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Assisted procreation: too little consideration for the babies?
Carlo Bellieni1, Giuseppe Buonocore
1University of Siena, Italy.
Insights
Parents should carefully consider the elevated risks of cerebral palsy and malformations associated with in vitro fertilization (IVF). This assisted reproductive technology is not a therapeutic measure for future children, necessitating further research before wider availability.
Area of Science:
- Reproductive Medicine
- Medical Ethics
- Developmental Pediatrics
Background:
- In vitro fertilization (IVF) is increasingly utilized for infertility treatment.
- Studies indicate higher risks of cerebral palsy and congenital malformations in IVF-conceived infants compared to naturally conceived infants.
Purpose of the Study:
- To evaluate the ethical permissibility of parental acceptance of risks associated with IVF for offspring.
- To determine if IVF can be considered a therapeutic intervention for a child prior to conception.
Main Methods:
- Ethical analysis of parental risk acceptance in reproductive technologies.
- Review of existing literature on IVF outcomes and risks.
- Philosophical argumentation regarding procreative beneficence and non-maleficence.
Main Results:
- Parents can ethically accept risks for offspring only to avert a greater harm to the child.
- IVF does not present a worse possibility from which to preserve a future child, as the decision precedes conception.
- The risks associated with IVF are not justified as a therapeutic measure for the unborn child.
Conclusions:
- The ethical justification for accepting IVF-related risks on behalf of offspring is questionable.
- Current procreative technologies, including IVF, require substantial further research.
- Ethical guidelines and parental counseling regarding IVF risks need re-evaluation.
Abstract:
Recent studies have revealed much higher risks of cerebral palsy and malformations in babies conceived by in vitro fertilization (IVF) than in babies conceived naturally. Here we question whether parents can legitimately accept this risk on behalf of offspring. We argue that parents can expose their baby to a risk only to preserve it from a worse possibility, and this is not the case of IVF, which is not a therapeutic tool for children because when the IVF decision is taken, the child has not yet been conceived. It is concluded that procreative techniques require considerably more research before being made available to couples.
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