Quality - Services

Lack of quality service:

It is unethical that abortion care service is not always accessible the women who needed. Quality care such as proper pre-operative check-up, operative competence and follow-up are essential for preventing complications. Role of physician in counseling the pregnant woman is immense regarding her own health and the health of fetus. A balanced view and proper counseling in the part of the physician can help the woman to resolve her conflicts and dilemmas.

MTP on Coercion:

Voluntarisms should be the keystone in the management of fertility control. Coercion is most unethical. In out society, MTP is not the decision of the woman herself rather it is the decision of her husband or family influenced by community.

Repeated MTP's:

As contraceptive measures are widely and freely available woman often undergo repeated MTP's for unwanted pregnancies as a birth control measures. It is absolutely unethical. Using contraceptives are much safer than MTP, as it may result in morbidity and mortality.

Duration of Pregnancy and MTP:

1st trimester abortion is more ethical because it is simpler, and kinder and safer than 2nd trimester abortion. In 2nd trimester mother may feel the fetal movement and in this stage MTP, often she suffers from physiological trauma and sense of guilt.

MTP in Teenage:

Combinations of various factors, like sexual fantasies, attraction to the opposite sex, lack of sex education and also media influence the young people to teenage sex, premarital sex, much more than in the past. Proper counseling, sex education and adolescent health care are must.

Pre Natal Diagnosis and MTP:

Ethical controversies always appear in pre natal screening and specific termination. A great dilemma exists in couples for making decision for termination of handicapping abnormalities. Things become worse where the pregnancy is much wanted one. It may be accepted by many couple, but may not be by some for religious and moral reasons. In less severe chromosomal defects as with sex chromosomal aneuploidies, it is agonizing decision for the couples. So, proper counseling must be done and every view of the couple must be respected.