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Ethical issues with reproductive technologies
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Assisted Reproductive Technology (ART) is a measure used to treat infertility where both sperm and eggs are handled, In Vitro Fertilization (IVF) the most common form has been used since 1981 in the United States. ART may enable individuals who were previously not able to conceive and deliver a child the ability to do so. In 2009 the Suleman Octuplets were born using the IVF technique to a single mother who also had six other children under the same methods. The Suleman Octuplets and their mother, Nadya Suleman, became a focus of interest for many based on the controversy and ethical dilemmas that surrounded their birth.
Ethical Implications in the Suleman Octuplet Case and the Theories and Principles that Apply
Prior to the octuplets birth Suleman using IVF had six other children, three of these children have medical disabilities. Her first six children were being cared for by her parents, she received federal aid and disability payments for her children, and Suleman was collecting disability for herself and used this money for her IVF procedure. Bellieni & Buonocore (2006) report findings that infants born after IVF with low birth weight, which was the case the Suleman Octuplets, have increased risk of birth defects, short and long-term disabilities, neurological issues and death. Suleman’s choices from the beginning had multiple ethical implications beginning with the Principle of Beneficence and Non-maleficence. Under this principle a person should not act if the action is good but causes harm, you need to make intelligent choices for your own good and that of others, the choice to have additional children was not sound or safe. Authorities under this principle need to respect the rights of individuals and that ...
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Recent high profile cases, films and books all around the world including the UK, Australia and the United States have brought to the public’s attention a new type of IVF. ‘Embryo Selection’ meaning ‘Embryos are fertilised outside the body and only those with certain genes are selected and implanted in the womb.’ Henceforth meaning that doctors are now able to select specific embryo’s and implant them into the mother of who may have another sick child in order to gain genetic material such as bone marrow which will match the ill-fated child and therefore hopefully be able to save their life. Creating a ‘saviour sibling’. ‘A child conceived through selective in vitro fertilization as a potential source of donor organs or cells for an existing brother or sister with a life-threatening medical condition’ a definition given by Oxford Dictionaries (1.0). Cases of this are happening all around the globe and many are highly documented about. The most famous case could be noted as in the fictional book of ‘My Sisters Keeper’ By Jodi Picoult. I will further discuss this throughout my dissertation and how books and films can affect the view on certain ethical subjects. Furthermore, I am also going to discuss a range of factors such as certain religious beliefs and the physical creation of saviour siblings compared to the creation of designer babies. Strong views are held by many both for and against the creation of saviour siblings.
Internationally, issues revolving around the female body and reproduction are extremely controversial. For a woman, her body is a very private matter. At the same time, however, a woman's body and her reproduction rights are the center of attention in many public debates. Several questions regarding women's reproductive rights remain unanswered. How much control do women have over their bodies? What kind of rules can be morally imposed upon women? And who controls the bodies of women? Although the public continues to debate these topics, certain conclusions can been made concerning women and their reproductive rights. An undeniable fact is that government has a large degree of control over female reproductive organs. All around the world, time and time again, several national governments have implemented policies, enacted laws, and denied women control over their reproductive organs. Several governments have crossed the border between intimate and public matters concerning women's reproductive organs, by making laws about contraceptives, abortion, and family planning programs.
In Roe v. Wade, the state’s interest in potential human life justifies the statutes that have an impact on one’s right to procreational autonomy. As a woman successfully enters each of the three trimesters, the state’s interest in protecting the potential life increases. This differs significantly when comparing to the preembryos
For many years, infertile couples have had difficulty facing the reality that they can not have children. According to Nidus Information Services Incorporated, 6.2 million women in the United States are infertile. This problem leads to many options. A few options have been used for a long period of time: the couple could adopt a child or keep trying to have a child themselves. For those couples that want to have their own children, there are new options arising. In vetro fertilization is an option that gives couples the chance to have a doctor combine the male's sperm and the woman's eggs in a petri dish and implant them into the woman's womb after the artificial conception. This may result in multiple pregnancies - more than five in some cases. This does not only occur in implantation, however. Many times the patient's doctor will ask her to consider selective reduction: aborting a few fetuses to save the ones she can. In a case of multiple pregnancy, selective reduction should be considered an option.
