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Prenatal diagnosis: Medical and ethical aspects Key issues The purpose of prenatal examinations Prenatal diagnosis vs prognosis The effect of legal limits of abortion The effect of counselling The effect of limited resources Ethical dilemmas for the parent Ethical dilemmas for the doctor Ethical dilemmas for the pediatrician The importance of established protocols References de Jong A, Maya I, van Lith JM. Prenatal screening: current practice, new developments, ethical challenges. Bioethics. 2015 Jan;29(1):1-8. Levels M, Sluiter R, Need A. A review of abortion laws in Western-European countries. A cross national comparison of legal developments between 1960 and 2010. Health Policy. 2014 Oct;118(1):95-104. Jacobs AR, Dean G, Wasenda EJ, Porsch LM, Moshier EL, Luthy DA, Paul ME. Late termination of pregnancy for lethal fetal anomalies: a national survey of maternal-fetal medicine specialists. Contraception. 2015 Jan;91(1):12-8. Barel O, Vaknin Z, Smorgick N, Reish O, Mendlovic S, Herman A, Maymon R. Fetal abnormalities leading to third trimester abortion: nine-year experience from a single medical center. Prenat Diagn. 2009 Mar;29(3):223-8. Garne E, Khoshnood B, Loane M, Boyd P, Dolk H; EUROCAT Working Group. Termination of pregnancy for fetal anomaly after 23 weeks of gestation: a European register-based study. BJOG. 2010 May;117(6):660-6. Hern WM. Fetal diagnostic indications for second and third trimester outpatient pregnancy termination. Prenat Diagn. 2014 May;34(5):438-44. Syngelaki A, Chelemen T, Dagklis T, Allan L, Nicolaides KH. Challenges in the diagnosis of fetal non-chromosomal abnormalities at 11-13 weeks. Prenat Diagn. 2011 Jan;31(1):90-102. Gorincour G, Tassy S, Siméoni U, Le Coz P. Ethical issues on pregnancy termination: impact of new imaging modalities. Fetal Diagn Ther. 2011;30(1):1-8. Berceanu C, Albu SE, BoȚ M, Ghelase MȘ. Current principles and practice of ethics and law in perinatal medicine. Curr Health Sci J. 2014 Jul-Sep;40(3):162-9. Gates EA. Ethical considerations in prenatal diagnosis. West J Med. 1993 Sep;159(3):391-5. Wilkinson DJ, Thiele P, Watkins A, De Crespigny L. Fatally flawed? A review and ethical analysis of lethal congenital malformations. BJOG. 2012 Oct;119(11):1302-8. Gaille M. On prenatal diagnosis and the decision to continue or terminate a pregnancy in France: a clinical ethics study of unknown moral territories. Med Health Care Philos. 2016 Feb 10.