Document Detail

Fatally flawed? A review and ethical analysis of lethal congenital malformations.
MedLine Citation:
PMID:  22827258     Owner:  NLM     Status:  MEDLINE    
Prenatally diagnosed abnormalities that are associated with death in the newborn period are often referred to as 'lethal malformations'. Yet, for many of the commonly described lethal malformations long-term survival is possible if supportive interventions are provided. In this paper we analyse and review fetal or congenital lethal abnormalities. The designation 'lethal' overlaps with the concept of 'medical futility'. The term is used for a heterogenous group of conditions, and hinders clear communication and counselling. We argue that the term should be avoided, and propose in its place a set of key questions that should be addressed by counselling.
D J C Wilkinson; P Thiele; A Watkins; L De Crespigny
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2012-07-25
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  119     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-17     Completed Date:  2012-12-10     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  England    
Other Details:
Languages:  eng     Pagination:  1302-8     Citation Subset:  AIM; IM    
Copyright Information:
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.
The Robinson Institute, Discipline of Obstetrics and Gynecology, University of Adelaide, North Adelaide, SA, Australia.
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MeSH Terms
Congenital Abnormalities / diagnosis*
Ethical Analysis*
Fetal Death
Fetus / abnormalities*
Infant Mortality
Infant, Newborn
Medical Futility
Prenatal Diagnosis / ethics*
Comment In:
BJOG. 2013 Feb;120(3):371-2   [PMID:  23316904 ]
BJOG. 2013 Feb;120(3):371   [PMID:  23316905 ]

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