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禁止生殖旅游:土耳其的 ART 立法与第三方辅助生殖

Banning reproductive travel: Turkey's ART legislation and third-party assisted reproduction.

机构信息

Centre for Family Research, Convener, Cambridge Interdisciplinary Reproduction Forum, CRASSH, University of Cambridge, Cambridge CB2 3RF, United Kingdom.

出版信息

Reprod Biomed Online. 2011 Nov;23(5):555-64. doi: 10.1016/j.rbmo.2011.08.004. Epub 2011 Aug 27.

Abstract

In March 2010, Turkey became the first country to legislate against the cross-border travel of its citizens seeking third-party reproductive assistance. Although the use of donor eggs, donor spermatozoa and surrogacy had been illegal in Turkey since the introduction of a regulatory framework for assisted reproductive treatment in 1987, men and women were free to access these treatments in other jurisdictions. In some cases, such travel for cross-border reproductive care (CBRC) was even facilitated by sophisticated arrangements between IVF clinics in Turkey and in other countries, particularly in Cyprus. However, new amendments to Turkey's assisted reproduction legislation specifically forbid travel for the purposes of third-party assisted reproduction. This article outlines the cultural context of assisted reproductive treatment in Turkey; details the Turkish assisted reproduction legislation, particularly as it pertains to third-party reproductive assistance; explores Turkish attitudes towards donor gametes and surrogacy; assesses the existence and extent of CBRC prior to March 2010; and discusses some of the legal, ethical and practical implications of the new legislation. As CBRC becomes an increasingly pertinent issue, eliciting debate and discussion at both national and international levels, it is important to carefully consider the particular circumstances and potential consequences of this unique example.

摘要

2010 年 3 月,土耳其成为首个立法禁止公民跨境寻求第三方生殖援助的国家。尽管自 1987 年引入辅助生殖治疗监管框架以来,土耳其就已经禁止使用捐赠卵子、捐赠精子和代孕,但男性和女性仍可自由在其他司法管辖区获得这些治疗。在某些情况下,土耳其的体外受精诊所与其他国家,特别是塞浦路斯的诊所之间的复杂安排甚至促成了这种跨境生殖护理(CBRC)的旅行。然而,土耳其辅助生殖立法的新修正案特别禁止为第三方辅助生殖目的进行旅行。本文概述了土耳其辅助生殖治疗的文化背景;详细介绍了土耳其的辅助生殖立法,特别是与第三方生殖援助有关的立法;探讨了土耳其对供体配子和代孕的态度;评估了 2010 年 3 月之前 CBRC 的存在和程度;并讨论了新立法的一些法律、伦理和实际影响。随着 CBRC 成为一个越来越重要的问题,在国家和国际层面引发了辩论和讨论,因此,仔细考虑这一独特案例的具体情况和潜在后果非常重要。

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