Genetic counselling should be offered to all pregnant women of AMA, and age-related risks (which increase exponentially with age) of having a child with a chromosomal abnormality, as well as options for prenatal testing and selective termination of pregnancy if a fetal abnormality is detected, should be discussed.
A genetic condition with a risk of transmission as high as 13.1% and as poor a prognosis as HIV in infants would warrant the option of selective termination of pregnancy.
A 1999 report from Iran showed that couples counseled still opted to marry rather than separate but they requested prenatal diagnosis and selective termination of pregnancy. This led to an amendment of the law in 2001 to allow the option of selective termination of pregnancy up to 15 weeks' gestation for thalassemia (form of SCD) resulting in a 70% reduction in the annual birth rate of affected infants (17).
Selective termination of pregnancy (abortion) is another aspect that might influence the attitude of the youths based on their religion, as some denominations kick against all forms of abortion.
The "demand" for selective termination of pregnancy is a socially constructed response to prior medical interventions in women's reproductive processes, themselves dependent on cultural views of infertility.
I will argue that, provided a permissive abortion policy is justified (that is, a policy that allows abortion until the end of the second trimester), a concern for women's reproductive autonomy precludes any general policy restricting access to selective termination of pregnancy, as well as clinical practices that discriminate on nonmedical grounds as to which women will be permitted to choose the procedure or how many fetuses they must retain.
But this begs the question of what is meant by saying that women "want" multiple pregnancy, or "want" selective termination of pregnancy. (10) What factors led these women to take infertility drugs and/or participate in an IVF program?
Women's so-called "demand" for selective termination of pregnancy is not a primordial expression of individual need, but a socially constructed response to prior medical interventions.
When women "demand" selective termination of pregnancy they are attempting to take action in response to a situation not of their own making, in the only way that seems available to them.
Comparable factors may contribute to women's reservations about selective termination of pregnancy. Those who resort to this procedure surely do not desire the invasion of their uterus, nor do they make it their aim to kill fetuses.
Although I defend a social policy that does not set limits on access to selective termination of pregnancy, there can be no denying that the procedure may raise serious moral problems.