Warren, Mary Anne , and Mappes and D. DeGrazia. "On the Moral and Legal Status of Abortion." Biomedical Ethics 4th (1996): 434-440. Print.
No other element of the Women’s Rights Movement has generated as much controversy as the debate over reproductive rights. As the movement gained momentum so did the demand for birth control, sex education, family planning and the repeal of all abortion laws. On January 22, 1973 the Supreme Court handed down the Roe v. Wade decision which declared abortion "fundamental right.” The ruling recognized the right of the individual “to be free from unwanted governmental intrusion into matters so fundamentally affecting a person as the right of a woman to decide whether or not to terminate her pregnancy.” (US Supreme Court, 1973) This federal-level ruling took effect, legalizing abortion for all women nationwide.
In Vitro Fertilization (IVF) is a complex series of procedures used to help those who want children but struggle with infertility. The process consists of extracting eggs from a woman and collecting a man’s sperm sample then manually combining them in a lab dish. Once the embryo(s) are created they are transferred to a woman’s uterus. IVF is commonly used in woman who cannot conceive on their own due to different reasonings. “These include but are not limited to blocked or damaged fallopian tubes, male factor infertility, woman with ovulation disorders, genetic disorders, woman who have had their fallopian tubes removed and unexplained infertility.” (American Pregnancy)
Many studies have been done pertaining to egg donation and its medical aspect, but very few studies shows the ethical implications of egg donations. Health Laws such as Fertility Clinic Success Rate and Certification Act,1992 regulates the advertisement of success rate of fertility clinic. Only few states have federal laws for informed consent from egg donors (1-3). Informed consent means that donor understands all the minor details surrounding the egg donation procedure, its side-effects- medical, legal, ethical and emotional and gives permission to undergo the procedure without hesitation or coercion.
As women, it is important to remember that the reproductive freedoms we now have can be easily taken away. Some people take for granted the accessibility to birth control, condoms, and abortion. President Bush has initiated policies since coming into office that threaten women’s choices. As the Bush administration takes over, it is important for women and men to come together to support women’s rights. “Bush is setting a tone for anti-choice legislation, so I expect that any legislator who is anti-choice will put something in this year,” said Jessica Morgan, president of the Baltimore chapter of the National Organization for Women (Koenig, B2). Legislative, executive, and judicial action can very possibly come together during this administration to limit or eliminate women’s reproductive freedom.
In our society, there are many ethical dilemmas that we are faced with that are virtually impossible to solve. One of the most difficult and controversial issues that we are faced with is abortion. There are many strong arguments both for and against the right to have an abortion which are so complicated that it becomes impossible to resolve. The complexity of this issue lies in the different aspects of the argument. The essence of a person, rights, and who is entitled to these rights, are a few of the many aspects which are very difficult to define. There are also issues of what circumstances would justify abortion. Because the issue of abortion is virtually impossible to solve, all one can hope to do is understand the different aspects of the argument so that if he or she is faced with that issue in their own lives, they would be able to make educated and thoughtful decisions in dealing with it.
Ricci, Mariella Lombardi. "Assisted Procreation And Its Relationship To Genetics And Eugenics." Human Reproduction & Genetic Ethics 15.1 (2009): 9-29. Academic Search Complete. Web. 9 Apr. 2014.
[25] Tone, Andrea, ed., Controlling Reproduction: An American History, United States: Scholarly Resources Inc., 1997. p. 185.
An important scientific argument for IVF is that, by studying fertilization and early embryonic development outside the womb, scientists might learn more about how to prevent certain birth defects (1). This proves that IVF could actually make improvements in medical advances, especially in regards to prenatal care. This is just one example of how IVF can actually be beneficial to the community. The only times that babies are malformed or sick are when the mother puts more than one baby in her uterus. Multiple fetuses increase the chance of birth defects because they have a greater chance of preterm birth, which is associated with long-term health. The long-term illnesses are cerebral palsy, mental illness, and blindness (Reddy 1). With this in mind, having single births is very safe and those babies are still healthy today, just like Sarah and Maggie Marshall’s baby. Single births are also very highly recommended by medical personnel. Going back to the first test tube baby the Browns were expecting, and Steptoe (the doctor) thought that this baby would be a failure. When they did a cesarean on July 25, 1978, a beautiful baby girl was born at 5 pounds and 12 ounces. After the baby was born, the doctor recalled that