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Case Study on Moral Status: Fetal abnormality and Christian view of Human Nature.

Case Study on Moral Status: Fetal abnormality and Christian view of Human Nature.

Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
How does the theory determine or influence each of their recommendations for action?
What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Transporting a young child termination for infant abnormality (TFA) could have considerable psychological effects for those concerned. Evidence suggests that women’s experience of care influences their psychological adjustment to TFA and that they greatly value compassionate healthcare. Caring for women in these circumstances presents challenges for health professionals, which may relate to their understanding of women’s experience. This qualitative study examined health professionals’ perceptions of women’s coping with TFA and assessed to what extent these perceptions are congruent with women’s accounts. Health professionals’ perceptions of women’s coping processes were congruent with women’s accounts in identifying the roles of support, acceptance, problem-solving, avoidance, another pregnancy and meaning attribution as key coping strategies. Health professionals regarded coping with TFA as a unique grieving process and were cognisant of women’s idiosyncrasies in coping. They also considered their role as information providers as essential in helping women cope with TFA. The findings also indicate that health professionals lacked insight into women’s long-term coping processes and the potential for positive growth following TFA, which is consistent with a lack of aftercare following TFA reported by women.

Overall health professionals’ perceptions of women’s handling TFA closely matched up women’s balances, indicating an increased level of being familiar with. However, the lack of insight into women’s long-term coping processes has important clinical implications, as research suggests that coping with TFA is a long-term process and that the provision of aftercare is beneficial to women. Together, these findings call for further research into the most appropriate ways to support women post-TFA, with a view to developing a psychological intervention to better support women in the future.

In England and Wales in 2015, 3213 pregnancies have been terminated about the reasons of baby abnormality representing 2Percent of all terminations [1]. The number of TFAs has risen (3213 in 2015 compared to 2085 in 2009 [2]), due to increased provision of screening and diagnosis [3], new screening technologies (e.g., non-invasive prenatal testing) that enable earlier fetal abnormality detection, and an increase in childbearing age associated with adverse pregnancy outcomes [4], particularly chromosomal abnormality.

TFA may well be a disturbing event with long lasting mental health consequences, which include posttraumatic nervousness, complex suffering and significant major depression [5, 6]. Recent studies have highlighted the impact coping strategies have upon the way women adapt to TFA [7, 8]. Strategies considered to be adaptive, such as ‘acceptance’ or ‘positive reframing,’ are generally associated with lower grief levels, whilst strategies considered to be maladaptive, such as ‘denial’ or ‘self-blame,’ generally correlate with higher grief levels [7, 8]. Evidence also indicates that women’s experience of care may relate to their psychological adjustment post-TFA. In particular, compassionate care, i.e., care “given through relationships based on empathy, respect and dignity” ([9], p.13) is greatly valued by women in the context of TFA [10–13].

In Excellent britain, thoughtful treatment has gained prominence since the newsletter from the Francis document [14] along with the ensuing impetus through the entire Nationally General health Company to establish a sort of care according to sympathy and importance. It is also in keeping with the Royal College of Obstetricians and Gynaecologists’ recommendations [15] that women undergoing TFA should receive non-judgemental and supportive care. The ability to provide compassionate care presupposes that health professionals have an understanding of the experience of TFA, the complexity of the decision-making process and the short- and long-term coping processes involved in dealing with it. There is, however, limited evidence on this topic. Existing research underlines challenges experienced by health professionals in caring for women in difficult reproductive situations, including dealing with patients’ emotions [16] or breaking bad news [17, 18]. In the context of TFA, health professionals may also struggle with their own moral dilemmas regarding the decision to terminate on the grounds of fetal abnormality [19], particularly late terminations. These challenges may impede health professionals’ understanding of women’s experience and their ability to provide compassionate care.

Although research studies advise that medical professionals get some good thought of the emotionally charged challenges young girls expertise in the scenario of perinatal decreasing [16, 20–23], this investigation is the first to specifically look at wellness professionals’ thought of women’s relationship with working with TFA. The objectives of the study were, therefore, to examine health professionals’ perceptions of women’s coping with TFA and compare them to women’s accounts to assess their congruence.

Twenty seven ladies finished on the web asynchronous semi-arranged work job interviews concerning their experience of TFA, with a center on the dealing methods employed in the course of the technique and later on. Participants were recruited through a support organisation that provides support to parents who face/undergo TFA. The study received ethical approval from the University of West London Ethics Committee in 2011. Women were provided with an information sheet and consent was obtained from all participants. Data were collected by the first author between April 2011 and February 2012. All participants were aged over 18 years old and had experienced TFA. Data were analysed using interpretative phenomenological analysis (IPA). IPA has been widely used in research on reproductive health and perinatal loss [25, 26] and aims to uncover people’s individual experiences and the meanings they attribute to the experiences [27]. The findings indicated that women use several coping strategies to deal with TFA at the time of the procedure and afterwards: ‘seeking/providing support,’ ‘acceptance,’ ‘avoidance,’ ‘problem solving,’ ‘another pregnancy,’ ‘turning to the future’ and ‘meaning attribution.’