Ripped from the Headlines: Assisted Reproductive Technology and Multiple Births  

Oleh:

Ecker, Jefrey ; Minkoff, Howard

Jenis: Article from Books - E-Book
Dalam koleksi: Clinical Ethics in Pediatrics A Case-Based Textbook, page 63-67.
Topik: Reproductive Technology; Multiple Births; Ethics
Fulltext: Ripped from the Headlines Assisted Reproductive Technology and Multiple Births.pdf (113.11KB)

Isi artikel

This “case” mirrors some circumstances of the 2009 California pregnancy of a woman named Nadya Suleman, quickly nicknamed “Octomom.” The birth of her octuplets engendered a media storm, which included the revelation that she was a single mother who had six other children, all conceived through IVF. Many of those expressing outrage about the Suleman case questioned whether she was it to be a parent. We have argued elsewhere that matters of fitness to parent are dii cult for physicians to evaluate, and only in the most extreme and exceptional circumstances, none of which were present in the California case, should providers use such concerns to limit access to assisted reproductive technologies (Minkof & Ecker, 2009 ). This chapter will focus on a question we feel more appropriately evaluated by medical professionals: what is the right number of embryos to transfer? This discussion touches on important principles of patient autonomy and respect for autonomy, two principles we believe are related but not equivalent. We will argue that the principle of respect for patient autonomy does not require physicians to accede to any request by a patient, to consider whether the number of embryos transferred in assisted reproductive technologies should be regulated, and, if so, to reflect on the appropriate nexus for such regulation.

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