Köken Arif Hüdai, Kara Özlem, İnce Nebahat, Kara Mustafa
Faculty of Medicine, History of Medicine and Ethics Department, Kırşehir Ahi Evran University, Kırşehir, Türkiye.
, Kırşehir Ahi Evran Üniversitesi Tıp Fakültesi Bağbaşı Yerleşkesi, 40100, Kırşehir, Türkiye.
BMC Med Ethics. 2025 Jul 11;26(1):93. doi: 10.1186/s12910-025-01256-8.
This study explores the perspectives of patients attending a gynecology and obstetrics clinic in Türkiye regarding posthumous reproduction from a biomedical ethics standpoint. To examine the bioethical issues about the subject related surviving spouses and potential children may face.
A cross-sectional and descriptive survey was conducted between May 1, 2023, and August 1, 2023. A total of 200 women visiting the Kırşehir Ahi Evran University Gynecology and Obstetrics Clinic participated in face-to-face interviews. The survey comprised 20 questions aimed at evaluating participants' views on posthumous reproduction. Data were analyzed using SPSS 25 software, and the Chi-square test was applied, with statistical significance set at p < 0.05.
Of the participants, 59.5% opposed a woman having a child using a preserved embryo after her husband's death, while 75.5% disapproved of a man having a child through a surrogate after his wife's death. Additionally, 55% supported a woman's reproductive rights in such cases, whereas 57% objected to a man exercising the same right. Concerns about the potential negative impact on children ranged from 50% to 57.5%. The majority believed that posthumous reproduction should only be ethically permissible if the deceased had provided explicit consent beforehand.
Findings indicate that perspectives on posthumous reproduction are influenced by social, cultural, and ethical considerations. Turkish society generally maintains a reserved and critical stance on this issue, with stronger opposition to male surrogacy. The ethical and legal implications of posthumous reproduction highlight the need for legal regulations and public awareness initiatives.
本研究从生物医学伦理学角度探讨了土耳其一家妇产科诊所患者对死后生殖的看法。以审视与该主题相关的、遗属和潜在子女可能面临的生物伦理问题。
于2023年5月1日至2023年8月1日进行了一项横断面描述性调查。共有200名前往基尔谢希尔阿赫埃夫兰大学妇产科诊所就诊的女性参与了面对面访谈。该调查包含20个问题，旨在评估参与者对死后生殖的看法。使用SPSS 25软件对数据进行分析，并应用卡方检验，设定统计学显著性为p < 0.05。
在参与者中，59.5%反对女性在丈夫死后使用冷冻胚胎生育子女，而75.5%不赞成男性在妻子死后通过代孕生育子女。此外，55%支持女性在这种情况下的生殖权利，而57%反对男性行使同样的权利。对儿童可能产生的负面影响的担忧比例在50%至57.5%之间。大多数人认为，只有在死者事先明确同意的情况下，死后生殖才应在伦理上被允许。
研究结果表明，对死后生殖的看法受到社会、文化和伦理因素的影响。土耳其社会在这个问题上总体持保留和批判态度，对男性代孕的反对更为强烈。死后生殖的伦理和法律影响凸显了制定法律法规和开展公众意识宣传活动的必要性。
