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Ethical Considerations in In Vitro Fertilization and Embryo Transfer

  • Lori B. Andrews

Abstract

Since the initial proposal of human in vitro fertilization, attacks and counterattacks regarding the ethics of the procedure have been so frequent and so heated that it is difficult to believe that both sides are talking about the same enterprise. Proponents of the technique stress its benefit to couples who would otherwise remain childless. Opponents concentrate on the dangers to society of future applications of the process: experimentation, interspecies fertilization, cloning and eugenics. Both groups claim to represent the child. The proponents speak of his right to be born, desperately wanted, into a loving family. The opponents urge his protection as the unconsenting victim of a manipulation whose dangers are not yet fully recognized.

Keywords

Ethical Consideration Embryo Transfer Artificial Insemination Infertility Treatment Infertile Couple 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Footnotes

  1. 1.
    Royal College of Obstetricians and Gynaecologists, 1983, “Report of the RCOG Ethics Committee on In Vitro Fertilisation and Embryo Replacement or Transfer, Chameleon Press, London.Google Scholar
  2. 2.
    Dunstan, A.S., Dunstan, G.R., Welbourne, R.B., 1981, “Dictionary of Medical Ethics,” Darton, Longman & Todd, London.Google Scholar
  3. 3.
    Editorial, 1972, Genetic engineering in man: Ethical considerations, J. Amer. Med. Assoc, 220:721.Google Scholar
  4. 4.
    Department of Health, Education, and Welfare, Office of the Secretary: Protection of Human Subjects; HEW Support of Human In Vitro Fertilization and Embryo Transfer: Report of the Ethics Advisory Board, 1979, Federal Register, 44:35034.Google Scholar
  5. 5.
    Krimmel, H.T., Foley, M.J., 1977, Abortion: An inspection into the nature of human life and potential consequences of legalizing its destruction, Univ. of Cincinnati Law Review, 46:725.Google Scholar
  6. 6.
    Carney, T., 1980, Instant evolution: We’d better get good at it, cited in Lorio, K.V., In vitro fertilization and embryo transfer: Fertile areas for litigation, Southwestern Law J., 35:973.Google Scholar
  7. 7.
    C.F.R. § 46, 203(b) and (c), 1982.Google Scholar
  8. 8.
    Heymann, P.B., Barzelay, D.E., 1973, The forest and the trees: Roe v. Wade and its critics, Boston Univ. Law Review, 53: 765.Google Scholar
  9. 9.
    Curran, C.E. In vitro fertilization and embryo transfer: From a perspective of moral theology, a paper prepared for the federal Ethics Advisory Board.Google Scholar
  10. 10.
    Grobstein, C., 1981, “From Chance to Purpose: An Appraisal of of External Human Fertilization”, Addison-Wesley, Reading, Massachusetts.Google Scholar
  11. 11.
    Horan, D.J., 1976–77, Fetal experimentation and federal regulation, Villanova Law Review 22:325.Google Scholar
  12. 12.
    Grobstein, C., 1981, citing J. M. Tanner, 1978, “Fetus Into Man”, Harvard Univ. Press, Cambridge, Massachusetts.Google Scholar
  13. 13.
    Tiefel, H.O., 1974, The cost of fetal research: Ethical considerations, New Eng. J. of Med., 294:85.CrossRefGoogle Scholar
  14. 14.
    Ramsey, P., 1972, Shall we “reproduce”? I. The medical ethics of in vitro fertilization, J. Amer. Med. Assoc, 220:1346CrossRefGoogle Scholar
  15. 14a.
    Ramsey, P., 1972, Shall we “reproduce”? II. Rejoinders and future forecast, J. Amer. Med. Assoc, 220: 1346; 1480.CrossRefGoogle Scholar
  16. 15.
    Kass, L.R., 1979, “Making babies” revisited, Public Interest, 54:32;PubMedGoogle Scholar
  17. 15a.
    Kass, L.R., 1971, Babies by means of in vitro fertilization: Unethical experiments on the unborn?, New Eng. J. of Med., 285:1174; 1972,CrossRefGoogle Scholar
  18. 15b.
    Kass, L.R., Making babies — The new biology and the “old” morality, Public Interest, 26:18.Google Scholar
  19. 16.
    Tiefel, H.O. 1982, Human in vitro fertilization, J. Amer. Med. Assoc, 247:3235.CrossRefGoogle Scholar
  20. 17.
    Edwards, R., 1974, Fertilization of human eggs in vitro: Morals, ethics and the law, Quarterly Review of Biol., 49:3CrossRefGoogle Scholar
  21. 17a.
    Edwards, R.G., Sharpe, D.J., 1971, Social values and research in human embryology, Nature, 231:87.PubMedCrossRefGoogle Scholar
  22. 18.
    Francoeur, R.T., 1970, “Utopian Motherhood: New Trends in Human Reproduction,” Doubleday, Garden City, New York.Google Scholar
  23. 19.
    Fletcher, 1974, “The Ethics of Genetic Control: Ending Reproductive Roulette,” Anchor Press, Doubleday, Garden City, New York.Google Scholar
  24. 20.
    Hellegers, A.E., and McCormick, R.A., 1978, Unanswered questions on test tube life, America, 139:74PubMedGoogle Scholar
  25. 21.
    Edwards, R.G., and Steptoe, P.C., 1973, Biological aspects of embryo transfer, in CIBA Foundation Symposium “Law and Ethics of A.I.D. and Embryo Transfer,” Associated Scientific Publishers, Amsterdam.Google Scholar
