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Looking at international jurisdictions, this is where the real complication comes in. In Canada, which has much more permissive practices than the UK, despite the lack of a statutory ban, pregnancy creates major ethical and practical barriers. The Canadian Medical Association and provincial regulatory bodies, including the College of Physicians and Surgeons of Ontario, emphasise foetal protection, treating viable pregnancies of more than 24 weeks as involving a separate patient. In practice, we cannot find data involving pregnant women under MAID in something like 40,000 procedures, but it is really important to understand the interaction and how it might work out.