醫學倫理討論會.pptVIP

醫學倫理討論會 2007/03/20 Personal Profile 林 X 玲 25 years old lady G2P1, pregnant with twin baby, GA 24+2 weeks Chief complaint Pregnant with beta-thalassemia major fetus, for termination. Present Illness Prenatal follow up at Dr. 吳X賢 Clinic, Twin baby. Amniocentesis on 96/01/30 revealed beta-thalassemia major Hospitalization 1. PGE1 vaginal tablet given for induction. 2. Patient hesitated about keep the male fetus (the one without thalassemia) 3. Consulted pediatrist to discuss over prognosis of preterm. Pediatrist Consultation 1. Explain the mortality rate. 2. Explain the clinical sequela