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巴西辅助生殖技术应用伦理标准的比较分析:1992年至2023年的决议

Comparative analysis of ethical standards for the utilization of Assisted Reproductive Technologies in Brazil: Resolutions from 1992 to 2023.

作者信息

Guedes Wanderlucia Arcelino, Santos Laisa Kimberly Rodrigues, Milanez Victoria Nascimento, Brito Marília Lima de, Moura Gabriel Acácio de, Monteiro Paula Bruno

机构信息

Christus University Center (Unichristus), Fortaleza, CE, Brazil.

Conceptus Center for Assisted Human Reproduction, Fortaleza, CE, Brazil.

出版信息

JBRA Assist Reprod. 2025 Mar 12;29(1):6-12. doi: 10.5935/1518-0557.20240069.

Abstract

Due to its documented records and technological achievements, in vitro embryo creation technology is still honored worldwide forty years after Louise Brown's birth on July 25, 1978. The World Health Organization (WHO) reports that one in six people globally who are of reproductive age may have infertility at some point in their lives. In this environment, it has become noteworthy for couples or patients to want to become pregnant through operations carried out by Assisted Human Reproduction Centers (AHRCs). This continual quest for AHRCs has already been demonstrated in Brazil, where data from the National Embryo Production System (SISEMBRIO) show that as of 2022, there were around 192 clinics nationally that offered AHRC services, and a total of 284,210 frozen embryos. The ethical conundrums that these techniques provide persist notwithstanding their remarkable success in helping patients achieve clinical pregnancies and viable embryos. The absence of legislation on reproductive assistance is another significant factor pertaining to Brazilian regulatory resolutions. As a result, clinics, hospitals, and sperm banks operating in this field are required to adhere to guidelines created by the Federal Council of Medicine (CFM). The first resolution was published on September 30, 1992. In light of the aforementioned, acquiring and keeping an eye on the standards that the CFM has developed over time helps enhance knowledge of the moral and legal framework that governs Brazil. Thus, the current study attempts to provide a comparative analysis of Brazilian ethical norms regarding the use of assisted human reproduction technology.

摘要

由于其有记录的历程和技术成就,体外胚胎培育技术在1978年7月25日路易丝·布朗出生后的四十年里,仍然在全球备受赞誉。世界卫生组织(WHO)报告称,全球六分之一的育龄人口在人生的某个阶段可能会遭遇不孕不育问题。在这种环境下,夫妇或患者希望通过辅助人类生殖中心(AHRCs)开展的手术来怀孕,这已变得值得关注。对AHRCs的这种持续需求在巴西已有体现,来自国家胚胎生产系统(SISEMBRIO)的数据显示,截至2022年,全国约有192家诊所提供AHRC服务,共有284,210个冷冻胚胎。尽管这些技术在帮助患者实现临床妊娠和获得可存活胚胎方面取得了显著成功,但它们所带来的伦理难题依然存在。生殖辅助方面缺乏立法是巴西监管决议的另一个重要因素。因此,在这一领域运营的诊所、医院和精子库必须遵守由巴西医学委员会(CFM)制定的指导方针。第一项决议于1992年9月30日发布。鉴于上述情况,了解并关注CFM多年来制定的标准,有助于增进对巴西道德和法律框架的认识。因此,本研究试图对巴西关于辅助人类生殖技术使用的伦理规范进行比较分析。

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