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I would find out, if you can, if any genetic disorders run in the family. I'm really not sure what I would do. If the family is of a culture where this is the norm, then I would probably proceed. Something where there was abuse or weird things going on, I might not. We reluctantly decided against being open to a child of rape because we just didn't feel we could handle having to explain that to a child. So, in the same sense, I don't think we would accept a situation that was a product of immediate family incest or abuse.