Fetal Anomali Nedeniyle Gebelik Sonlandırılması Sorunları

Year 2022, Volume: 4 Issue: 3, 134 - 151, 22.09.2022

İsmail Dölen

https://doi.org/10.46969/EZH.877661

Abstract

Pek çok ülkede kadınların gebeliği sonlandırma talepleri yasalar çerçevesinde mümkün olmaktadır. Genelde fetüsün doğduğunda yaşayabilir (viable) olmasına kadar bu talep karşılanır. Birkaç ülkede ise viabilite sınırı sonrasında da rahim tahliyesi yasal olarak mümkündür. Yaşamla bağdaşan fetüs hastalık ve sakatlıkları nedeniyle rahim tahliyesi yapılması etik ve yasal olarak tartışılmaya devam etmektedir. İngiltere ve ülkemizde yapılan rahim tahliyesinin dayandığı mevzuat ve uygulama karşılaştırılıp karşılaşılan tıbbi ve diğer sorunlar değerlendirilecektir.

Keywords

Geç gebelik sonlandırma, Fetal Anomali, Ayrımcılık, Birleşik Krallık kürtaj yasası

Supporting Institution

yok

Project Number

yok

Thanks

yok

Problems of Termination of Pregnancy Due to Fetal Anomaly

Abstract

In many countries, women’s requests for termination of pregnancy are possible within the law. Generally, this demand is met until the fetus is viable when it is born. In few countries, uterine evacuation is legally possible after the viability limit. Uterine evacuation continues to be discussed ethically and legally due to life-compatible fetus diseases and disabilities. The legislation and practice based on uterine evacuation in England and our country will be compared, the medical and other problems encountered will be evaluated.

