Long-term Survival in Patient Safety, Preventive & Ethics — 29yo Woman | Ethics | SMLE Q#11778

A 29-year-old woman, gravida 2 para 1, presents to the antenatal clinic at 14 weeks’ gestation for her first prenatal visit. A detailed ultrasound performed for dating reveals a severe fetal anomaly incompatible with long-term survival. After counseling about the diagnosis, prognosis, and available options, she clearly states that she wishes to terminate the pregnancy. Her partner is hesitant but says he will support her choice. The obstetrician personally has moral objections to abortion but practices in a setting where termination of pregnancy for severe fetal anomaly at this gestational age is legal. Which ethical principle should primarily guide the decision on whether to proceed with termination in this situation?