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胚胎处置争议:争议与案例法。

Embryo Disposition Disputes: Controversies and Case Law.

出版信息

Hastings Cent Rep. 2016 Jul;46(4):13-9. doi: 10.1002/hast.600.

DOI:10.1002/hast.600
PMID:27417864
Abstract

When prospective parents use in vitro fertilization, many of them hope to generate more embryos than they intend to implant immediately. The technology often requires multiple attempts to reach a successful pregnancy, and couples can cryopreserve any excess embryos so that they have them on hand for later attempts. As part of obtaining informed consent for IVF or cryopreservation, clinics typically ask patients to specify their preferences for the embryos in the event of divorce or death, offering options such as use of the embryos by a specified partner, donation to research, or discarding the remaining embryos. Still, many courts face a recurring problem: the partners dissolve their relationship (typically through divorce), and one party wants to use the frozen embryos over the objections of the other. Courts and legislatures have struggled with how to handle these cases, which seem to pit one partner's right to procreate against the other's right not to procreate. In this essay, we use one of the most recent decisions in this line of cases-the Appellate Court of Illinois's decision in Szafranski v. Dunston-to explain the current state of the law and make recommendations for changes. The issue is ripe for revisiting because in the last year, embryo disputes have become a battlefront for larger conflagrations over the moral status of embryos.

摘要

当准父母使用体外受精 (IVF) 技术时,他们中的许多人希望产生比他们打算立即植入的更多胚胎。这项技术通常需要多次尝试才能成功怀孕,并且夫妇可以冷冻保存任何多余的胚胎,以便在以后的尝试中使用。作为获得 IVF 或冷冻保存知情同意的一部分,诊所通常会要求患者在离婚或死亡的情况下指定他们对胚胎的偏好,提供的选择包括指定伴侣使用胚胎、捐赠给研究或丢弃剩余的胚胎。尽管如此,许多法院仍然面临一个反复出现的问题:伴侣解除关系(通常是通过离婚),一方希望使用冷冻胚胎,而另一方则反对生育。法院和立法机构一直在努力处理这些案件,这些案件似乎使一方的生育权与另一方的不生育权发生冲突。在本文中,我们将使用该系列案件中最新的一个决定——伊利诺伊州上诉法院在 Szafranski v. Dunston 案中的裁决——来解释当前的法律状况,并提出修改建议。这个问题亟待重新审视,因为在过去的一年里,胚胎纠纷已成为围绕胚胎道德地位的更大冲突的前沿阵地。

相似文献

1
Embryo Disposition Disputes: Controversies and Case Law.胚胎处置争议:争议与案例法。
Hastings Cent Rep. 2016 Jul;46(4):13-9. doi: 10.1002/hast.600.
2
The use and disposal of stored embryos.储存胚胎的使用与处置。
Int J Gynaecol Obstet. 2016 Jul;134(1):114-7. doi: 10.1016/j.ijgo.2016.04.001. Epub 2016 Apr 18.
3
Examining disputes over ownership rights to frozen embryos: will prior consent documents survive if challenged by state law and/or constitutional principles?审视冷冻胚胎所有权纠纷:如果受到州法律和/或宪法原则的质疑,事先的同意文件是否仍然有效?
Cathol Univers Law Rev. 1999 Spring;48(3):989-1027.
4
Dealing with cryopreserved embryos upon divorce: a contractual approach aimed at preserving party expectations.离婚时对冷冻胚胎的处理:一种旨在维护当事人预期的契约方法。
UCLA Law Rev. 2003 Apr;50(4):1065-93.
5
Precommitment stategies [sic] for disposition of frozen embryos.冷冻胚胎处置的预先承诺策略。
Emory Law J. 2001 Fall;50(4):989-1046.
6
No use of stored embryos without consent.
Bull Med Ethics. 2003 Sep(191):5-6.
7
The protection of the human embryo in vitro. Report by the Working Party of the Human Embryo and Fetus.体外人类胚胎的保护。人类胚胎与胎儿工作小组报告
Hum Reprod Genet Ethics. 2004;10(1):5-35.
8
Cold shoulder treatment: the disposition of frozen embryos post-divorce.
Thurgood Marshall Law Rev. 1999;25(1-2):99-137.
9
Kass v. Kass.卡斯诉卡斯案
Wests N Y Suppl. 1997 Sep 8;663:581-602.
10
The legal dimensions of in vitro fertilization: cryopreserved embryos frozen in legal limbo.体外受精的法律层面:冷冻胚胎被冻结在法律困境之中。
N Y Law Sch J Hum Rights. 1991 Spring;8(part 2):383-414.

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Revisiting selected ethical aspects of current clinical in vitro fertilization (IVF) practice.重新审视当前临床体外受精 (IVF) 实践中的部分伦理问题。
J Assist Reprod Genet. 2022 Mar;39(3):591-604. doi: 10.1007/s10815-022-02439-7. Epub 2022 Feb 22.
2
Embryo donation among Latin-Americans who have attended assisted reproduction techniques: a first empirical approach.拉美裔人群中胚胎捐赠的情况:一项初步的实证研究。
JBRA Assist Reprod. 2021 Feb 2;25(1):81-89. doi: 10.5935/1518-0557.20200055.