Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
CPMA Lausanne, Rue de La Vigie 5, 1003, Lausanne, Switzerland.
Med Health Care Philos. 2023 Dec;26(4):591-603. doi: 10.1007/s11019-023-10172-w. Epub 2023 Sep 3.
The aim of the study is to rethink the ethics of advanced motherhood. In the literature, delayed childbearing is usually discussed in the context of reproductive justice, and in relationship to ethical issues associated with the use and risk of assisted reproductive technologies. We aim to go beyond these more "traditional" ways in which reproductive ethics is framed by revisiting ethics itself through the lens of the figure of the so-called "older" mother. For this purpose, we start by exploring some of the deep seated socio-cultural discourses in the context of procreation: ageism, ableism and the widespread bias towards geneticism and pronatalism. Afterwards, we provide a critical overview of the key arguments against or in support of advanced motherhood. We then briefly discuss how entrenchment by both sides has produced an impasse in the debate on the ethics of advanced motherhood and proceed by arguing that it is fundamental to bring about a change in this narrative. For this purpose, we will revisit the feminist usage of the concept of vulnerability which will allow us both to criticize culturally prescribed norms about motherhood and to address the painful reality of age-related fertility decline. In the last section, we argue that instead of defining "older" motherhood as an ethical problem, we should problematize the fact that female reproductive ageing is an understudied and ill-sourced topic. We believe that allocating resources to research to better understand female reproductive ageing is not only ethically permissible, but might even be ethically desirable.
本研究旨在重新思考先进母性的伦理问题。在文献中,延迟生育通常是在生殖正义的背景下讨论的,并且与辅助生殖技术的使用和风险相关的伦理问题有关。我们旨在通过通过所谓的“老年”母亲的形象来重新审视伦理本身,超越这些更“传统”的生殖伦理框架。为此,我们首先探讨了生殖背景下一些根深蒂固的社会文化话语:年龄歧视、能力歧视以及对基因主义和生育主义的普遍偏见。之后,我们对支持或反对高龄生育的主要论点进行了批判性概述。然后,我们简要讨论了双方的固守如何导致先进母性的伦理辩论陷入僵局,并认为必须改变这种叙述。为此,我们将重新审视女权主义对脆弱性概念的使用,这将使我们既能够批评关于母性的文化规定规范,又能够解决与年龄相关的生育能力下降的痛苦现实。在最后一节中,我们认为,我们不应该将“老年”母亲定义为一个伦理问题,而应该将女性生殖衰老作为一个研究不足且来源不佳的话题来提出问题。我们认为,为研究分配资源以更好地了解女性生殖衰老不仅在伦理上是允许的,而且甚至可能是合乎道德的。