The Ethical and Legal Status of ‘Fetonates’ Or ‘Gestatelings’

Romanis, Elizabeth Chloe

doi:10.1080/15265161.2023.2191030

Cited by 18 publications

(4 citation statements)

References 11 publications

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“…(24) Yet others stated that an agreement on terminology is necessary because these terms are morally loaded, meaning that they will affect our perception of the subject in the AP and the care provided. (23,25,26) The subject in the AP is a new moral entity Some authors claimed that the subject in the AP is a new moral entity (27)(28)(29)(30)(31)(32)(33)(34), i.e., a human being in the process of ex utero gestation. (30) According to them, as the subject in the AP is a distinct and unique moral entity, the concepts and rules that apply to fetuses or infants should not apply to the subject in the AP.…”

Section: Foundational-ethical Issues: the Moral Status Of The Subject...mentioning

confidence: 99%

“…(30) According to them, as the subject in the AP is a distinct and unique moral entity, the concepts and rules that apply to fetuses or infants should not apply to the subject in the AP. (27,28,(30)(31)(32)(33)(34) For example, it could be justifiable to end the life of the subject in the AP who is suffering, whereas most jurisdictions prohibit infanticide. (33) Hence, they said, new forms of protections for the subjects in the AP are necessary.…”

Section: Foundational-ethical Issues: the Moral Status Of The Subject...mentioning

confidence: 99%

“…(33) Hence, they said, new forms of protections for the subjects in the AP are necessary. (27,28,(30)(31)(32)(33)(34) Three main reasons were brought up to justify conceptualizing the subject in the AP as a new moral entity.…”

Section: Foundational-ethical Issues: the Moral Status Of The Subject...mentioning

confidence: 99%

See 2 more Smart Citations

Navigating the Ethical Landscape of the Artificial Placenta: A Systematic Review

Cavolo,

Boer,

Proost

et al. 2024

Preprint

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Objective: To present the ethical debate on the artificial placenta (AP) by identifying, distinguishing, and organizing the different ethical arguments described in the existing literature. Method: We conducted a systematic review of the AP ethical literature. Articles were selected based on predefined inclusion criteria: discussing ethical arguments, on AP, written in English. QUAGOL methodology was used for analysis. Results: Forty-five articles were included. We identified three main themes. First, foundational-ethical issues. There is substantial disagreement on whether the AP subject should be considered an infant or a new moral entity. While physiologically it stays a fetus, it sits outside the womb. Second, reproductive ethics issues. Few authors believed that the AP would increase reproductive choices. However, the majority warned that the AP could limit reproductive choices by creating pressure to use it in healthy pregnancies or as an alternative to abortion. Third, research ethics issues. Publications mostly focused on selection of the in-human trial participants. Conclusions: AP ethical literature focuses mostly on the potential use of AP as an alternative to abortion or healthy pregnancies rather than on the intended use as treatment after extremely premature birth. Furthermore, all but one article originated from high-income western countries, and no article discuss the AP from a global health perspective. We conclude, therefore, that the current ethical literature on AP is imbalanced: it leans more towards science fiction than actual clinical and technological reality, and important perspectives like global health are currently missing from the existing body of literature.

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Section: Foundational-ethical Issues: the Moral Status Of The Subject...mentioning

confidence: 99%

Section: Foundational-ethical Issues: the Moral Status Of The Subject...mentioning

confidence: 99%

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Navigating the Ethical Landscape of the Artificial Placenta: A Systematic Review

Cavolo,

Boer,

Proost

et al. 2024

Preprint

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“…“I have argued that the entity in an artificial placenta is a wholly new entity—there has never been a human being gestating outside the human body before. I call it the gestateling, and I have recently explained why I think this is better than other terms people have suggested” (Romanis, 2023 ). “The debate about what the entity is and what we should call it is ongoing,” she continued.…”

Section: Ethical and Legal Issuesmentioning

confidence: 99%

Exogestation for treating premature births and congenital diseases

Hunter

2024

EMBO Rep

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Navigating the Ethical Landscape of the Artificial Placenta: A Systematic Review

Cavolo,

de Boer,

De Proost

et al. 2024

Prenatal Diagnosis

View full text Add to dashboard Cite

This systematic review aims at presenting the ethical debate on the artificial placenta (AP) by identifying, distinguishing, and organizing the different ethical arguments described in the literature. Articles were selected based on predefined inclusion criteria: discussing ethical arguments, on AP, written in English. QUAGOL methodology was used for analysis. Forty‐five articles were included. We identified three themes. First, foundational‐ethical issues. There is disagreement on whether the AP subject should be considered an infant or a new moral entity. While physiologically it stays in the fetus, it sits outside the womb. Second, reproductive ethics issues. Few authors believed that the AP would increase reproductive choices. The majority warned that the AP could limit reproductive choices by creating pressure to use it in healthy pregnancies or as an alternative to abortion. Third, research ethics issues. Publications mostly focused on the selection of the in‐human trial participants. We concluded that AP ethical literature focuses mostly on the potential use of AP as an alternative to abortion or healthy pregnancies rather than on its intended use as a treatment after extremely premature birth. Therefore, we conclude that the current ethical literature on AP is imbalanced: it leans more toward science fiction than actual clinical and technological reality.

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The Ethical and Legal Status of ‘Fetonates’ Or ‘Gestatelings’

Cited by 18 publications

References 11 publications

Navigating the Ethical Landscape of the Artificial Placenta: A Systematic Review

Navigating the Ethical Landscape of the Artificial Placenta: A Systematic Review

Exogestation for treating premature births and congenital diseases

Navigating the Ethical Landscape of the Artificial Placenta: A Systematic Review

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