First Trimester Termination with COVID-19 Infection in a Medical and Bioethical Perspective Nasrudin Andi Mappaware (1,2,3), Brando Ellioth Tayo (2), Muhammad Mursyid (3), Erlin Syahril (4)
1.Fakultas Kedokteran / Departemen Obstetri dan Ginekologi/ Universitas Hasanuddin
2.Fakultas Kedokteran / RS "Ibnu Sina" YW UMI / Bagian Obstetri dan Ginekologi /
Universitas Muslim Indonesia
3.Fakultas Kedokteran / RS "Ibnu Sina" YW UMI / Bagian Bioetika dan Profesionalisme / Universitas Muslim Indonesia
4.Fakultas Kedokteran / Bagian Radiologi / Universitas Muslim Indonesia
Abstract
ABSTRACT
Objective: Novel Coronavirus is an RNA virus (SARS-COV-2) is the virus that causes COVID-19, most of the COVID-19 cases globally have evidence of human-to-human transmission. The target of transmission of this virus does not exclude pregnant women. Mothers who are still in the early trimester of pregnancy with all the risks that can occur to both the mother and the fetus.
Method: Case study
Results: A 35-year-old woman, G2P0A1, 12 weeks of gestation, confirmed positive for COVID-19 with complaints of cough, shortness of breath and fever. Ultrasound results are good fetal condition. Treatment was carried out according to the COVID-19 protocol. Based on the patients medical considerations, informed consent was made for pregnancy termination. The family refused and really hoped that the pregnancy would be maintained. The patients history was married 8 years and did not have children. Apart from medical considerations in clinical decision making for termination of pregnancy, bioethics are also needed.
Conclusion: Termination of pregnancy in patients with COVID-19 is a clinical decision, based on medical considerations, and a bioethical approach of Clinical Ethics.
Keywords: termination of pregnancy; COVID-19; medical; bioethics