Keywords

Termination of late pregnancy, Fetal Anomaly, Discrimination, UK Abortion Act

Project Number

yok

References

• T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 20 January 2021. Available from: https://www.mevzuat.gov.tr/MevzuatMetin/1.5.4721.pdf
• Türkiye Büyük Millet Meclisi. Erişim Tarihi: 20 January 2021. Available from: https://www.tbmm.gov.tr/komisyon/insanhaklari/pdf01/203-208.pdf
• Cinsiyet Eşitliği İzleme Derneği. Erişim Tarihi: 20 January 2021. Available from: http://www.ceidizleme.org/ekutuphaneresim/dosya/219_1.pdf
• T.C. Aile, Çalışma ve Sosyal Hizmetler Bakanlığı. Erişim Tarihi: 20 January 2021. Available from: https://ailevecalisma.gov.tr/ksgm/pdf/onurdincer.pdf
• Hacettepe Üniversitesi Kadın Sorunları Araştırma ve Uygulama Merkezi. Erişim Tarihi: 21 January 2021. Available from: http://www.huksam.hacettepe.edu.tr/Turkce/SayfaDosya/cinsiyet_esitligi.pdf
• Orta Doğu Teknik Üniversitesi. Erişim Tarihi: 21 January 2021. Available from: http://www.metu.edu.tr/system/files/ODTUKadinCalismalariAnabilimDalindanKamuOyunaDuyuru-Haziran2012.pdf
• T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 21 January 2021. Available from: https://www.mevzuat.gov.tr/MevzuatMetin/1.5.2827.pdf
• T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 21 January 2021. Available from: https://www.mevzuat.gov.tr/MevzuatMetin/2.5.837395.pdf
• T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 21 January 2021. Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=837083&MevzuatTur=3&MevzuatTertip=5
• Türk Jinekoloji ve Obstetrik Derneği. Erişim Tarihi: 21 January 2021. Sayfa 10, Available from: https://www.tjod.org/wp-content/uploads/2012/12/etik_konular_fibo_komitesi.pdf
• T.C. Sağlık Bakanlığı. Erişim Tarihi: 21 January 2021. Available from: https://dosyasb.saglik.gov.tr/Eklenti/5150,hizmet-cercevesi-dokumanpdf.pdf?0
• Ankara Üniversitesi Açık Ders Malzemeleri. Erişim Tarihi: 21 January 2021. Available from: https://acikders.ankara.edu.tr/pluginfile.php/145595/mod_resource/content/2/PopGeo_6_Fertility.pdf
• TUSİAD. Erişim Tarihi: 21 January 2021. Available from: https://tusiad.org/tr/tum/item/6240-tusiad-ve-birlesmis-milletler-nufus-fonu-unfpa--2050ye-dogru-nufusbilim-ve-yonetim-projesi-kapsaminda-hazirlanan-raporlarini-ankarada-kamuoyuna-sundu
• Ankara Barosu. Erişim Tarihi: 21 January 2021. TIBBÎ AÇIDAN FETÜS, EMBRİYO, KÜRTAJ VE DÜŞÜK (ABORTUS) NEDİR? Sayfa 35, Available from: http://www.ankarabarosu.org.tr/Siteler/2012yayin/2011sonrasikitap/v-saglik-hk-kurultayi-web.pdf
• Docplayer. Erişim Tarihi: 21 January 2021. Kürtaj Gerçeği,Türk Jinekoloji ve Obstetrik Derneği görüşü, Sayfa 75-82, Available from: https://docplayer.biz.tr/18620787-Published-three-times-a-year-yilda-uc-kez-yayinlanir.html
• Resmi Gazete. https://www.resmigazete.gov.tr/eskiler/2021/04/20210428M1-1-1.pdf
• Türkiye Büyük Millet Meclisi. Erişim Tarihi: 22 January 2021. Available from: https://www.tbmm.gov.tr/kanunlar/k5237.html
• Dergipark Akademik. Erişim Tarihi: 22 January 2021. Available from: http://dergipark.gov.tr/download/issue-file/471
• Ankara Barosu. Erişim Tarihi: 22 January 2021. Available from: http://www.ankarabarosu.org.tr/Siteler/2012yayin/2011sonrasikitap/v-saglik-hk-kurultayi-web.pdf
• Dergipark Akademik. Erişim Tarihi: 22 January 2021. Available from: https://dergipark.org.tr/en/download/article-file/932688
• Abakuskitap. Erişim Tarihi: 22 January 2021. Available from: http://abakus.inonu.edu.tr/xmlui/bitstream/handle/11616/4246/makale.pdf?sequence=1&isAllowed=y
• legislation.gov.uk. Erişim Tarihi: 22 January 2021. Available from: https://www.legislation.gov.uk/ukpga/1967/87
• legislation.gov.uk. Erişim Tarihi: 22 January 2021. Available from: https://www.legislation.gov.uk/ukpga/1990/37/contents
• SAGE Journals. Erişim Tarihi: 22 January 2021. Available from: https://journals.sagepub.com/doi/pdf/10.1177/002581727003800103
• NHS. Erişim Tarihi: 17 September 2021. Available from: https://www.nhs.uk/conditions/abortion/
