Is abortion in this case medically indicated

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Reference no: EM132264938

Laudator and Desiree have been married for five years. Laudator works as a janitor at the local public school, and Desiree has a part-time job in a dress factory. They have no family and few friends. Each is the other's whole life. Because Desiree is a juvenile diabetic, they have practiced birth control, lest a pregnancy cause serious harm. In addition, as Desiree's life expectancy might be shortened, they do not want to adopt since the child might soon have no mother. Now they discover that Desiree is pregnant. The physician tells them that Desiree will almost certainly need dialysis in the course of the pregnancy. She may also die if her kidneys, which have already weakened, give out. The nurse-midwife advises an abortion. Laudator, faced with the loss of Desiree, wants an abortion. Desiree secretly wants the baby so that when she is dead Laudator will have someone to love. She thinks that the loss of her sight would be a small price to pay for the child.

Is an abortion in this case medically indicated? Is the ethicalness of an abortion complicated by the motives and the situations of the two people? Will Laudator be able to care for a seriously ill wife or to run the family if Desiree dies? Has the midwife allowed nonmedical factors to influence her ad- vice? Is her nursing advice based on her nursing education and experience?

Reference no: EM132264938

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