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体外发育对妊娠和分娩医学化的影响。

Impact of ectogenesis on the medicalisation of pregnancy and childbirth.

作者信息

Adkins Victoria

机构信息

Department of Law and Criminology, Royal Holloway University of London, Egham TW20 0EX, UK

出版信息

J Med Ethics. 2020 Jul 9. doi: 10.1136/medethics-2019-106004.

Abstract

The medicalisation of pregnancy and childbirth has been encouraged by the continuing growth of technology that can be applied to the reproductive journey. Technology now has the potential to fully separate reproduction from the human body with the prospect of ectogenesis-the gestation of a fetus outside of the human body. This paper considers the issues that have been caused by the general medicalisation of pregnancy and childbirth and the impact that ectogenesis may have on these existing issues. The medicalisation of pregnancy and childbirth is criticised for its impact on the relationship between doctors and pregnant women and the way in which doctors treat fetuses. It is argued that ectogenesis may cause more imbalance in the doctor and intended parent relationship and may result in an increased lack of clarity regarding a doctor's duty to the fetus. This paper finds that extensive guidance and revised legislation will be necessary to minimise the impact of ectogenesis on the existing issues caused by the medicalisation of reproduction.

摘要

可应用于生殖过程的技术持续发展,推动了怀孕和分娩的医学化。如今,技术有潜力使生殖过程完全脱离人体,实现体外妊娠——即在人体外孕育胎儿。本文探讨了怀孕和分娩普遍医学化所引发的问题,以及体外妊娠可能对这些现有问题产生的影响。怀孕和分娩的医学化因其对医生与孕妇关系以及医生对待胎儿方式的影响而受到批评。有人认为,体外妊娠可能会使医生与准父母的关系更加失衡,并可能导致医生对胎儿的责任愈发模糊不清。本文发现,需要广泛的指导和修订后的立法,以尽量减少体外妊娠对生殖医学化所引发的现有问题的影响。

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