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关于接受过子宫移植的 transgender 患者成为父母的伦理和法律问题

Ethical and Legal Considerations Regarding Parenthood in Transgender Patients Following Uterine Transplant.

机构信息

From the Division of Plastic and Reconstructive Surgery, Temple University Hospitals, Philadelphia, Pennsylvania, USA.

出版信息

Exp Clin Transplant. 2023 Jan;21(1):80-82. doi: 10.6002/ect.2022.0055. Epub 2022 May 23.

DOI:10.6002/ect.2022.0055
PMID:35607791
Abstract

In modern society, acceptance of gender diversity and fluidity is increasing; however, parenthood is still largely considered to be a binary construct. A hypothetical case of a transgender woman who undergoes uterus transplant and carries a pregnancy conceived with her own sperm is presented. This situation raises unique ethical and legal issues regarding the parental designation of the transgender woman. Parallels can be drawn to the real-life examples of transgender men who have given birth and desire legal recognition as their child's father. Should "motherhood" and "fatherhood" be based on parental genetic contribution to the child? Should these labels be based on who has carried and gave birth to the child? Or have we reached a time where these titles no longer serve a constructive purpose? Here, we investigated these considerations regarding parenthood designation in the context of rapidly evolving gender constructs and surgical reproductive options.

摘要

在现代社会,对性别多样性和流动性的接受度越来越高;然而,为人父母仍然被广泛认为是二元结构。本文提出了一个假设案例,即一名跨性别女性接受了子宫移植并怀有自己精子受孕的妊娠。这种情况引发了关于跨性别女性父母指定的独特伦理和法律问题。可以将其与已经生育并希望作为孩子父亲获得法律认可的跨性别男性的现实例子进行类比。“母亲”和“父亲”应该基于父母对孩子的遗传贡献吗?这些标签应该基于谁携带和分娩了孩子?或者我们已经到了这些称呼不再有建设性的目的的时代了吗?在这里,我们在快速发展的性别结构和生殖选择的背景下研究了这些关于父母指定的问题。

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Living-Donor Uterus Transplantation: A Clinical Review.活体供体子宫移植:临床综述
J Clin Med. 2024 Jan 29;13(3):775. doi: 10.3390/jcm13030775.
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Uterus transplantation: from research, through human trials and into the future.子宫移植:从研究到临床试验再到未来。
Hum Reprod Update. 2023 Sep 5;29(5):521-544. doi: 10.1093/humupd/dmad012.