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非自愿性不孕不育:从残疾的互动主义和生态方法中得到的启示。

Involuntary childlessness: Lessons from interactionist and ecological approaches to disability.

机构信息

Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

出版信息

Bioethics. 2023 Jun;37(5):462-469. doi: 10.1111/bioe.13155. Epub 2023 Mar 14.

Abstract

Because many involuntarily childless people have equal interests in benefitting from assisted reproductive technologies like in vitro fertilization as a mode of treatment, we have normative reasons to ensure inclusive access to such interventions for as many of these people as is reasonable and possible. However, the prevailing eligibility criterion for access to assisted reproductive technologies-'infertility'-is inadequate to serve the goal of inclusive access. This is because the prevailing frameworks of infertility, which include medical and social infertility, fail to precisely capture and unify the relevance of certain involuntarily childless experiences as warranting assisted reproductive technology (ART) treatment. I argue that the least we can do for those who have an interest in accessing ARTs is to conceptualize involuntarily childless experiences in dialogue with interactionist and ecological models of disability, to outline a unified and more inclusive eligibility criterion.

摘要

因为许多非自愿不孕的人都有平等的利益,希望从体外受精等辅助生殖技术中受益,作为一种治疗方式,我们有规范的理由确保尽可能多的这些人能够获得包容性的介入。然而,目前获得辅助生殖技术的准入标准“不孕”不足以服务于包容性准入的目标。这是因为现有的不孕框架,包括医学和社会不孕,无法准确捕捉和统一某些非自愿不孕经历的相关性,使其成为辅助生殖技术(ART)治疗的理由。我认为,对于那些有兴趣获得 ART 的人,我们至少可以做的是,与残疾的互动和生态模式进行对话,来概念化非自愿不孕的经历,从而制定一个统一的、更具包容性的资格标准。

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