Fetal Anomali Nedeniyle Gebelik Sonlandırılması Sorunları

Pek çok ülkede kadınların gebeliği sonlandırma talepleri yasalar çerçevesinde mümkün olmaktadır. Genelde fetüsün doğduğunda yaşayabilir (viable) olmasına kadar bu talep karşılanır. Birkaç ülkede ise viabilite sınırı sonrasında da rahim tahliyesi yasal olarak mümkündür. Yaşamla bağdaşan fetüs hastalık ve sakatlıkları nedeniyle rahim tahliyesi yapılması etik ve yasal olarak tartışılmaya devam etmektedir. İngiltere ve ülkemizde yapılan rahim tahliyesinin dayandığı mevzuat ve uygulama karşılaştırılıp karşılaşılan tıbbi ve diğer sorunlar değerlendirilecektir.

Anahtar Kelimeler:

Geç gebelik sonlandırma, Fetal Anomali, Ayrımcılık, Birleşik Krallık kürtaj yasası

Problems of Termination of Pregnancy Due to Fetal Anomaly

In many countries, women’s requests for termination of pregnancy are possible within the law. Generally, this demand is met until the fetus is viable when it is born. In few countries, uterine evacuation is legally possible after the viability limit. Uterine evacuation continues to be discussed ethically and legally due to life-compatible fetus diseases and disabilities. The legislation and practice based on uterine evacuation in England and our country will be compared, the medical and other problems encountered will be evaluated.

Keywords:

