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2006, Bailli Egrave Re S Best Practice and Research in Clinical Obstetrics and Gynaecology
The rights to reproduce and found a family are recognized as basic human rights. Infertile couples should enjoy the same right to reproduce as those who have the ability to do so without assistance. Both positive and negative rights to access to assisted reproductive technologies are required in order to fully realize the reproductive rights. However, there is a limit to such a claim. The positive right of individuals to have state-funded assisted reproductive treatments has to be balanced against the provision of other societal goods and healthcare rationing. The negative right to acquire access to assisted reproductive technologies by individuals' own resources is also restrained. The barrier to such access is often of a moral nature, the standard of which depends on the values of the society.
Human Reproduction, 2008
Justice and access are among the most urgent questions for medically assisted reproduction. This paper analyses this question not only for people suffering from infertility, but also for people who need assistance to prevent the birth of a child with a specific genetic disorder. Based on the impact of not being able to have a child on the quality of life of a person, the position is defended that infertility treatment should be at least partially reimbursed. Simultaneously, the medical professionals have an obligation towards their patients and the health care system to bring down the costs as far as reasonably possible.
Reproductive technologies and reproductive rights, 2014
We observe a modern approach that allows for the possibility of a planned separation between sexual relations and procreation. The widespread use of contraceptives created the possibility of sex without reproduction, just as reproductive technologies created the possibility of reproduction without sex. Consequentially, the individual`s ability to control and plan childbirth has expanded, but parallel possibilities have been created for societal intervention in that process. The question whether society may limit one`s right to be a parent through the use of reproductive technologies has become a crucial legal issue. Artificial techniques of procreation present a special problem. On the one hand, we are concerned with planning the birth of a child and not with establishing what is best for a child already born. On the other hand, it is not a matter that begins and ends in the bedroom. Moreover: persons requiring artificial techniques expect not merely non-intervention but positive aid. It is submitted that a distinction should be drawn between limiting a person`s freedom to realize his right to parenthood as he sees fit, and the denying societal aid. The limits of positive societal aid are established through the changes in the legal definition of parenthood that society is willing to accept in order to meet individual desires. Thus, while we may question the existence of a justification for denying single woman`s freedom to procreate, or the freedom of a couple to seek the aid of a surrogate mother - that does not mean that society must provide the legal framework that might have the effect of denying parenthood to other partners to the procreative process.
International Journal of Gynecology and Obstetrics, 2023
In May 2023, the United Nations (UN) Office of the High Commissioner on Human Rights (OHCHR) published The Role of Human Rights in Preventing Infertility and Redressing Infertility-related Rights Violations and Harms (Infertility Report), its first report outlining States' obligations to address the preventable causes and consequences of infertility. 1 While there has been growing recognition of the human rights imperative to ensure access to assisted reproductive technologies (ART) to allow individuals to overcome infertility, this report is groundbreaking in its substantive discussion of prevention of infertility and its harmful consequences as a pressing human rights issue that States must address under international human rights law. OHCHR recognizes that, all too often, infertility is the cumulative result of State failures to ensure human rights (such as allowing healthcare disparities to persist among certain groups), as well as concerted State action to actively prevent births within particular groups (such as calling for coercive sterilization of persons with disabilities). Individuals and couples who experience infertility face stigma and social, financial, physical, and mental health harms; but unfortunately, treatment often remains out of reach due to practical and legal barriers. This new UN report emphasizes the importance of addressing the root causes of infertility to prevent trauma and harm caused by infertility and to decrease the need for expensive and difficult-to-access treatments. The present article complements the OHCHR report by highlighting healthcare providers' critical role in advancing human rights
Journal of Medical Ethics, 2008
There exists a derived negative right to procreative freedom, including a right to in vitro fertilisation (IVF) and to the exercise of selective techniques such as preimplantation genetic diagnosis. This is an extensive freedom, including not only the right to the exercise of a responsible parenthood, but also, in rare cases, to wrong decisions. It includes also a right for less than perfect parents to the use of IVF, and for IVF doctors to assist them, if they want and can agree about the terms.
This chapter explores current and prospective reproductive technologies and some of their likely implications for reproductive and family ethics and policymaking. The technologies discussed include uterus transplants, mitochondrial transfer, ectogenesis, the development of in vitro gametes, and solo reproduction. The chapter considers the impact of these developments on the content of concepts such as ‘infertility’, ‘mother’, or ‘father’. Another layer to this process of redefinition originates in ongoing socio-cultural changes that shift the focus in parenting from the way in which children have come into the world, to relationships within the family. Considering these scenarios beforehand can help to clarify some of the current challenges in defining and regulating infertility. The chapter therefore aims to raise a number of questions rather than provide answers.
