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Table of Contents:

List of contributors
Acknowledgements
1 Introduction: recent debates in maternal-fetal medicine - what are the ethical questions? 1
2 Overview: a framework for reproductive ethics 17
I Generic Issues in Pregnancy 37
3 Multicultural issues in maternal-fetal medicine 39
4 HIV in pregnancy: ethical issues in screening and therapeutic research 61
5 Genetic screening: should parents seek to perfect their children genetically? 87
6 Is there a duty not to reproduce? 101
7 Between fathers and fetuses: the social construction of male reproduction and the politics of fetal harm 113
8 Restricting the freedom of pregnant women 131
II Inception of Pregnancy: New Reproductive Technologies 147
9 Ethical issues in embryo interventions and cloning 149
10 A case-study in IVF: paternalism and autonomy in a 'high-risk' pregnancy 161
11 The ethics of secrecy in donor insemination 167
III First and Second Trimester 181
12 Ethical and social aspects of evaluating fetal screening 183
13 Prenatal counselling and images of disability 195
14 Models of motherhood in the abortion debate: self-sacrifice versus self-defence 213
15 Who owns embryonic and fetal tissue? 233
16 The fewer the better? Ethical issues in multiple gestation 247
IV Third Trimester 261
17 Caesarean section: who chooses - the woman or her doctor? 263
18 Judgements of non-compliance in pregnancy 285
V Neonatal Life 303
19 Do new reproductive technologies benefit or harm children? 305
20 Are there lives not worth living? When is it morally wrong to reproduce? 321
21 Ethical issues in withdrawing life-sustaining treatment from handicapped neonates 335
Index 347