Hepp H, Haller U, Winter R
Gynakol Geburtshilfliche Rundsch. 2003 Jan;43(1):1-5. doi: 10.1159/000067174.
The topic of assisted reproductive medicine (ART) illustrates the two-sidedness of all medical advances. It encompasses not only a responsibility for research, but also a responsibility to research. Current discussion revolves around the central question whether an all too strict interpretation of the German 'Embryonenschutzgesetz' (law to protect the embryo) with the resulting medical guidelines hinders the establishment of an ART practice corresponding to international standards. Current discussion, particularly in view of a new ART legislature in process, leaves the following topics open to debate: heterologous oocyte and sperm donations and a possible 'split' parenthood, the marital status of prospective couples and the serious clinical problem of multiple-gestation pregnancies. The technically feasible frequently surpasses what can or should ethically and legally be made possible.
辅助生殖医学(ART)这一主题体现了所有医学进步的两面性。它不仅包含研究的责任,也包含对研究的责任。当前的讨论围绕着一个核心问题展开,即对德国《胚胎保护法》过于严格的解释以及由此产生的医学指导方针是否会阻碍符合国际标准的辅助生殖医学实践的建立。当前的讨论,尤其是鉴于正在制定的新辅助生殖医学立法,使得以下主题有待辩论:异源卵子和精子捐赠以及可能的“分割”亲子关系、准夫妻的婚姻状况以及多胎妊娠这一严重的临床问题。技术上可行的事情常常超越了伦理和法律上能够或应该实现的范围。