• NICE. Erişim Tarihi: 23 January 2021. Available from: https://www.nice.org.uk/guidance/ng140/chapter/Recommendations
• Royal College of Obstetricians and Gynaecologists. Erişim Tarihi: 22 January 2021. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/termination-of-pregnancy-for-fetal-abnormality-in-england-scotland-and-wales/
• British Medical Association. Erişim Tarihi: 22 January 2021. Available from: https://www.bma.org.uk/media/1142/bma-paper-on-the-decriminalisation-of-abortion-february-2017.pdf
• British Medical Association. Erişim Tarihi: 22 January 2021. Available from: https://www.bma.org.uk/media/3307/bma-view-on-the-law-and-ethics-of-abortion-sept-2020.pdf
• BPAS. Erişim Tarihi: 17 September 2021. Available from: https://www.bpas.org
• legislation.gov.uk. Erişim Tarihi: 16 September 2021. Available from: https://www.legislation.gov.uk/uksi/1991/499/introduction/made
• legislation.gov.uk. Erişim Tarihi: 16 September 2021. Available from: https://www.legislation.gov.uk/ukdsi/2014/9780111117613/contents
• CQC. Erişim Tarihi: 16 September 2021. Available from: https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulations-service-providers-managers
• NICE. Erişim Tarihi: 16 September 2021. Available from: https://www.nice.org.uk/guidance/ng140/chapter/Recommendations#choice-of-procedure-for-abortion
• BPAS. Erişim Tarihi: 18 September 2021. Available from: https://www.bpas.org/get-involved/campaigns/briefings/fetal-anomaly/
• CQC. Erişim Tarihi: 17 September 2021. Available from: https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-13-safeguarding-service-users-abuse-improper#full-regulation
• NHS. Erişim Tarihi: 16 September 2021. Available from: https://nhsproviders.org/media/1058/complying-with-the-health-and-social-care-act-2008-regulated-activities-regulations-2014.pdf
• GOV.UK. Erişim Tarihi: 19 September 2021. Available from: https://www.gov.uk/government/publications/abortion-notification-forms-for-england-and-wales
• GOV.UK. Erişim Tarihi: 19 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874241/Procedures_for_approval_of_independent_sector_places_for_abortion.pdf
• GOV.UK. Erişim Tarihi: 19 September 2021. Available from: https://www.gov.uk/health-and-social-care/abortion
• CQC. Erişim Tarihi: 16 September 2021. Available from: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/how-we-do-our-job
• GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/8742 41/Procedures_for_approval_of_independent_sector_places_for_abortion.pdf )
• GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://www.gov.uk/government/publications/abortion-further-clarification-of-time-limit/further-clarification-of-time-limit-for-termination-of-pregnancy-performed-under-grounds-c-and-d-of-the-abortion-act-1967#contents
• GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874241/Procedures_for_approval_of_independent_sector_places_for_abortion.pdf
• GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://www.nuffieldbioethics.org/wp-content/uploads/2014/07/CCD-Chapter-4-Dilemmas-in-current-practice-the-fetus.pdf
• NHS. Erişim Tarihi: 17 September 2021. Available from: https://mft.nhs.uk/app/uploads/sites/4/2019/01/18-154-Termination-of-pregnancy-and-compassionate-induction-Nov-18.pdf
• Royal Berkshire Hospital. Erişim Tarihi: 17 September 2021. Available from: https://www.royalberkshire.nhs.uk/Downloads/GPs/GP%20protocols%20and%20guidelines/Maternity%20Guidelines%20and%20Policies/Ultrasound%20and%20Fetal%20Medicine/Feticide_V9.0_GL845_APR20.pdf
• GOV.UK. Erişim Tarihi: 17 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/313459/20140509_-_Abortion_Guidance_Document.pdf
• IDEAS. Erişim Tarihi: 22 September 2021. Available from: https://ideas.repec.org/a/eee/socmed/v66y2008i2p289-300.html
• Wikipedia. Erişim Tarihi: 23 January 2021. Available from: https://en.m.wikipedia.org/wiki/Foeticide
• GOV.UK. Erişim Tarihi: 22 September 2021. Available from: https://www.legislation.gov.uk/ukpga/1967/87/section/1
