The National Catholic Bioethics Center’s summary document
Protocols for Managing Ectopic Pregnancy
• “Ideally, the embryo would be surgically removed from the fallopian tube and transplanted to the uterus, but this procedure is not yet a viable option.
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• SalpinGECTOMY … The death of the embryo is a foreseen and unintended effect of an act directed at removing the pathologically affected section of the fallopian tube.
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• SalpinGOSTOMY … The act by its object removes the trophoblast ; removal of the embryo is a foreseen and unintended side effect.
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• Use of methotrexate (permissibility not resolved among Catholic ethicists).
This argument assumes that the trophoblast is not an organ of the embryo and therefore can be an object of moral focus apart from the developing embryo.
Moral Debate regarding Salpingostomy and the Use of Methotrexate Some Catholic ethicists argue that salpingostomy and the use of methotrexate are morally permissible under the principle of double effect. They argue that both procedures directly intend the removal of the exact cause of the condition, i.e., the trophoblast rapidly dividing in the wrong place, and not the embryonic child itself.
Defending the dignity of the human person in health care and the life sciences since 1972”
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PLEASE CONSIDER THE DIFFERENCES:
• SalpinGECTOMY: – Most invasive procedure.
Removes the fallopian tube , removes the trophoblast and removes the embryo.
The death of the embryo is a foreseen and unintended effect of the act.
(Part of Catholic ethicists instead of SalpinGECTOMY prefer the use of SalpinGOSTOMY or the use of methotrexate ).
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• SalpinGOSTOMY: – Less invasive procedure.
Removes the trophoblast and removes the embryo.
The death of the embryo is a foreseen and unintended effect of the act.
(Permissibility not resolved among Catholic ethicists, some Catholic ethicists for it, some Catholic ethicists against it).
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• Use of methotrexate: – Least invasive procedure.
This drug targets the trophoblastic cells, inhibits the rapid multiplication of trophoblastic cells.
In reality, removes the exact cause of the condition, i.e., the trophoblast rapidly dividing in the wrong place.
The death of the embryo is a foreseen and unintended effect of the act.
(Permissibility not resolved among Catholic ethicists, some Catholic ethicists for it, some Catholic ethicists against it).
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2 Cor.3:6 He has qualified us to be ministers of his new covenant. This is a covenant not of written laws, but of the Spirit. The old written covenant ends in death; but under the new covenant, the Spirit gives life.
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Seems to me, not yet every Catholic ethicists qualified ministers of his new covenant.
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Rom.7:6 But now, by dying to what once bound us, we have been released from the law so that we serve in the new way of the Spirit, and not in the old way of the written code.
My trust is in those Catholic ethicists who are serving in the new way of the Spirit.
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God bless