Termination of late pregnancy, Fetal Anomaly, Discrimination, UK Abortion Act,

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T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 20 January 2021. Available from: https://www.mevzuat.gov.tr/MevzuatMetin/1.5.4721.pdf
Türkiye Büyük Millet Meclisi. Erişim Tarihi: 20 January 2021. Available from: https://www.tbmm.gov.tr/komisyon/insanhaklari/pdf01/203-208.pdf
Cinsiyet Eşitliği İzleme Derneği. Erişim Tarihi: 20 January 2021. Available from: http://www.ceidizleme.org/ekutuphaneresim/dosya/219_1.pdf
T.C. Aile, Çalışma ve Sosyal Hizmetler Bakanlığı. Erişim Tarihi: 20 January 2021. Available from: https://ailevecalisma.gov.tr/ksgm/pdf/onurdincer.pdf
Hacettepe Üniversitesi Kadın Sorunları Araştırma ve Uygulama Merkezi. Erişim Tarihi: 21 January 2021. Available from: http://www.huksam.hacettepe.edu.tr/Turkce/SayfaDosya/cinsiyet_esitligi.pdf
Orta Doğu Teknik Üniversitesi. Erişim Tarihi: 21 January 2021. Available from: http://www.metu.edu.tr/system/files/ODTUKadinCalismalariAnabilimDalindanKamuOyunaDuyuru-Haziran2012.pdf
T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 21 January 2021. Available from: https://www.mevzuat.gov.tr/MevzuatMetin/1.5.2827.pdf
T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 21 January 2021. Available from: https://www.mevzuat.gov.tr/MevzuatMetin/2.5.837395.pdf
T.C. Cumhurbaşkanlığı Mevzuat Bilgi Sistemi. Erişim Tarihi: 21 January 2021. Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=837083&MevzuatTur=3&MevzuatTertip=5
Türk Jinekoloji ve Obstetrik Derneği. Erişim Tarihi: 21 January 2021. Sayfa 10, Available from: https://www.tjod.org/wp-content/uploads/2012/12/etik_konular_fibo_komitesi.pdf
T.C. Sağlık Bakanlığı. Erişim Tarihi: 21 January 2021. Available from: https://dosyasb.saglik.gov.tr/Eklenti/5150,hizmet-cercevesi-dokumanpdf.pdf?0
Ankara Üniversitesi Açık Ders Malzemeleri. Erişim Tarihi: 21 January 2021. Available from: https://acikders.ankara.edu.tr/pluginfile.php/145595/mod_resource/content/2/PopGeo_6_Fertility.pdf
TUSİAD. Erişim Tarihi: 21 January 2021. Available from: https://tusiad.org/tr/tum/item/6240-tusiad-ve-birlesmis-milletler-nufus-fonu-unfpa--2050ye-dogru-nufusbilim-ve-yonetim-projesi-kapsaminda-hazirlanan-raporlarini-ankarada-kamuoyuna-sundu
Ankara Barosu. Erişim Tarihi: 21 January 2021. TIBBÎ AÇIDAN FETÜS, EMBRİYO, KÜRTAJ VE DÜŞÜK (ABORTUS) NEDİR? Sayfa 35, Available from: http://www.ankarabarosu.org.tr/Siteler/2012yayin/2011sonrasikitap/v-saglik-hk-kurultayi-web.pdf
Docplayer. Erişim Tarihi: 21 January 2021. Kürtaj Gerçeği,Türk Jinekoloji ve Obstetrik Derneği görüşü, Sayfa 75-82, Available from: https://docplayer.biz.tr/18620787-Published-three-times-a-year-yilda-uc-kez-yayinlanir.html
Resmi Gazete. https://www.resmigazete.gov.tr/eskiler/2021/04/20210428M1-1-1.pdf
Türkiye Büyük Millet Meclisi. Erişim Tarihi: 22 January 2021. Available from: https://www.tbmm.gov.tr/kanunlar/k5237.html
Dergipark Akademik. Erişim Tarihi: 22 January 2021. Available from: http://dergipark.gov.tr/download/issue-file/471
Ankara Barosu. Erişim Tarihi: 22 January 2021. Available from: http://www.ankarabarosu.org.tr/Siteler/2012yayin/2011sonrasikitap/v-saglik-hk-kurultayi-web.pdf
Dergipark Akademik. Erişim Tarihi: 22 January 2021. Available from: https://dergipark.org.tr/en/download/article-file/932688
Abakuskitap. Erişim Tarihi: 22 January 2021. Available from: http://abakus.inonu.edu.tr/xmlui/bitstream/handle/11616/4246/makale.pdf?sequence=1&isAllowed=y
legislation.gov.uk. Erişim Tarihi: 22 January 2021. Available from: https://www.legislation.gov.uk/ukpga/1967/87
legislation.gov.uk. Erişim Tarihi: 22 January 2021. Available from: https://www.legislation.gov.uk/ukpga/1990/37/contents
SAGE Journals. Erişim Tarihi: 22 January 2021. Available from: https://journals.sagepub.com/doi/pdf/10.1177/002581727003800103
NHS. Erişim Tarihi: 17 September 2021. Available from: https://www.nhs.uk/conditions/abortion/
