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卵子共享、同意与剥削:考察供卵者和受卵者的情况和回顾性反思。

Egg-sharing, consent and exploitation: examining donors' and recipients' circumstances and retrospective reflections.

机构信息

Centre for Family Research, Cambridge CB2 3RF, UK.

出版信息

Reprod Biomed Online. 2012 Jun;24(7):698-708. doi: 10.1016/j.rbmo.2012.02.008. Epub 2012 Feb 27.

DOI:10.1016/j.rbmo.2012.02.008
PMID:22503266
Abstract

Egg-sharing schemes involve a woman sharing a portion of her eggs with another in exchange for free or reduced-cost fertility treatment and have been regulated in the UK since 1998. However, while being perceived as a unique anomaly (within the UK system) such schemes have caused considerable debate. Some critics have been concerned that the benefit-in-kind (i.e. fertility treatment) offered in exchange for donating eggs might compromise the consent of potential donors, particularly those who have no other means to access treatment, and lead to exploitation and the commodification of gametes. This article reports empirical findings that engage directly with these concerns. First, data on the demographic characteristics, circumstances and treatment outcomes of donors and recipients are presented, followed by data on egg sharers' own retrospective assessments of egg-sharing and their opinions regarding its ethics and regulation. This study shows that, contrary to some expectations, there are very few differences in the characteristics, experiences and opinions of egg-sharing donors and recipients, and also highlights the overwhelmingly positive assessment of egg-sharing by women who have taken part in such schemes.

摘要

卵子共享计划涉及一名女性与另一名女性分享一部分卵子,以换取免费或降低成本的生育治疗,自 1998 年以来在英国受到监管。然而,尽管这种计划在英国体系中被视为一种独特的异常现象,但引起了相当大的争议。一些批评者担心,以实物形式(即生育治疗)换取捐赠卵子可能会损害潜在捐赠者的同意,特别是那些没有其他途径获得治疗的人,并导致配子的剥削和商品化。本文报告了直接涉及这些问题的实证研究结果。首先,介绍了供体和受体的人口统计学特征、情况和治疗结果的数据,然后介绍了卵子共享者对卵子共享的回顾性评估及其对其伦理和监管的看法的数据。这项研究表明,与一些预期相反,卵子共享供体和受体的特征、经验和观点几乎没有差异,也突出了参与此类计划的女性对卵子共享的压倒性积极评价。

相似文献

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Egg-sharing, consent and exploitation: examining donors' and recipients' circumstances and retrospective reflections.卵子共享、同意与剥削:考察供卵者和受卵者的情况和回顾性反思。
Reprod Biomed Online. 2012 Jun;24(7):698-708. doi: 10.1016/j.rbmo.2012.02.008. Epub 2012 Feb 27.
2
Looking back: egg donors' retrospective evaluations of their motivations, expectations, and experiences during their first donation cycle.回顾:供卵者对其首次捐赠周期期间的动机、期望和经历的回顾性评估。
Fertil Steril. 2010 Feb;93(2):455-66. doi: 10.1016/j.fertnstert.2008.09.081. Epub 2008 Nov 19.
3
Emotional and relational aspects of egg-sharing: egg-share donors' and recipients' feelings about each other, each others' treatment outcome and any resulting children.卵子分享的情感和关系方面:卵子捐赠者和接受者彼此之间的感受、彼此的治疗结果以及任何由此产生的孩子。
Hum Reprod. 2012 Jun;27(6):1690-701. doi: 10.1093/humrep/des085. Epub 2012 Mar 20.
4
Egg sharing and egg donation: attitudes of British egg donors and recipients.卵子共享与卵子捐赠:英国卵子捐赠者及接受者的态度
Hum Reprod. 1997 Dec;12(12):2845-52. doi: 10.1093/humrep/12.12.2845.
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Patient experiences of an "egg sharing" programme.“卵子共享”项目的患者体验。
Hum Fertil (Camb). 2004 Sep;7(3):157-62. doi: 10.1080/14647270400006879.
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Buying and selling human eggs: infertility providers' ethical and other concerns regarding egg donor agencies.买卖人类卵子:不孕不育治疗机构对卵子捐赠机构的伦理及其他担忧
BMC Med Ethics. 2016 Nov 8;17(1):71. doi: 10.1186/s12910-016-0151-z.
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Investigating knowledge and perceptions of egg sharing among healthcare professionals in the United Kingdom.调查英国医疗保健专业人员对卵子共享的知识和看法。
Eur J Obstet Gynecol Reprod Biol. 2019 May;236:98-104. doi: 10.1016/j.ejogrb.2019.03.003. Epub 2019 Mar 6.
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Subsidized in-vitro fertilization treatment and the effect on the number of egg sharers.补贴体外受精治疗及其对卵子共享者数量的影响。
Reprod Biomed Online. 2006 Jul;13(1):8-10. doi: 10.1016/s1472-6483(10)62009-3.
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Does egg-sharing compromise the chance of donors or recipients achieving a live birth?卵子共享会影响供者或受者实现活产的机会吗?
Hum Reprod. 2003 Nov;18(11):2363-7. doi: 10.1093/humrep/deg464.
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Eggs, ethics and exploitation? Investigating women's experiences of an egg sharing scheme.鸡蛋、伦理和剥削?调查女性参与卵子分享计划的体验。
Sociol Health Illn. 2012 Nov;34(8):1199-214. doi: 10.1111/j.1467-9566.2012.01467.x. Epub 2012 Mar 23.

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