  26. 22.
    Watson, J.D., 1971, Excerpts from potential consequences of experimentation with human eggs, Congressional Record, 117:7674.Google Scholar
  27. 23.
    Plumez, J.H., 1982, “Successful Adoption,” Harmony Books, New York.Google Scholar
  28. 24.
    Lappé, M., 1972, Risk taking for the unborn, Hastings Center Report, 2 (1):1.CrossRefGoogle Scholar
  29. 25.
    Anderson, J.K., 1982, “Genetic Engineering,” Zondervan, Grand Rapids, Michigan.Google Scholar
  30. 26.
    Jones, H., 1982, The ethics of in vitro fertilization — 1982, Fertil. Steril., 37:146.PubMedGoogle Scholar
  31. 27.
    Stone, O.M., 1973, English law in relation to A.I.D. and embryo transfer, in CIBA Foundation Symposium “Law and Ethics of A.I.D. and Embryo Transfer,” Associated Scientific Publishers, Amsterdam.Google Scholar
  32. 28.
    Marlow, J.L., (interview), 1978, British birth poses many problems to society, U.S. News & World Report, 24: (August 7).Google Scholar
  33. 29.
    Francoeur, R.T., 1972, We can — we must; reflections on the technological imperative, Theological Studies, 33:428.Google Scholar
  34. 30.
    Andrews, L.B., 1984, “New Conceptions,” St. Martin’s Press, New York, New York.Google Scholar
  35. 31.
    Reilly, P., 1976, In vitro — A legal perspective, in “Genetics and the Law,” A. Milunsky and G.J. Annas, eds., Plenum Press, New York, New York.Google Scholar
  36. 32.
    Scott, R., 1981, “The Body as Property,” Viking Press, New York, New York.Google Scholar
  37. 33.
    Trounson, A., Leeton, J., Bensanko, M., Wood, C., and Conti, A., 1983, Pregnancy established in an infertile patient after transfer of a donated embryo fertilised in vitro, Brit.Med. J., 286:835.CrossRefGoogle Scholar
  38. 34.
    Revillard, M., 1973, Legal aspects of artificial insemination and embryo transfer in French domestic law and private international law, in CIBA Foundation Symposium, “Law and Ethics of A.I.D. and Embryo Transfer,” Associated Scientific Publishers, Amsterdam.Google Scholar
  39. 35.
    Rassaby, A., 1982, Surrogate motherhood: The position and problem of substitutes, in “Test Tube Babies,” W. A. W. Walters and Peter Singer, eds., Oxford University Press, Melbourne.Google Scholar
  40. 36.
    Karp, L., Donahue, R., 1976, Preimplantational ectogenesis: Science and speculation concerning in vitro fertilization and related procedures, Western Journal of Medicine, 124:295.Google Scholar
  41. 37.
    Meezan, W., Katz, S., Russo, E.M., 1978, “Adoptions Without Agencies: A Study of Independent Adoptions,” Child Welfare League of America, Inc., New York, New York.Google Scholar
  42. 38.
    Branigin, W., 1983, “Frozen Embryos Trigger Debate by Australians,” Washington Post, page 1, column 5, May 17.Google Scholar
  43. 39.
    Trounson, A., Conti, A., 1982, Research in human in-vitro fertilisation and embryo transfer, Brit. Med. J., 285:224.CrossRefGoogle Scholar
  44. 40.
    Biggers, J.D., 1981, In vitro fertilization and embryo transfer in human beings, New Eng. J. of Med., 304:336.CrossRefGoogle Scholar
  45. 41.
    C.F.R., 1982, § 46.101 et. seq.Google Scholar
  46. 42.
    Editorial, 1982, Research related to human fertilization and embryology, Brit. Med. J., 285:1480.Google Scholar
  47. 43.
    Levine, C., 1983, In Britain and Australia, new in vitro guidelines, Hastings Center Report, 13 (2):2.Google Scholar
  48. 44.
    Presentation at Biology and Ethics Roundtable Discussion at the University of Chicago, February 16, 1983.Google Scholar
  49. 45.
    Walters, L., 1979, A review of the ethical literature, Hastings Center Report, 9 (4):23.PubMedCrossRefGoogle Scholar
  50. 46.
    Watson, J., 1971, Moving toward clonal man — Is this what we want?, Cong. Rec — Senate, 117:1275.Google Scholar
  51. 47.
    Fiddler, M. B., 1978, Social and ethical dimensions of population control and attempts to modify the gene pool: An overview of genetics, in “Workshop/Symposium on Frontiers in Genetics Research,” University of Illinois, Chicago.Google Scholar
  52. 48.
    Buck v. Bell 274 U.S. 200 (1927).Google Scholar
  53. 49.
    Daly, C.B., 1962, “Morals, Law and Life,” Clonmore and Reynolds, Dublin.Google Scholar
  54. 50.
    Dobzhansky, T., 1961, Man and natural selection, American Scientist, 49:285.Google Scholar
  55. 51.
    Handler, P., 1970, in “Biology and the Future of Man,” P. Handler, ed., Oxford University Press, New York.Google Scholar
  56. 52.
    Kindegran, C.P., 1973, State power over human fertility and individual liberty, Hastings Law Journal, 23:1401.Google Scholar
  57. 53.
    Ryan, Kenneth J., 1983, “Ethical Issues in Reproductive Technology,” presented at the 39th Annual Meeting of the American Fertility Society, San Francisco, California.Google Scholar

Copyright information

© Plenum Press, New York 1984

Authors and Affiliations

  • Lori B. Andrews

There are no affiliations available

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