Boston University international law journal, 1990
I. INTRODUCTION An estimated two hundred conception clinics around the United States currently serve two million couples seeking assistance in combatting infertility. 1 These couples expend nearly one billion dollars to arrest their condition. Tragically, the national "take home baby rate" from these clinics is between eleven and fourteen percent. 2 From this, the question that becomes uppermost in the hearts and minds of many is whether there is a fundamental or international human right to health assistance in biological reproduction. In recognizing or structuring such a right, would the state be obligated to spend any and all reasonable amounts of money in order to validate the procreative rights of all women-regardless of marital status? Consistent with the fundamental constitutional right to life, liberty and the pursuit of happiness, should the state enforce its protective powers visa -vis infants at the moment of conception or at some point later in their embryonic development? In 1983, Sir Harry Gibbs, Chief Justice of Australian High Court, ruled "that a foetus has no right of its own until it is born and has a separate existence from its mother." 3 The common law tied the commencement of life to the time when an unborn first moved in the womb-or, in other words, when it
In this paper, we are concerned with the ethical implications of the distinction between natural reproduction (via sexual intercourse) and reproduction that requires assistance (either medical or social). We argue that the current practice of enforcing regulations on the latter but not on the former means of reproduction is ethically unjustified. It is not defensible to tolerate parental ignorance or abuse in natural reproduction and subsequently in natural parenting, whilst submitting assisted reproduction and parenting to invasive scrutiny. Our proposal is to guarantee equal (ethical and legal) treatment to people engaging in either form of reproduction or parenting.
Zbornik Matice srpske za prirodne nauke, 2004
One of the main characteristics of the new millennium is the affirmation of human rights in all aspects of human existence, with the intention of turning declarative statements into reality. Development of up-to-date assisted reproductive technologies (ART) and their application in infertility treatment have raised numerous ethical, legal, religious, social and other questions. In vitro fertilization, donation of gametes, embryos and pre-embryos, cryopreservation of gametes, embryos, ovarian and testicular tissues, embryo transfer, genetic reproductive techniques, cloning and other sophisticated methods used in infertility treatment require cooperation between the medical and legal professions. Ethical aspects of human reproduction and assisted fertilization are based on full respect of the life of an individual even before conception, from pre-embryo stage, via embryo stage and fetus stage to a newborn infant. Regarding investigative and clinical projects, this standpoint implies t...
Human Reproduction Update, 1999
In-vitro fertilization (IVF) and assisted reproductive techniques have become common practice in many countries today, regulated by established legislation, regulations or by committee-set ethical standards. The rapid evolution and progress of these techniques have revealed certain social issues that have to be addressed. The traditional heterosexual couple, nowadays, is not considered by many as the only 'IVF appropriate patient' since deviations from this pattern (single mother, lesbians) have also gained access to these treatments. Genetic material donation, age limitation, selective embryo reduction, preimplantation genetic diagnosis, surrogacy and cloning are interpreted differently in the various countries, as their definition and application are influenced by social factors, religion and law. Financial and emotional stresses are also often described in infertile couples. Information as deduced from the world literature regarding IVF regulation, as well as about the existing religious, cultural and social behaviours towards these new technologies, is presented in this article in relation to the social aspects of assisted reproduction.
Innovations In Assisted Reproduction Technology [Working Title]
There is no doubt that for a couple who are having difficulties in conceiving, having a child is an objective good. However, it is also indisputable that assisted reproduction techniques raise clear ethical issues. In order to begin this bioethical reflection, it should be clearly established that the early embryo, which can be manipulated or destroyed using these techniques, is a living being of our species. We believe this is unquestionable from a biological point of view, and it therefore deserves our full respect. The bioethical assessment of assisted reproduction techniques includes analysis of the embryo losses caused by their selection and manipulation through preimplantation genetic diagnosis, 'social freezing' or the possible lack of rigour in the information provided by the clinics involved, to which must be added the higher morbidity reported in babies born as a result of these procedures.
Revista de Cercetare si Interventie Sociala, 2020
Infertility is defi ned as the inability of a couple to conceive a child after 12 months of regular and unprotected sexual intercourse or after 6 months, in case of women who are over 35 years. Currently, assisted human reproductive techniques (ART) can help infertility couples worldwide and promise unquestionable benefi ts to humanity. The study proposes an assessment of problems that couples with fertility issues are facing in Romania using a special questionnaire composed of 8 segments and 65 items. The questionnaire was completed by 860 women who benefi ted from ART in diff erent fertility clinics nationwide. By analyzing the results, we identifed the socio-economical and legal concerns that occured when
Medicina y Ética, 2022
The New bioethics law in France, proposed in 2019 and approved by the National Assembly on June 29, 2021, makes in its first article, concerning the art (Artificial Reproductive Technology), modifications to article L. 2141-2 and L.2141-3 of the law No. 2011-814 of July 7, 2011 relating to bioethics. It thus opens the way to "any couple formed by a man or a woman or by two women or any unmarried woman". As a result, the link between law and bioethics is disrupted. While the law must protect the individual interest, bioethics reminds the law that the common good must also be protected. Hence the following questions that arise following this new bioethics law: is art a right for all? Is it legitimate to claim it in the name of equality? What about justice? In this article, I would like to approach the subject from a bio-legal point of view by situating the problem within the framework of the philosophy of law.
