Maxine Harris, Ph.D.

Recently (January, 2009) a California mother of six gave birth to octuplets. After the initial sense of astonishment that a woman could actually successfully deliver eight healthy infants, many in the medical community began to raise questions about the medical ethics of sanctioning such a pregnancy. Most responsible fertility specialists refrain from implanting more that two or three embryos at any one time.
We at Community Connections must often struggle with our own version of this ethical dilemma. We certainly respect the rights of women to make their own reproductive choices, in fact we see ourselves as champions of women's reproductive rights. Yet we also see the tragic consequences that result when young women with few financial, emotional and familial resources "decide" to have, as in the case of the California woman, their fourteenth child.
Should it be our role (we are after all, social workers and psychologists and case managers, not ministers or family members) to help counsel and perhaps thus balance a woman's reproductive rights with her parental responsibility to do more than just give birth, but to raise and care for the children she brings into this world?
Without intruding on the most personal of decisions, case managers might well open the conversation with women about what it will take to raise and nurture a growing child. Too often clinicians fear that to ask questions is tantamount to passing judgments. Honest and caring questions about the challenges as well as the joys of parenting might help more women make choices that would not only be good for themselves, but good for their children as well.
Disclaimer
The contents of this blog reflect the personal opinions of the author and do not necessarily reflect the views of Community Connections and its management.