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. 1989 Apr;18(4):231-6, 237.
doi: 10.3928/0090-4481-19890401-05.

Ethical and legal issues relating to abortion in adolescence

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Ethical and legal issues relating to abortion in adolescence

T J Silber. Pediatr Ann. 1989 Apr.

Abstract

PIP: At least 1 million teenagers in the United States get pregnant every year; 350,000 teenagers choose to terminate their pregnancies by abortion. Doctors who examine teenagers usually find that their patients come in fairly late, and some teenagers may carry their pregnancy to term while others request abortions as late as the 2nd trimester. Abortion as well as full-term pregnancy are procedures that carry extreme mental stress. Many teenagers that go through with either procedure suffer mental breakdowns. Adolescents' stages of moral development can be classified into a 3 major categories: preconventional; conventional; or postconventional. Preconventional behavior may consist of worry about the reactions of individuals holding power over the adolescent's life; conventional behavior may consist of the adolescent conforming, as well as maintaining societal rules; and postconventional behavior may consist of the wishes of the adolescent outweighing societal expectations in their decision-making. The legal aspects concerning adolescents seeking abortions are governed by the "mature minor doctrine". Some abortions can be performed on adolescents without parental support; however, recent court decisions have provided certain measures for "immature minors." Recent debates on ethical and moral issues have been on the autonomy of the adolescent to make decisions on their own and the rights of the fetus versus the mother. Counseling is available for adolescents unsure of what decisions to make the unable to get support from their families.

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