Use of in vitro fertilization-ethical issues

被引:38
作者
Asplund, Kjell [1 ]
机构
[1] Umea Univ, Dept Publ Hlth & Clin Med, Umea, Sweden
关键词
Age limits; ethics; in vitro fertilization; infertility; preimplantatory genetic testing; public funding; prioritization; PREIMPLANTATION GENETIC DIAGNOSIS; REPRODUCTIVE TOURISM; IVF;
D O I
10.1080/03009734.2019.1684405
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report is an ethical analysis based on both facts and values. In in vitro fertilization (IVF), there is an intricate interaction between rapid scientific development and changing societal values. In most countries, the ethical discussion is no longer on whether or not IVF in itself is ethically justifiable. Therefore, in this review, I discuss other ethical aspects that have emerged since IVF was first introduced, such as upper age limits, 'ownership' of gametes and embryos, IVF in single women and same-sex couples, preimplantatory genetic testing, social egg freezing, commercialization, public funding, and prioritization of IVF. Despite secularization, since religion still plays an important role in regulation and practices of IVF in many countries, positions on IVF among the world religions are summarized. Decision-making concerning IVF cannot be based only on clinical and economic considerations; these cannot be disentangled from ethical principles. Many concerns regarding the costs, effects, and safety of IVF subtly transcend into more complex questions about what it means to society to bear and give birth to children.
引用
收藏
页码:192 / 199
页数:8
相关论文
共 36 条
[1]  
Ahmad A, 2011, BIONEWS, P625
[2]   Access to fertility treatment by gays, lesbians, and unmarried persons: a committee opinion [J].
不详 .
FERTILITY AND STERILITY, 2013, 100 (06) :1524-1527
[3]   ETHICAL ISSUES IN HEALTH-CARE PRIORITIZATION - A MEDICAL VIEWPOINT [J].
ASPLUND, K .
BRITISH JOURNAL OF UROLOGY, 1995, 76 :49-54
[4]  
Bayefsky Michelle J, 2016, Reprod Biomed Soc Online, V3, P41, DOI 10.1016/j.rbms.2017.01.001
[5]  
Benatar D., 2008, BETTER NEVER HAVE BE
[6]   IVF and embryo transfer: historical origin and development [J].
Biggers, John D. .
REPRODUCTIVE BIOMEDICINE ONLINE, 2012, 25 (02) :118-127
[7]   Social egg freezing under public health perspective: Just a medical reality or a women's right? An ethical case analysis [J].
Borovecki, Ana ;
Tozzo, Pamela ;
Cerri, Nicoletta ;
Caenazzo, Luciana .
JOURNAL OF PUBLIC HEALTH RESEARCH, 2018, 7 (03) :101-105
[8]   Preimplantation genetic diagnosis [J].
Braude, P ;
Pickering, S ;
Flinter, F ;
Ogilvie, CM .
NATURE REVIEWS GENETICS, 2002, 3 (12) :941-953
[9]   The Evolution of Legislation in the Field of Medically Assisted Reproduction and Embryo Stem Cell Research in European Union Members [J].
Busardo, Francesco Paolo ;
Gulino, Matteo ;
Napoletano, Simona ;
Zaami, Simona ;
Frati, Paola .
BIOMED RESEARCH INTERNATIONAL, 2014, 2014
[10]  
Duguet AM, 2017, EUR J HEALTH LAW, V24, P160, DOI 10.1163/15718093-12420347