AN ETHICAL ISSUE OF SELECTIVE REDUCTION FOR MULTIFETAL-PREGNANCIES VERSUS SANCTITY OF LIFE

Abstract

Background: Selective reduction for multi-fetal pregnancies is a part of reproductive technology which developed to help infertile couples have healthy babies. That treatment is controversial because the purpose of the action is to improve quality of life but it is contrary with sanctity of life. The point about sanctity of life from various religions to be a moral and it is believed of everyone. Objective: This paper aims to explore the associated ethical issues of quality of life versus sanctity of life as well as some benefits and harms of selective reduction for the mother, fetuses and community. Method: Literature search of articles between 1996-2016. Results: In vitro fertilization is a common result of multiple gestations. In order to get healthy baby/babies, in the United Stated selective reduction for fetus/fetuses who have bad condition should be done, even though it is a risky treatment. On the other hand, it is contrary with sanctity of life views from four religions including Catholic, Islam, Buddhism and Hinduism. Conclusion: The procedure of selective reduction has benefits and harms to both mother and fetus/fetuses. It is related to morbidity and mortality. The treatment also brings the impact for community. This is a difficult decision for couples because their desire is in contrast to moral principle views.