Ethical issues in amniocentesis and abortion

The ethical issues surrounding amniocentesis are seen as centering on 4 focal points. First is the policy of the diagnostic treatment center. Here, 2 questions arise: Is the client involved in a high-risk pregnancy? And, if a positive diagnosis is made, will the parents consent to an abortion? Second is the role of the genetic counselor, which is seen as supportive rather than leading. He should assist the prospective parents in reaching a decision to undergo amniocentesis and possible abortion that is mutually acceptable. The prospective parents, the third focal point, may face the question of deciding what is normal. The clients must also realize the terrible strains that are put on a marriage into which a severely defective child has been born. The fourth focal point is public policy. While amniocentesis may appear to threaten some values held important in our society, the author regards the procedure as an interim solution on the road to an understanding of and ability to treat genetic defects.