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Neurofibromatosis 1: To Abort or Not to Abort... (To abort... (Beneficence…
Neurofibromatosis 1: To Abort or Not to Abort...
To abort...
Beneficence
Less expense on parents
counter-argument:
safe abortion procedures/practices are usually costly and may entail the parents to go abroad because abortion is not allowed in the Philippines
counter-argument:
if the parents will go for the cheap abortionists, the procedure presents risks for unforseen complications (
Flanagan, 2019
)
Shortened burden of pregnancy
Autonomy
Right to choose.
Parents can exercise their choice of terminating pregnancy in favor of their possible situation.
Parents may choose to have another child again if they opt for abortion
counter-argument:
there is no guarantee if the next child will not have NF1
Non-maleficence
There is no cure for NF1
counter-argument:
There are management options for children afflicted with NF1.
Eliminate prolonged suffering of the fetus to adulthood
Justice
Entitlement of the mother to making choices for her body
counter-argument
: safe abortion procedures in reputable facilities are not offered in the Philippines and may entail the parents to go abroad
There is government support in place that can help subsidize the care for the child in the future
Double Effect
The intention of abortion is to alleviate the parents of having a child with a genetic disease
counter-argument:
While the abortion will appear to solve one problem, it presents health risks for the mother. These include:
depression and the possibility of being unable to conceive again
Not to abort...
Beneficence
Prolonging the life of a fetus
Allowing the fetus the opportunity to live and reach his/her full potential
counter-argument:
raising a child with NF1 presents an emotional and physical burden on parents
Autonomy
The physician has the autonomy to exercise his/her views on the case on hand
counter-argument:
the physicians moral views may not match the patient's views
counter-argument
: autonomy only goes to the extent of non-maleficence
Non-maleficence
Continuing with the pregnancy eliminates harm to the fetus. In relation to this, the mother bears no extra burden of carrying a child with neurofibromatosis while she/he is in her womb.
does not harm the fetus
Justice
Entitlement of the fetus to life. In relation to this, the mother bears no extra burden of carrying a child with neurofibromatosis while she/he is in her womb.
According to the Republic Act 10354 (also known as the Responsible Parenthood and Reproductive Health Act of 2012) of the Philippine Constitution, abortion is illegal and punishable by law.
There are
management options
when it comes to dealing with the symptoms of NF1
There are
support groups
that the parents may join to help them cope with raising a child with NF1
counter-argument:
support groups are not available in the Phlippines
For children who will exhibit orthopedic problems due to NF1,
physical therapists
may help with the pain
counter-argument:
physical therapists will entail some costs on the parents
Child is recommended for
regular check-ups
so that care may be given right away for any problems that are related to NF1
(Mayo Foundation for Medical Education and Research (MFMER), 2020)
Surgery
is possible to remove the tumors
counter-argument:
tumor may be malignant, which may require the patient to undergo chemotherapy
counter-argument:
surgery also presents its own risk in the health of the patient especially if performed multiple times already
counter-argument:
surgery is also costly