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胚胎捐赠者和接受者中胚胎捐赠的伦理挑战。

Ethical Challenges of Embryo Donation in Embryo Donors and Recipients.

作者信息

Taebi Mahboubeh, Bahrami Reyhane, Bagheri-Lankarani Narges, Shahriari Mohsen

机构信息

Department of Midwifery and Reproductive Health, Women's Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):36-39. doi: 10.4103/ijnmr.IJNMR_162_16.

Abstract

BACKGROUND

Embryo donation, as one of the novel assisted reproductive technologies (ART), has remained a controversial issue. This is due to this methods' need for individuals from outside the family circle. Their presence can cause many ethical issues and complicate the designing and planning of the embryo donation process. The present study was conducted with the aim to assess the ethical challenges of embryo donation from the view point of embryo donors and recipients.

MATERIAL AND METHODS

This descriptive, cross-sectional study was conducted on 192 couples (96 embryo donators and 96 embryo recipients) referring to Isfahan Fertility and Infertility Center and Royan Institute, Iran. The subjects were selected through convenience sampling. The data collection tool was the researcher-made Ethical Challenges Questionnaire. Data were analyzed in SPSS software.

RESULTS

Embryo donors and recipients expresses the most important ethical challenges of embryo donation in the principle of justice (70.20%) and respect for autonomy (42.57%), respectively.

CONCLUSIONS

The four ethical principles are important in the view of embryo donors and recipients; however, they highlighted the importance of the principle of respect for autonomy considering the existing barriers in the services of infertility centers. Legislators and relevant authorities must take measures toward the development of guidelines for this treatment method in the framework of ethics principles and incorporate all four principles independently.

摘要

背景

胚胎捐赠作为一种新型辅助生殖技术,一直是一个有争议的问题。这是因为这种方法需要家庭圈子以外的人参与。他们的存在可能会引发许多伦理问题,并使胚胎捐赠过程的设计和规划变得复杂。本研究旨在从胚胎捐赠者和接受者的角度评估胚胎捐赠的伦理挑战。

材料与方法

本描述性横断面研究对前往伊朗伊斯法罕生育与不孕中心和罗扬研究所的192对夫妇(96名胚胎捐赠者和96名胚胎接受者)进行。通过便利抽样选择研究对象。数据收集工具是研究者自制的伦理挑战问卷。数据在SPSS软件中进行分析。

结果

胚胎捐赠者和接受者分别在公正原则(70.20%)和尊重自主权原则(42.57%)方面表达了胚胎捐赠最重要的伦理挑战。

结论

从胚胎捐赠者和接受者的角度来看,四项伦理原则都很重要;然而,考虑到不孕不育中心服务中存在的障碍,他们强调了尊重自主权原则的重要性。立法者和相关当局必须采取措施,在伦理原则框架内制定这种治疗方法的指导方针,并独立纳入所有四项原则。

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