan-and-further-tests

Nhs.uk,. (2015). Abortion for foetal abnormality - Pregnancy and baby guide - NHS Choices. Retrieved 14 March 2015, from https://www.nhs.uk/conditions/pregnancy-and-baby/pages/termination-abortion-for-foetal-abnormality.aspx

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