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seven children and numerous grandchildren. Her personal physician refused to prescribe birth control pills for her because of her age and other health reasons. Nor did he dis- cuss other forms of contraception with her or offer her the alternative of sterilization. Physically, it would be hazardous Scenario E for her to have more children. She comes to you, distraught A married 28-year- and crying. She doesnt know what to do. mal child are extren a sterilization proce Scenario B A 32-year-old woman with a severe intellectual disability becomes pregnant. She is unable to take care of herself inde- pendently. She has a history of numerous sexual encounters. Her genetic background indicates that she would probably have a child with an intellectual disability. It is clear that she would be unable to care for a child herself. of being pregnant Throughout her pre X-rays. The possibi the radiation is very at some time, but with a serious impa Scenario F ScenarioC A 19-year-old college student is six weeks pregnant. She has been going with her boyfriend for seven months. For the Four months ago, a 41-year-old wife ju nant. Some sperm semen. The couple tThey do not want

Scenario B. How would you apply the Hierarchy of Ethical principles to this Scenario?

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According to the world health organisation, intellectual disability (ID) is defined as the person with an intelligence quotient below 70. During 20th century, the womens with ID were institutionalised to prevent pregnancy. It was identified that about 0.9 childs suffer with ID out of 1000 births. It appeared that mothers with below 25 age suffers with ID when compared to mothers without ID i.e., the mothers with ID are younger than mothers without ID. They were also more likely to be unmarried and smoked during pregnancy. However the babies born to mothers with ID have very low birth weight and they were less likely to have breast fed compared to mothers without ID. The ethical principles include the mother with ID should not give birth more times, she should not smoke during pregnancy improvement of prepartum and intrapartum caregivers to enhance more accessible, interactive and better tailored information , support and care for mothers with ID.

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