NICE. Erişim Tarihi: 23 January 2021. Available from: https://www.nice.org.uk/guidance/ng140/chapter/Recommendations
Royal College of Obstetricians and Gynaecologists. Erişim Tarihi: 22 January 2021. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/termination-of-pregnancy-for-fetal-abnormality-in-england-scotland-and-wales/
British Medical Association. Erişim Tarihi: 22 January 2021. Available from: https://www.bma.org.uk/media/1142/bma-paper-on-the-decriminalisation-of-abortion-february-2017.pdf
British Medical Association. Erişim Tarihi: 22 January 2021. Available from: https://www.bma.org.uk/media/3307/bma-view-on-the-law-and-ethics-of-abortion-sept-2020.pdf
BPAS. Erişim Tarihi: 17 September 2021. Available from: https://www.bpas.org
legislation.gov.uk. Erişim Tarihi: 16 September 2021. Available from: https://www.legislation.gov.uk/uksi/1991/499/introduction/made
legislation.gov.uk. Erişim Tarihi: 16 September 2021. Available from: https://www.legislation.gov.uk/ukdsi/2014/9780111117613/contents
CQC. Erişim Tarihi: 16 September 2021. Available from: https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulations-service-providers-managers
NICE. Erişim Tarihi: 16 September 2021. Available from: https://www.nice.org.uk/guidance/ng140/chapter/Recommendations#choice-of-procedure-for-abortion
BPAS. Erişim Tarihi: 18 September 2021. Available from: https://www.bpas.org/get-involved/campaigns/briefings/fetal-anomaly/
CQC. Erişim Tarihi: 17 September 2021. Available from: https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-13-safeguarding-service-users-abuse-improper#full-regulation
NHS. Erişim Tarihi: 16 September 2021. Available from: https://nhsproviders.org/media/1058/complying-with-the-health-and-social-care-act-2008-regulated-activities-regulations-2014.pdf
GOV.UK. Erişim Tarihi: 19 September 2021. Available from: https://www.gov.uk/government/publications/abortion-notification-forms-for-england-and-wales
GOV.UK. Erişim Tarihi: 19 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874241/Procedures_for_approval_of_independent_sector_places_for_abortion.pdf
GOV.UK. Erişim Tarihi: 19 September 2021. Available from: https://www.gov.uk/health-and-social-care/abortion
CQC. Erişim Tarihi: 16 September 2021. Available from: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/how-we-do-our-job
GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/8742 41/Procedures_for_approval_of_independent_sector_places_for_abortion.pdf )
GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://www.gov.uk/government/publications/abortion-further-clarification-of-time-limit/further-clarification-of-time-limit-for-termination-of-pregnancy-performed-under-grounds-c-and-d-of-the-abortion-act-1967#contents
GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874241/Procedures_for_approval_of_independent_sector_places_for_abortion.pdf
GOV.UK. Erişim Tarihi: 16 September 2021. Available from: https://www.nuffieldbioethics.org/wp-content/uploads/2014/07/CCD-Chapter-4-Dilemmas-in-current-practice-the-fetus.pdf
NHS. Erişim Tarihi: 17 September 2021. Available from: https://mft.nhs.uk/app/uploads/sites/4/2019/01/18-154-Termination-of-pregnancy-and-compassionate-induction-Nov-18.pdf
Royal Berkshire Hospital. Erişim Tarihi: 17 September 2021. Available from: https://www.royalberkshire.nhs.uk/Downloads/GPs/GP%20protocols%20and%20guidelines/Maternity%20Guidelines%20and%20Policies/Ultrasound%20and%20Fetal%20Medicine/Feticide_V9.0_GL845_APR20.pdf
GOV.UK. Erişim Tarihi: 17 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/313459/20140509_-_Abortion_Guidance_Document.pdf
IDEAS. Erişim Tarihi: 22 September 2021. Available from: https://ideas.repec.org/a/eee/socmed/v66y2008i2p289-300.html
Wikipedia. Erişim Tarihi: 23 January 2021. Available from: https://en.m.wikipedia.org/wiki/Foeticide
GOV.UK. Erişim Tarihi: 22 September 2021. Available from: https://www.legislation.gov.uk/ukpga/1967/87/section/1
