Parental, Medical, and Sociological Responsibilities: “Octomom” as a Case Study in the Ethics of Fertility Treatments

Manninen, Bertha Alvarez

doi:10.4172/2155-9627.s1-002

Cited by 3 publications

(10 citation statements)

References 31 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A Sorites-type argument might be run against any limits on numbers of embryos transferred. Why stop at two embryo transfers, why not three, why not eight [68]?…”

Section: Multiple Embryo Transfermentioning

confidence: 96%

Double trouble: Should double embryo transfer be banned?

et al. 2015

View full text Add to dashboard Cite

What role should legislation or policy play in avoiding the complications of in-vitro fertilization? In this article, we focus on single versus double embryo transfer, and assess three arguments in favour of mandatory single embryo transfer: risks to the mother, risks to resultant children, and costs to society. We highlight significant ethical concerns about each of these. Reproductive autonomy and non-paternalism are strong enough to outweigh the health concerns for the woman. Complications due to non-identity cast doubt on the extent to which children are harmed. Twinning may offer an overall benefit rather than burden to society. Finally, including the future health costs for children (not yet born) in reproductive policy is inconsistent with other decisions. We conclude that mandatory single embryo transfer is not justified and that a number of countries should reconsider their current embryo transfer policy.

show abstract

“…A Sorites-type argument might be run against any limits on numbers of embryos transferred. Why stop at two embryo transfers, why not three, why not eight [68]?…”

Section: Multiple Embryo Transfermentioning

confidence: 96%

Double trouble: Should double embryo transfer be banned?

et al. 2015

View full text Add to dashboard Cite

show abstract

“…International media coverage exposed troubling fertility practices, including the routine transfer of multiple embryos. The incident reopened debates about the need for national legislation, raised questions about soft governance mechanisms, and exposed tensions regarding reproductive autonomy and best interests of ARTconceived children [14,[26][27][28][29].…”

Section: Asrm-sart Embryo Transfer Guidelinesmentioning

confidence: 99%

“…Even so, the circumstances under which multiple-embryo transfer should be recommended [52] and the ethical appropriateness of limiting reproductive choice remain topics of intense discussion [27,53].…”

Section: Asrm-sart Embryo Transfer Guidelinesmentioning

confidence: 99%

“…As noted, the BOctomom^incident placed US fertility practices under the microscope [14,[27][28][29]70]. Yet, updated 2009 ASRM-SART guidelines made no alteration to the number of embryos recommended for transfer [71].…”

Section: Usa: 20 Years Of Embryo Transfer Guidelinesmentioning

confidence: 99%

“…It is a wellmaintained view that any movement towards establishment of single-embryo transfer targets must be accompanied by assurance that fertility treatments will be covered, in whole or in part, by medical insurance programs [13,27].…”

Section: Mandated Embryo Transfer Limits and Insurance Coveragementioning

confidence: 99%

See 2 more Smart Citations

“One for Sorrow, Two for Joy?”: American embryo transfer guideline recommendations, practices, and outcomes for gestational surrogate patients

White

2017

J Assist Reprod Genet

View full text Add to dashboard Cite

In January 2016, Melissa Cook, a California gestational surrogate experiencing a multiple-birth pregnancy following the in vitro fertilization (IVF) transfer of three embryos comprised of donor eggs and sperm provided by the intended father, went to the media when the intended father requested that she undergo a fetal reduction because twins were less expensive to raise than triplets. Much of the legal interest in this case to date has centered on the enforceability of surrogacy contracts. However, the Cook case also raises troubling issues about fertility treatment practices involving gestational surrogates, twin preference, and third-party reproduction medical decision-making. This paper focuses on multiple-embryo transfers in the context of US surrogacy arrangements.Offering an original analysis of data obtained from the US national-assisted reproduction registry, it examines singleand multiple-embryo transfer trends over a 12-year period (2003 to 2014). Findings reveal that recommended guidelines were followed in fewer than 42% of the cases in 2014. The paper argues that ensuring equitable medical treatment for all recipients of IVF requires the adoption of treatment guidelines tailored to, and offering protections for, specific patient groups, and that, once in place, guidelines must be robustly implemented.

show abstract

Ethical and Psychosocial Impact of Female Infertility

Leyser‐Whalen

Temple

Phelps

2012

Curr Obstet Gynecol Rep

View full text Add to dashboard Cite

This manuscript reviews research from the past year on the ethical and psychosocial impact of infertility on women and men. We discuss several issues surrounding ovarian stimulation, particularly high-order multiple births, egg banking (especially for research purposes), and diminished ovarian reserve. We also present recent work on distress and counseling, which includes greater attention to subgroups of infertile women. More research on issues confronting men has emerged recently, and we outline these with regard to their relationships with infertile women, or as the infertility patient. Last, we outline some ethical issues posed by newer procedures of fertility preservation and uterine transplant.

show abstract

Parental, Medical, and Sociological Responsibilities: “Octomom” as a Case Study in the Ethics of Fertility Treatments

Cited by 3 publications

References 31 publications

Double trouble: Should double embryo transfer be banned?

Double trouble: Should double embryo transfer be banned?

“One for Sorrow, Two for Joy?”: American embryo transfer guideline recommendations, practices, and outcomes for gestational surrogate patients

Ethical and Psychosocial Impact of Female Infertility

Contact Info

Product

Resources

About