Goedeke Sonja, Daniels Ken, Thorpe Mark, du Preez Elizabeth
1 Auckland University of Technology, Auckland, New Zealand.
2 University of Canterbury, Christchurch, New Zealand.
Qual Health Res. 2017 Aug;27(10):1529-1540. doi: 10.1177/1049732316686759. Epub 2017 Jan 6.
Although in vitro fertilization (IVF) has offered hope to those struggling with infertility, it has also had some unintended consequences, including the fate of embryos that may be "surplus" to requirement following IVF treatment. The number of embryos in storage across the world is high, creating a dilemma for patients who need to make disposal decisions, as well as presenting an administrative and practical dilemma for clinics. Research has suggested that patients' views of the status of their embryo/s may affect their disposal decisions, and yet the nature of the links between views of the embryo and decisions to either donate or discard remain unclear. In this article, we engage in a discursive analysis of literature on disposal decisions. We discuss the range of ways in which embryos may be constructed, and demonstrate how these discourses make available or constrain particular action possibilities, and offer particular subject positions for patients. The analysis highlights the complexity of the relationship between embryo status and decision making, and may assist clinicians in supporting and guiding patients' decisions.
尽管体外受精（IVF）给那些与不孕症作斗争的人带来了希望，但它也产生了一些意想不到的后果，包括体外受精治疗后可能“多余”的胚胎的命运。世界各地储存的胚胎数量众多，这给需要做出处置决定的患者带来了困境，同时也给诊所带来了行政和实际操作上的难题。研究表明，患者对其胚胎状态的看法可能会影响他们的处置决定，然而，胚胎看法与捐赠或丢弃决定之间联系的本质仍不明确。在本文中，我们对有关处置决定的文献进行了话语分析。我们讨论了构建胚胎的多种方式，并展示了这些话语如何提供或限制特定的行动可能性，以及为患者提供特定的主体位置。该分析突出了胚胎状态与决策之间关系的复杂性，并可能有助于临床医生支持和指导患者的决定。
