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一个具有挑战性的选择:在瑞士将多余胚胎捐赠用于干细胞研究。

A challenged choice: donating spare embryos to stem cell research in Switzerland.

作者信息

Porz Rouven, Bürkli Peter, Barazzetti Gaia, Leach Scully Jackie, Rehmann-Sutter Christoph

机构信息

Unit for Ethics, Inselspital, Bern University Hospital, Bern, Switzerland.

出版信息

Swiss Med Wkly. 2008 Sep 20;138(37-38):551-6. doi: 10.4414/smw.2008.12420.

Abstract

RESEARCH QUESTIONS

Couples undergoing IVF in Switzerland may have embryos in excess of their clinical need that they can donate to human embryonic stem cell research. Thus a new practice has emerged in Switzerland when IVF treatment and embryonic stem cell research come into contact. This interface needs to be investigated from an ethical-legal point of view to facilitate a fair informed choice process for the couples involved.

METHODS

Ethical analysis, patient perspectives elaboration. Interdisciplinary approach that draws on the research project JESP-ELSI (joint embryonic stem cell research project--ethical legal and societal implications).

RESULTS AND CONCLUSIONS

To facilitate the donation of surplus embryos to human embryonic stem cell research, we propose a procedure of informed choice that fits to the current Swiss legal situation. In addition we identify problems within the current legal setting and suggest methods to improve communication at the interface between IVF and embryonic stem cell research from an ethical perspective.

摘要

研究问题

在瑞士接受体外受精的夫妇可能有超出其临床需求的胚胎,他们可以将这些胚胎捐赠用于人类胚胎干细胞研究。因此,当体外受精治疗与胚胎干细胞研究产生关联时,瑞士出现了一种新的情况。需要从伦理法律角度对这一交叉领域进行调查,以便为相关夫妇提供一个公平的知情选择过程。

方法

伦理分析,阐述患者观点。采用跨学科方法,借鉴研究项目JESP - ELSI(联合胚胎干细胞研究项目——伦理、法律和社会影响)。

结果与结论

为便于将多余胚胎捐赠用于人类胚胎干细胞研究,我们提出一种符合瑞士当前法律状况的知情选择程序。此外,我们还指出了当前法律框架内存在的问题,并从伦理角度提出改善体外受精与胚胎干细胞研究交叉领域沟通的方法。

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