I have a question, that is (forgive me) perhaps slightly off topic, but I am curious as to what catholic doctrine would say about this:
There is currently a patient in my unit who is suffering from leukemia. She requires a stem cell transplant, but absolutely cannot be pregnant to undergo this transplant. She received her diagnosis very early in her pregnancy. She cannot wait too long to go to transplant, because then it will likely be too late to be effective. It is possible she could survive without transplant, but that is her absolute best shot at survival.
The plan is to induce labor as soon as possible, so the mother can go to transplant as soon as possible. We are waiting until the fetus is 25 weeks before inducing labor, because that is the point at which they think the baby has a real chance outside the womb, and is more likely to survive. Any earlier and it’s chances of survival are very remote.
The baby itself is very healthy and the pregnancy has shown few complications, despite the mother’s cancer. There is no reason to believe that, if she did not induce labor, the pregnancy would not continue to go smoothly and result in a normal birth. Inducing the baby this early puts it at significant risk, much more so than if the pregnancy just followed the normal course. Though certainly, it is the intent of the hospital to do everything possible to maintain the life and health of the baby.
Is this situation in line with Catholic doctrine? Although certainly the baby is not being killed outright, the act of an early induction puts the child’s risk of death or disability much higher.
It may be worth noting that abortion was brought up as a possibility for the mother when she was only a month or so pregnant (thus to early to make induction impossible) so that she could go to transplant immediately, but she chose to not have an abortion and instead delay her transplant (which in turn puts her at greater risk) because she wanted her baby to at least have a chance to live. However, she chose not to simply wait until she gave birth naturally, because that would have put her life at a MUCH greater risk. So essentially, she compromised. She was not willing to abort to afford herself her best chance, but at the same time, she was unwilling to delay treatment long enough to give the baby its best chance either. She chose the middle option, which places both her and the baby at risk, but also has the highest probability of both surviving.
As far as I am aware, yes it would fall within catholic ethics (although I’ve read so much these past few days, about this issue, please someone correct me if I am wrong.). As, if she does not start treatment, at any point, the mother could die before delivery and the child would too, if pregnancy was not induced before the mother’s death. Hence by trying to save the mother would in essence be saving the child too.
Here is an example of catholic ethics and the final choice made by the mother. The church allowed hysterectomy, which would have effectively resulted in the unborn child’s death.
*Final pregnancy
In 1961, Gianna was pregnant once again. During the second month, Gianna developed a fibroma on her uterus. After examination, the doctors gave her three choices: an abortion, a complete hysterectomy, or removal of only the fibroma. *The Catholic Church forbids all direct abortion even when the woman’s life is in danger, but Catholic teaching would have allowed her to undergo a hysterectomy, which would have resulted in her unborn child’s death as an unintended consequence.
*
“Abortion – that is, the directly intended termination of pregnancy before viability or the directly intended destruction of a viable fetus – is never permitted…Operations, treatments, and medications that have as their direct purpose the cure of a proportionately serious pathological condition of a pregnant woman are permitted when they cannot be safely postponed until the unborn child is viable, even if they will result in the death of the unborn child.” – The Ethical and Religious Directives for Catholic Health Care Services (ERD) Directive 45
Gianna opted for the removal of the fibroma, wanting to preserve her child’s life.
After the operation, complications continued throughout her pregnancy. Gianna was quite clear about her wishes, expressing to her family, “This time it will be a difficult delivery, and they may have to save one or the other – I want them to save my baby.”
On April 21, 1962, Good Friday of that year, Gianna went to the hospital, where her fourth child, Gianna Emanuela, was successfully delivered via Caesarean section.[1] However, Gianna continued to have severe pain, and died of septic peritonitis 7 days after the birth.*