GOV.UK. Erişim Tarihi: 23 January 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/891405/abortion-statistics-commentary-2019.pdf
GOV.UK. Erişim Tarihi: 17 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/204071/HSA1-form.pdf
GOV.UK. Erişim Tarihi: 17 September 2021. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/204074/HSA4-form.pdf
BPAS. Erişim Tarihi: 17 September 2021. Available from: https://www.bpas.org/abortion-care/feticide
Wikipedia. Erişim Tarihi: 17 September 2021. Available from: https://en.wikipedia.org/wiki/Genetic_disorder
National Human Genome Research Institute (NHGRI). Erişim Tarihi: 17 September 2021. Available from: https://www.genome.gov/For-Patients-and-Families/Genetic-Disorders
BPAS. Erişim Tarihi: 26 January 2021. Available from: https://www.bpas.org/get-involved/campaigns/briefings/abortion-law/
RCOG. Erişim Tarihi: 26 January 2021. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf
Taylor and Francis online. Erişim Tarihi: 28 January 2021. Available from: https://www.tandfonline.com/doi/pdf/10.1016/S0968-8080(08)31382-2
Taylor and Francis online. Erişim Tarihi: 28 January 2021. Available from: https://www.tandfonline.com/doi/pdf/10.1016/S0968-8080%2814%2944799-2
University of West London Repository. Erişim Tarihi: 28 January 2021. Available from: https://repository.uwl.ac.uk/id/eprint/1769/1/Thesis%20Caroline%20Lafarge%20-%20Final%2013%2001%2016.pdf
Researchgate. Erişim Tarihi: 28 January 2021. Available from: https://www.researchgate.net/publication/272471329_Feticide_and_late_termination_of_pregnancy_Five_levels_of_ethical_conflict
Tommy’s: Together, for every baby. Erişim Tarihi: 29 January 2021. Available from: https://www.tommys.org/baby-loss-support/terminating-pregnancy-medical-reasons-tfmr.
Dontscreenusout. Erişim Tarihi: 29 January 2021. Available from: https://dontscreenusout.org/press-release-woman-with-downs-syndrome-landmark-case-against-uk-govt-over-discriminatory-abortion-law-to-be-heard-by-high-court/
Dontscreenusout. Erişim Tarihi: 29 January 2021. Available from: https://ef5.834.myftpupload.com/wp-content/uploads/2016/02/Abortion-and-Disability-Report-17-7-13.pdf
crowdjustice. Erişim Tarihi: 29 January 2021. Available from: https://www.crowdjustice.com/case/downrightdiscrimination/
Catholic News Agency. Erişim Tarihi: 29 January 2021. Available from: https://www.catholicnewsagency.com/news/uk-court-to-review-down-syndrome-abortion-law-31560
Righttolife news. Erişim Tarihi: 29 January 2021. Available from: https://righttolife.org.uk/news/woman-with-downs-syndrome-takes-uk-govt-to-court-over-allowing-abortion-up-to-birth-for-disabilities
United Nations. Erişim Tarihi: 29 January 2021. Available from: https://docstore.ohchr.org/
BBC. Erişim Tarihi: 29 January 2021. Available from: http://www.bbc.co.uk/ethics/abortion/philosophical/disability.shtml
Hindawi. Erişim Tarihi: 30 January 2021. Available from: https://www.hindawi.com/journals/ijpedi/2010/857460/
The Swedish National Council on Medical Ethics. Erişim Tarihi: 30 January 2021. Available from: https://www.smer.se/wp-content/uploads/2012/04/Prenatal-diagnosis-the-Ethics.pdf
Pubmed. Erişim Tarihi: 30 January 2021. Available from: https://pubmed.ncbi.nlm.nih.gov/20561739/
Victorian Law Reform Commission. Erişim Tarihi: 30 January 2021. Available from: https://www.lawreform.vic.gov.au/content/appendix-b-ethics-abortion
Dölen İ, Özdeğirmenci Ö, Fetal Anomalies: Fetal Rights (Legal and Ethical) Turkiye Klinikleri J Gynecol Obst-Special Topics. 2011;4(3):169-74 TR
Nuffield Council on Bioethics. Erişim Tarihi: 21 September 2021. Available from: https://www.nuffieldbioethics.org/wp-content/uploads/2014/07/CCD-web-version-22-June-07-updated.pdf
https://www.theguardian.com/world/2021/sep/23/woman-with-downs-syndrome-loses-uk-abortion-law-case
https://www.judiciary.uk/wp-content/uploads/2021/09/Crowter-v-SSHSC-judgment-230921.pdf