The National Catholic Bioethics Center
The Management of Ectopic Pregnancy Prepared by the Ethicists of the NCBC February 2013
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SalpinGECTOMY (considered morally permissible by Catholic ethicists under the principle of double effect)— Either the entire fallopian tube or the segment affected by the pregnancy are removed; the cut ends are sutured. 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 (considered morally impermissible by many Catholic ethicists).
Argument for permissibility: 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).
Argument against permissibility: This drug inhibits the rapid multiplication of trophoblastic cells. The trophoblast is part of the embryo, an essential organ; therefore, the drug directly causes the embryo’s demise.
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Argument for permissibility: The trophoblast is not part of the embryo; the drug licitly targets the trophoblast and only indirectly causes the demise of the 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.
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.
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Ectopic pregnancy v FAQ v
Question: What does the Magisterium say about the moral liceity of these three procedures?
Reply: The Magisterium is
silent on these three specific procedures.
In the absence of magisterial direction,
the use of any of these procedures becomes a matter of conscience.
In the face of the certain death of the embryo regardless of the procedure used (or not used),
one may weigh what is proportionately beneficial to preserve a woman’s fertility. (Emphasize added.)
The National Catholic Bioethics Center 6399 Drexel Road, Philadelphia, PA 19151 • 215.877.2660
www.ncbcenter.org
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God bless