Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the United States for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own

Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the United States for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted, and it is determined that the fetus has a rare condition in which it has not developed any arms and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud.

Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place and urges Jessica to think of her responsibility as a mother.

 

 

 

 

 

 

 

 

Case Study: Fetal Abnormality

 

Jessica is a 30

year

old immigrant from Mexico City. She and her husband Marco have been in

the U

nited

S

tates

 

for the last

three

 

years and have finally earned enough

money to

 

move out of

their

A

unt Maria’s

home and into an apartment of their own. They are both hard workers

.

 

Jessica

works 50 hours a week at a local restaurant and Marco has been contracting side jobs in

construction. Six months before their move to an apartment, Jessica finds out she is pregna

nt.

 

Four months later, Jessica and Marco arrive at the

c

ounty hospital, a large, public, nonteaching

hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans

are conducted

,

 

and it is determined that the fetus has a

 

rare condition in which it has not

developed any arms and will not likely develop them. There is also a 25% chance that the fetus

may have Down syndrome.

 

Dr. Wilson, the primary attending physician

,

 

is seeing Jessica for the first time, since

she and

Mar

co

 

did not receive earlier prenatal care over concerns about finances. Marco insists that Dr.

Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself

when

 

she is emotionally ready for the news. While Marco and

Dr. Wilson are talking in another

room,

A

unt Maria walks into the room with a distressed look on her face. She can tell that

something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis

,

 

she walks out of

the room wailing loudly and praying

 

aloud.

 

Marco and Dr. Wilson continue their discussion

,

 

and Dr. Wilson insists that he has an obligation

to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He

furthermore is intent on discussing all relevant factors and

 

options regarding the next step,

including abortion. Marco insists on taking some time to think of how to break the news to

Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband

that such a choice is not his to ma

ke. Dr. Wilson proceeds back across the hall, where he walks

in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr.

Wilson gently but briefly inform

s

 

Jessica of the diagnosis and lays out the option for abortion as

a res

ponsible medical alternative, given the quality of life such a child would have. Jessica looks

at him and struggles to hold back her tears.

 

Jessica is torn between her hopes of a better socioeconomic position and increased independence,

along with her conv

iction that all life is sacred. Marco will support Jessica in whatever decision

she makes but is finding it difficult

not

to view the pregnancy and the prospects of a disabled

child as a burden and a barrier to their economic security and plans. Dr. Wilson

 

lays out all of the

options but clearly makes his view known that abortion is “scientifically” and medically a wise

choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and

allow what “God intends” to take place an

d urges Jessica to think of her responsibility as a

mother.

 

 

 

 

 

 

Case Study: Fetal Abnormality

Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in

the United States for the last three years and have finally earned enough money to move out of

their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica

works 50 hours a week at a local restaurant and Marco has been contracting side jobs in

construction. Six months before their move to an apartment, Jessica finds out she is pregnant.

Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching

hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans

are conducted, and it is determined that the fetus has a rare condition in which it has not

developed any arms and will not likely develop them. There is also a 25% chance that the fetus

may have Down syndrome.

Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and

Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr.

Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself

when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another

room, Aunt Maria walks into the room with a distressed look on her face. She can tell that

something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of

the room wailing loudly and praying aloud.

Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation

to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He

furthermore is intent on discussing all relevant factors and options regarding the next step,

including abortion. Marco insists on taking some time to think of how to break the news to

Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband

that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks

in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr.

Wilson gently but briefly informs Jessica of the diagnosis and lays out the option for abortion as

a responsible medical alternative, given the quality of life such a child would have. Jessica looks

at him and struggles to hold back her tears.

Jessica is torn between her hopes of a better socioeconomic position and increased independence,

along with her conviction that all life is sacred. Marco will support Jessica in whatever decision

she makes but is finding it difficult not to view the pregnancy and the prospects of a disabled

child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the

options but clearly makes his view known that abortion is “scientifically” and medically a wise

choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and

allow what “God intends” to take place and urges Jessica to think of her responsibility as a

mother.

The post Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the United States for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own appeared first on Infinite Essays.

 

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