Assisted Reproduction, especially IVF; an ethical reflection on the cultural tendencies regarding assisted reproductive techniques and the rights and responsibilities of prospective parents. Contrasting the relevant documents of the Church on assisted reproduction and comparing that with the relevant clauses in Italian law on assisted reproduction.
The aim of this article is to investigate whether techniques used for artificial reproduction safeguard or promote the future child’s welfare, and whether they are capable of offering potential future children the best possible chance for the best life, in keeping with guidelines derived from the Principle of Procreative Beneficence. This analysis will be important for discerning the parental responsibility of couples or single reproducers who plan to use or have used any of these techniques, and also for those who defend the Principle of Procreative Beneficence, which implicitly entails the use of techniques of assisted human reproduction. The paper concludes that prospective parents should be informed not only of the specific level of risk and potential damages associated with each IVF technique, but also of the fact that given the available evidence none of the standard IVF techniques can be considered to be risk free, there is reason to believe that none of these techniques can be reconciled with the responsibility of prospective parents to the promote welfare of future children and/or to offer them the best possible life
Reproductive BioMedicine Online, 2011
Oxford University Press eBooks, 2016
International Encyclopedia of Human Geography, 2020
Assisted reproductive technologies A treatment for infertility that involves the laboratory handling of eggs, sperm, or embryos. Some examples of assisted reproductive technologies are in vitro fertilization (IVF), oocyte, and sperm donation or surrogacy. Biopolitics Biopolitics refer to the intersection and mutual incorporation of life and politics. For Foucault, life must be understood as both an object and effect of political strategies and technologies, whereby the sovereign right to seize, repress, and destroy life is complemented by a new form of power that aims to develop, optimize, order, and secure life. Intersectionality Intersectionality relates to the observation that power structures based on categories such as gender, race, sexuality, ableism, and class interact with each other in various ways and create inequalities, discrimination, and oppression. Kimberlé Crenshaw coined the term showing how social movements tend to not recognize the conditions for people who fall between the categories. LGBTQIA reproductive rights Reproductive rights of lesbian, gay, bisexual, transgender, queer, intersexual, and asexual people to (not) have and to parent children. Population control State policies attempting to limit the growth of certain members of a population in terms of class, race, ethnicity, nationality, religion, etc., especially through unrestricted/restricted access to contraception and/or (forced) sterilization. Reproductive rights concern a wide set of societal problems and demands ranging from access to abortion to contraception, forced sterilization, family planning programs, reproductive exploitation through sex work or reproductive labor (surrogacy, oocyte provision), obstetric violence, early and/or forced marriage, early and/or unwanted pregnancy, HIV and other sexually transmitted diseases, unsafe sex, violence (sexual, physical, psychological), fertility treatment, LGBTQIA reproductive rights, body norms, and intimate surgery. The list is constantly expanded by activists and scholars alike responding to an intensifying and ongoing development of new technologies aiming to control, manipulate, or modify reproductive bodies, their reproductive organs, and their reproductive capacities. Reproductive rights and related questions such as population control through forced sterilization or eugenics, access to health and maternal care, or the effect of toxic environments on people's (in)fertility tackle key concerns of geographic inquiry ranging from the political geographies of the nation and population to development geographies or humanenvironment relations. The key conceptual foundations of reproductive rights draw on inter-and transdisciplinary research. At the center of current discussions around reproductive rights are the distinctions and alignments between the at times conflicting, at times interchangeably used perspectives of reproductive rights, reproductive health, and reproductive justice. In geography, reproductive rights research covers the fields of intimate geopolitics and reproductive geographies. While reproduction has traditionally been addressed within the subfield of population geography measuring fertility rates or mother and infant mortality, more recent scholarships on intimate geopolitics and reproductive geographies draw on feminist, Black, postcolonial, and critical geographic thought investigating people's experiences of, access to, and struggles for reproductive rights, health, and justice.
EUROPEAN POLITICAL AND LAW DISCOURS, 2017
Actual bioethical problem of ratio between reproduc tive rights of a human being and his\her right to life was investigated in this work specifi cally on the legal status of human embryos and gametes (because of their destruction) during assis ted reproductive technology (ART). Issues of selection and reduction are considered. Different m ethods of assisted reproduction (fertilization in vivo, in vitro, homologous and heterologous) are analyzed in detailed. Absence of universal international legal instrument on regulation of the use of ART, that causes discrepancies of human embryo legal status because of different nati onal legislation, is determined. The attention on prevention of narrowing the scope and content of the right to life as a result of the implementation of reproductive rights is accented. The necessity of adopting a uniform act to protect human life regardless its stage of developm ent is proclaimed
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