Multifetal pregnancy reduction – why would you do it?

By Gregory K Pike. Multifetal Pregnancy Reduction (MFPR) was initially a response to the high incidence of multiples in Assisted Reproductive Technology. It has even been called “an integral fail-safe of infertility practice”. Its goal was, and mostly still is, to improve outcomes by terminating some fetuses in a multiple pregnancy, on the grounds that […]

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Public reactions to non-invasive prenatal testing funding in England, France and Germany: The case of Heidi Crowter and Maire Lea-Wilson in England.

By Adeline Perrot and Ruth Horn The introduction of non-invasive prenatal testing (NIPT) into public health systems in recent years has been the subject of controversy in England, France and Germany. In England, for example, the ‘Don’t Screen Us Out’ campaign recently supported the case of Crowter and Lea-Wilson, challenging the UK Secretary of State […]

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Why we must resist proposals for routine screening for alcohol in pregnancy

By Rebecca Bennett and Catherine Bowden Since a link was established between alcohol consumption in pregnancy and Fetal Alcohol Spectrum Disorder (FASD) there have been attempts to reduce women’s alcohol consumption during pregnancy. As a result, many jurisdictions, including the UK have taken what is called ‘abstinence only approach’ as the basis for all policies […]

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Getting “done” for concealment of pregnancy: Does a woman have a duty to inform healthcare staff of her pregnancy status?

By Gemma McKenzie. In England a pregnant woman – like any adult with mental capacity – enjoys the rights to autonomy and bodily integrity. As a result, she can only be subjected to a medical intervention with her informed consent. The law does not consider a human fetus as a separate legal entity; therefore, a […]

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Centring choice in birthing services; COVID-19 and maternal request caesarean sections

By Anna Nelson & Elizabeth Chloe Romanis During the COVID-19 pandemic pregnant and birthing people saw significant changes to the services they were offered. From March 2020 substantial restrictions were introduced in an attempt to curb the spread of the virus, with some notable examples including bans on partners attending scans, limitations on the number […]

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NICE Draft Quality Standards on FASD: A misplaced focus?

By Rachel Arkell. In early March, the National Institute for Health and Care Excellence (NICE) launched the consultation period for the first draft of their Quality Standards on fetal alcohol spectrum disorders (FASD), which covers the assessment and diagnosis of those affected by FASD. It is, of course, vital that diagnosis and support services are […]

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