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Hello, I am looking for someone to write an essay on Medical Ethics. It needs to be at least 2000 words.Download file to see previous pages... The case of Ms Quick is quite an unusual one, as it is us

Hello, I am looking for someone to write an essay on Medical Ethics. It needs to be at least 2000 words.

Download file to see previous pages...

The case of Ms Quick is quite an unusual one, as it is usually that the women, who are trying to conceive, are keener on keeping the lives of their future children regardless of their number.

When I tried to find out what were the reasons for her decision to terminate two of the fetuses, Ms Quick stated that she really wants to have a child and "be a good mother" but doesn't feel capable of caring for more than one child at a time. She added that she would rather terminate the pregnancy than have triplets born. It is obvious that Ms Quick is afraid of the idea to take care of three children at a time. In addition, the decision about terminating two fetuses was made after she communicated with her husband, thus I concluded that her husband also does not like the idea of having ore than one child at a time. Ms Quick is thirty, and this is her first pregnancy. Maybe, that is why she is so nervous.

The behavior of my patient is indistinctive for the woman who was under the infertility program. Usually these women are very keen on having children, and they usually don't request abortion even if the gestation is multiple. In the same time Ms Quick is ready to abort all the fetuses rather than have triplets. She is aware of the fact that abortion may make her chances to conceive again much smaller, than they are now.

The patient isn't stopped by the increased risk of miscarriage of the third fetus in case the first two are terminated, and health risks like pain, bleeding, low-grade fever, hematometra, retained products of conception, uterine perforation, bowel and bladder injury etc (Clinical Management of Abortion Complications : a Practical Guide, 1994), presented by the usual abortion procedure also don't stop her.

Analyzing her behavior and opinions, I would conclude that Ms Quick isn't ready to mothering at all, at least psychologically. Regardless of the decision she will make I will advise her to ask for counseling services, or visit the psychologist.

In this case we have to deal with an ethical dilemma - a situation when there are two or more correct courses of action but you can't do both. The patient has the right to decide that three children is too much for her, considering the fact that she may not have enough resources to rise three children, or that she just does not want to have three children, its pro-choice approach (Baird, 2001). In the same time, all three fetuses seem to be healthy, and there are no medical indications for terminating the pregnancy or two of the fetuses.

In this case using the utilitarian approach to ethics would be the wise decision. According to the definition developed by the Markkula Center for the Applied Ethics, "utilitarianism is a moral principle that holds that the morally right course of action in any situation is the one that produces the greatest balance of benefits over harms for everyone affected". In this case the ends - the lives of the children, and the physical and mental condition of their mother are of greater importance than the means.

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