Pregnant women face the dilemma: whether to continue the pregnancy or not? In such conditions, duration of gestation becomes a key issue. Late in pregnancy abortions are not advisable. Similarly mental state of the pregnant women should be understood by the counselor. To abort or to give birth to the child, the decision will depend on woman's mental state, financial support and ability to understand the implications of having a child.

Childless couples may be desperately needing a child. In such conditions, adoption as an option should be discussed.

It becomes difficult to handle family members of positive persons.