Termination of pregnancy (TOP) or feticide for @entity2241 is ethically and morally challenging and maybe considered illegal in countries with restrictive abortion laws. While diagnostic modalities such as fetal ultrasound, magnetic resonance imaging, and genetic screening have improved prenatal diagnosis, these technologies remain scarce in many African countries making diagnosis and counseling regarding TOP difficult. Ethical dilemmas such as @entity1 's autonomy rights may conflict with fetus' right to personhood, and doctor's moral obligations to society. In liberal jurisdictions, previable fetuses may not have @entity1939 of personhood; therefore, appropriate action would be to respect pregnant @entity1 's decisions regarding TOP. However, in countries with restrictive abortion laws the fetus maybe imbued with the right of personhood at conception, making TOP illegal and exposing doctors and @entity1 to potential criminal prosecution. Birth of a severely disabled baby with independent @entity1939 creates further conflicts between parents and clinicians complicating healthcare decision-making. Irrespective of the maternal decision to accept or refuse TOP, the @entity73 fetus or neonate, often lead to moral distress and posttraumatic stress reactions in parents. Doctors have legal and ethical obligations to provide an accurate antenatal diagnosis with full disclosure to enable informed decision making. Failure to provide timely or accurate diagnosis may lead to allegations of negligence with potential liability for "wrongful birth" or "wrongful life" following birth of severely disabled babies. Mismanagement of such cases also causes misuse of scarce healthcare resources in resource-poor countries. This paper describes ethical challenges in clinical management of two neonates born following declined and failed feticide for severe central @entity3002 with a critical appraisal of the relevant literature.

Ethical and @entity1939 around termination of pregnancy for XXXX : A review of two African neonates presenting with ventriculomegaly and holoprosencephaly.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity73 :: ('MESH:D003072', 'Disease') :: ['psychological and emotional impact of an impaired'] @entity3002 :: ('MESH:D009421', 'Disease') :: ['nervous system anomalies'] @entity1939 :: ('MESH:D001766', 'Disease') :: ['legal rights'] @entity2241 :: ('MESH:D005315', 'Disease') :: ['severe fetal anomalies']
@entity2241 :: (MESH:D005315,Disease) :: ['severe fetal anomalies']
