Although treating infertility is undoubtedly a medical benefit in many cases,
there are women who for physical or psychological reasons should not carry a
pregnancy. For these woman, pregnancy becomes a threat to their own health
and subjects the fetus to great risk of permanent injury or death. Fertility
technology itself becomes a risk when it increases the probability of multiple
births. Most fertility specialists are conscientious in counseling their patients
about the risks and limitations of fertility treatment, but these physicians are
reticent to deny a woman treatment if she is willing to assume the risks of the
treatment.
The legal problems arise because a woman does not have an unfettered right
to waive her injured baby’s cause of action against the physician. The informed
consent to fertility treatment must be complete and specific. Just reciting the
risks is insufficient. The consequences of risks such as multiple births must be
described in detail. Telling a woman that her baby may be premature does not
give her the necessary information that a frequent complication of severe
prematurity is brain damage. Although it may be improper to deny women the
right to risk their lives and the health of their potential offspring for the sake of
becoming pregnant, they must be told exactly what risks they are assuming.