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公共卫生视角下的社会卵子冷冻:只是一种医学现实还是女性权利?一项伦理案例分析。

Social egg freezing under public health perspective: Just a medical reality or a women's right? An ethical case analysis.

作者信息

Borovecki Ana, Tozzo Pamela, Cerri Nicoletta, Caenazzo Luciana

机构信息

Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Croatia.

Department of Molecular Medicine, University of Padua, Italy.

出版信息

J Public Health Res. 2018 Dec 20;7(3):1484. doi: 10.4081/jphr.2018.1484.

Abstract

In recent years, a social trend toward delaying childbearing has been observed in women of reproductive age. A novel technomedical innovation was commercialized for non-medical reasons to healthy, ostensibly fertile women, who wished to postpone motherhood for various reasons such as educational or career demands, or because they had not yet found a partner. As a consequence, these women may be affected by age-related infertility when they decide to conceive, and fertility preservation techniques can be obtained through the so-called . This paper examines, from an ethical point of view, the impact of social egg freezing under some aspects that can involve policy making and resources allocation in public health. Due to the increasing demand for this procedure, some debated issues regard if it is reasonable to include social egg freezing in Public Healthcare System and consequently how to manage the storage of cryopreserved oocytes also from individual donors, how to support these egg banks and how to face, in the future, with the possibility that egg freezing will play a role in enabling childbearing for gays, lesbians, and unmarried persons. Social freezing may be advertised to harmonise gender differences, but we wonder if it is the proper solution to the problem or if it could also create further challenges. An ethical argumentation on these topics should address some questions that will be discussed.

摘要

近年来,育龄女性中出现了一种推迟生育的社会趋势。一项新的技术医学创新因非医疗原因被商业化,面向健康、表面上可生育的女性,她们因教育或职业需求等各种原因希望推迟生育,或者因为尚未找到伴侣。因此,这些女性在决定怀孕时可能会受到与年龄相关的不孕问题的影响,并且可以通过所谓的……获得生育力保存技术。本文从伦理角度审视了社会卵子冷冻在一些可能涉及公共卫生政策制定和资源分配的方面所产生的影响。由于对这一程序的需求不断增加,一些有争议的问题包括将社会卵子冷冻纳入公共医疗保健系统是否合理,以及因此如何管理来自个体捐赠者的冷冻卵母细胞的储存,如何支持这些卵子库,以及未来如何应对卵子冷冻可能在使同性恋者、女同性恋者和未婚人士生育方面发挥作用的可能性。社会卵子冷冻可能被宣传以协调性别差异,但我们想知道这是否是解决问题的恰当办法,或者它是否也会带来进一步的挑战。关于这些主题的伦理论证应解决一些将在本文中讨论的问题。

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