I have to think that OBGYNs have to always be prepared to be faced with tragedy. So many preganancies end badly, most often for no reason whatsoever. In that kind of circumstance, I cannot imagine being able to tell a woman that no, this will not end with your having a happy, healthy baby, and you're not going to be allowed to make your choice about what happens, or start the healing process. Just wait for your body to reject the fetus, and hope you don't go septic.