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死后精子获取中的伦理考量:全面综述。

Ethical Considerations in Post-Mortem Sperm Retrieval: A Comprehensive Review.

机构信息

Department of Forensic Medicine & Toxicology - AIIMS Bhopal, Bhopal, India.

出版信息

JBRA Assist Reprod. 2024 Jun 1;28(2):349-352. doi: 10.5935/1518-0557.20240022.

DOI:10.5935/1518-0557.20240022
PMID:38530764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11152432/
Abstract

This comprehensive review delves into the moral and ethical dilemmas surrounding post-mortem sperm retrieval (PMSR) and its implications for creating new individuals. The paper examines the challenges posed by unusual requests for sperm retrieval from the deceased's widow and parents, as well as the broader socio-ethical considerations associated with PMSR. These requests have often been denied due to the absence of established laws and guidelines governing posthumous sperm retrieval and subsequent births, which were once deemed impossible. While some countries have implemented institutional policies to regulate its use to some extent, there remains a lack of standardized rules and procedures for the collection and retrieval of sperm after death. It is essential to introduce institutional guidelines to facilitate requests for assisted reproductive technology (ART) following successful sperm retrieval. Additionally, the development of PMSR legislation is necessary to ensure a proper balance between the moral rights and fundamental rights of the deceased, their family, and any current or future offspring, while providing adequate protection for all parties involved.

摘要

这篇全面的综述深入探讨了死后精子提取(PMSR)所涉及的道德和伦理困境,以及其对创造新个体的影响。本文研究了从已故者的遗孀和父母那里提出的不同寻常的精子提取请求所带来的挑战,以及与 PMSR 相关的更广泛的社会伦理考虑因素。这些请求通常因缺乏规范死后精子提取和随后出生的既定法律和指导方针而被拒绝,因为曾经认为这是不可能的。虽然一些国家已经实施了机构政策来在一定程度上规范其使用,但在死后精子的收集和提取方面仍然缺乏标准化的规则和程序。引入机构指南以促进成功提取精子后的辅助生殖技术(ART)请求至关重要。此外,制定 PMSR 立法也是必要的,以确保在死者、其家属以及任何现有或未来的后代的道德权利和基本权利之间取得适当平衡,同时为所有相关方提供充分的保护。

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本文引用的文献

1
From Death to Life: Ethical Issues in Postmortem Sperm Retrieval as a Source of New Life.从死亡到生命:死后精子获取作为新生命来源的伦理问题。
Camb Q Healthc Ethics. 2020 Jul;29(3):369-374. doi: 10.1017/S0963180120000092.
2
Narrative methods for assessing "quality of life" in hand transplantation: five case studies with bioethical commentary.手部移植中评估“生活质量”的叙事方法:五个案例研究及生物伦理评论
Med Health Care Philos. 2019 Sep;22(3):407-425. doi: 10.1007/s11019-018-09881-4.
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Postmortem sperm retrieval in context of developing countries of Indian subcontinent.印度次大陆发展中国家背景下的死后精子采集
J Hum Reprod Sci. 2016 Apr-Jun;9(2):82-5. doi: 10.4103/0974-1208.183510.
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Posthumous sperm retrieval: analysis of time interval to harvest sperm.死后取精:获取精子的时间间隔分析
Hum Reprod. 2006 Nov;21(11):2890-3. doi: 10.1093/humrep/del232. Epub 2006 Sep 7.
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Gamete retrieval after death or irreversible unconsciousness: what counts as informed consent?死后或不可逆昏迷后的配子获取:何为有效知情同意?
Camb Q Healthc Ethics. 2006 Spring;15(2):161-71. doi: 10.1017/s0963180106060191.
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Reproductive issues from the Islamic perspective.从伊斯兰教视角看生殖问题。
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Sperm harvesting and post-mortem fatherhood.精子采集与死后成为父亲。
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Fertil Steril. 1980 Nov;34(5):512. doi: 10.1016/s0015-0282(16)45147-2.