Does a doctor owe a patient truthful information about pregnancy risks?
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Does a doctor owe a patient truthful information about pregnancy risks?
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Fear that silence can steal a decision: a Texas ruling in 1975 made it possible to sue not for causing a child's disability but for depriving parents of information about maternal rubella-could withholding a diagnosis be a legal harm? What did courts mean when they recognized "wrongful birth," and how could a lost choice ever be proved?
In this episode, we tell the story of Dortha Jean Jacobs, the Texas Supreme Court's February 19, 1975 decision, and the doctrine that followed; we trace how a physician’s failure to disclose a rubella infection led to a novel legal claim and the unresolved questions it raised about causation and the implications for children and parents.
Person: Dortha Jean Jacobs
Person: Lesli Jacobs
Date: February 19, 1975
Event: Texas Supreme Court ruling recognizing wrongful birth
Topic: Failure to disclose maternal rubella diagnosis
- Dortha Jean Jacobs became ill with rubella during pregnancy and received no diagnosis or warning from her doctor.
- Lesli Jacobs was born severely disabled as a result of congenital rubella.
- The Texas Supreme Court held there was a patient-doctor relationship and negligent failure to disclose risk, creating a new cause of action.
- The ruling framed the harm as the foreclosure of the parents’ choice, not as the child’s existence being a harm.
- Plaintiffs must prove what decision they would have made if given truthful information, requiring testimony about whether they would have terminated the pregnancy.
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