Wolff H P
Zentralen Kommission, Reproduktionsmedizin, Forschung an menschlichen Embryonen und Gentherapie, Deutschland.
Diskussionsforum Med Ethik. 1992 Apr(1):I-IV.
After considering the moral status of the living and of the dead human fetus, the article examines various ethical arguments connected with the use of fetal remains following elective abortion: financial or humanitarian incentives for the termination of pregnancy, conflicts of interest between mother and user, authority over fetal remains and modality of donation and utilization of the fetus. To prevent improper use of fetal remains it is recommended: to separate completely the decisions relating to abortion (first) and to the subsequent use of fetal tissues (second); to obtain explicit informed consent from the mother, making it impossible for her to direct any specific use of the fetal tissues; to base decisions on the method and timing of an abortion on the mother's health care needs alone; to exclude those involved in the process of abortion from any use of the fetus; to protect the anonymity of donor and recipient through an intermediary (tissue bank).
在考量了存活及死亡的人类胎儿的道德地位后,本文审视了与选择性堕胎后胎儿遗体使用相关的各种伦理观点:终止妊娠的经济或人道主义诱因、母亲与使用者之间的利益冲突、对胎儿遗体的控制权以及胎儿捐赠和利用的方式。为防止胎儿遗体被不当使用,建议如下:将与堕胎(首先)及随后胎儿组织使用(其次)的决定完全分开;获得母亲明确的知情同意,使其无法指定胎儿组织的任何特定用途;仅根据母亲的医疗保健需求来决定堕胎的方法和时机;禁止参与堕胎过程的人员使用胎儿;通过中介机构(组织库)保护捐赠者和接受者的匿名性。