{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:30:45Z","timestamp":1740133845609,"version":"3.37.3"},"reference-count":24,"publisher":"BMJ","issue":"11","funder":[{"name":"MOE Project of Humanities and Social Sciences","award":["22YJC720018"],"award-info":[{"award-number":["22YJC720018"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Med Ethics"],"accepted":{"date-parts":[[2023,2,16]]},"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>There is an ongoing debate about whether multifetal pregnancy reduction from twins to singletons (2-to-1 MFPR) is morally permissible. By applying the all or nothing problem to the cases of reducing twin pregnancies to singletons, R\u00e4s\u00e4nen argues that an implausible conclusion seems to follow from two plausible claims: (1) it is<jats:italic>permissible<\/jats:italic>to have an abortion and (2) it is<jats:italic>wrong<\/jats:italic>to abort only one fetus in a twin pregnancy. The implausible conclusion is that women considering 2-to-1 MFPR for social reasons<jats:italic>ought to<\/jats:italic>abort both fetuses rather than just one. To avoid the conclusion, R\u00e4s\u00e4nen suggests that it is best to carry both fetuses to term and give one for adoption. In this article, I argue that R\u00e4s\u00e4nen\u2019s argument fails for two reasons: the inference from (1) and (2) to the conclusion rests on a bridge principle that does not work in certain circumstances, and there is good reason to reject the claim that it is wrong to abort only one fetus.<\/jats:p>","DOI":"10.1136\/jme-2022-108446","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T18:21:31Z","timestamp":1677090091000},"page":"772-775","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal reduction, moral permissibility and the all or nothing problem"],"prefix":"10.1136","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6880-8749","authenticated-orcid":false,"given":"Xueshi","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,2,22]]},"reference":[{"key":"2024052219381003000_49.11.772.1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1159\/000357974","article-title":"Fetal reduction: 25 years\u2019 experience","volume":"35","author":"Evans","year":"2014","journal-title":"Fetal Diagn Ther"},{"key":"2024052219381003000_49.11.772.2","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.ajog.2007.06.056","article-title":"Evolving trends in 2000 cases of multifetal pregnancy reduction: a single-center experience","volume":"197","author":"Stone","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"2024052219381003000_49.11.772.3","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/GCO.0b013e3283079b93","article-title":"Fetal reduction 2008","volume":"20","author":"Evans","year":"2008","journal-title":"Curr Opin Obstet Gynecol"},{"key":"2024052219381003000_49.11.772.4","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1007\/s43032-021-00819-5","article-title":"Trends of selective fetal reduction and selective termination in multiple pregnancy, in England and Wales: a cross-sectional study","volume":"29","author":"Sam","year":"2022","journal-title":"Reprod Sci"},{"key":"2024052219381003000_49.11.772.5","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1255177"},{"key":"2024052219381003000_49.11.772.6","doi-asserted-by":"crossref","unstructured":"Evans MI , Andriole S , Evans SM , et al . Medical reasons for pregnancy interruption: fetal reduction. In: Prenatal and Preimplantation Diagnosis. 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Doing good and doing the best. 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