• GOV.UK. Erişim Tarihi: 23 January 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/891405/abortion-statistics-commentary-2019.pdf
• GOV.UK. Erişim Tarihi: 17 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/204071/HSA1-form.pdf
• GOV.UK. Erişim Tarihi: 17 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/204074/HSA4-form.pdf
• BPAS. Erişim Tarihi: 17 September 2021. Available from: https://www.bpas.org/abortion-care/feticide
• Wikipedia. Erişim Tarihi: 17 September 2021. Available from: https://en.wikipedia.org/wiki/Genetic_disorder
• National Human Genome Research Institute (NHGRI). Erişim Tarihi: 17 September 2021. Available from: https://www.genome.gov/For-Patients-and-Families/Genetic-Disorders
• BPAS. Erişim Tarihi: 26 January 2021. Available from: https://www.bpas.org/get-involved/campaigns/briefings/abortion-law/
• RCOG. Erişim Tarihi: 26 January 2021. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf
• Taylor and Francis online. Erişim Tarihi: 28 January 2021. Available from: https://www.tandfonline.com/doi/pdf/10.1016/S0968-8080(08)31382-2
• Taylor and Francis online. Erişim Tarihi: 28 January 2021. Available from: https://www.tandfonline.com/doi/pdf/10.1016/S0968-8080%2814%2944799-2
• University of West London Repository. Erişim Tarihi: 28 January 2021. Available from: https://repository.uwl.ac.uk/id/eprint/1769/1/Thesis%20Caroline%20Lafarge%20-%20Final%2013%2001%2016.pdf
• Researchgate. Erişim Tarihi: 28 January 2021. Available from: https://www.researchgate.net/publication/272471329_Feticide_and_late_termination_of_pregnancy_Five_levels_of_ethical_conflict
• Tommy’s: Together, for every baby. Erişim Tarihi: 29 January 2021. Available from: https://www.tommys.org/baby-loss-support/terminating-pregnancy-medical-reasons-tfmr.
• Dontscreenusout. Erişim Tarihi: 29 January 2021. Available from: https://dontscreenusout.org/press-release-woman-with-downs-syndrome-landmark-case-against-uk-govt-over-discriminatory-abortion-law-to-be-heard-by-high-court/
• Dontscreenusout. Erişim Tarihi: 29 January 2021. Available from: https://ef5.834.myftpupload.com/wp-content/uploads/2016/02/Abortion-and-Disability-Report-17-7-13.pdf
• crowdjustice. Erişim Tarihi: 29 January 2021. Available from: https://www.crowdjustice.com/case/downrightdiscrimination/
• Catholic News Agency. Erişim Tarihi: 29 January 2021. Available from: https://www.catholicnewsagency.com/news/uk-court-to-review-down-syndrome-abortion-law-31560
• Righttolife news. Erişim Tarihi: 29 January 2021. Available from: https://righttolife.org.uk/news/woman-with-downs-syndrome-takes-uk-govt-to-court-over-allowing-abortion-up-to-birth-for-disabilities
• United Nations. Erişim Tarihi: 29 January 2021. Available from: https://docstore.ohchr.org/
• BBC. Erişim Tarihi: 29 January 2021. Available from: http://www.bbc.co.uk/ethics/abortion/philosophical/disability.shtml
• Hindawi. Erişim Tarihi: 30 January 2021. Available from: https://www.hindawi.com/journals/ijpedi/2010/857460/
• The Swedish National Council on Medical Ethics. Erişim Tarihi: 30 January 2021. Available from: https://www.smer.se/wp-content/uploads/2012/04/Prenatal-diagnosis-the-Ethics.pdf
• Pubmed. Erişim Tarihi: 30 January 2021. Available from: https://pubmed.ncbi.nlm.nih.gov/20561739/
• Victorian Law Reform Commission. Erişim Tarihi: 30 January 2021. Available from: https://www.lawreform.vic.gov.au/content/appendix-b-ethics-abortion
• Dölen İ, Özdeğirmenci Ö, Fetal Anomalies: Fetal Rights (Legal and Ethical) Turkiye Klinikleri J Gynecol Obst-Special Topics. 2011;4(3):169-74 TR
• Nuffield Council on Bioethics. Erişim Tarihi: 21 September 2021. Available from: https://www.nuffieldbioethics.org/wp-content/uploads/2014/07/CCD-web-version-22-June-07-updated.pdf
• https://www.theguardian.com/world/2021/sep/23/woman-with-downs-syndrome-loses-uk-abortion-law-case
• https://www.judiciary.uk/wp-content/uploads/2021/09/Crowter-v-SSHSC-judgment-230921.pdf