The embryo as moral work object: PGD/IVF staff views and experiences.

Area of Science:

• Reproductive Medicine
• Bioethics
• Sociology of Science

Background:

• Preimplantation genetic diagnosis (PGD) involves complex ethical considerations regarding embryo handling.
• Existing research often overlooks the perspectives of practitioners and scientists in PGD/IVF units.
• Staff encounter social, ethical, and clinical dilemmas in their daily work.

Purpose of the Study:

• To explore the views and experiences of practitioners and scientists on ethical dilemmas in PGD.
• To focus on staff perceptions of working with 'affected' or 'spare' embryos, including disposal and research.
• To understand how staff reconcile personal moral views with the ethical framework in their field.

Main Methods:

• Ethnographic study involving observation, interviews, and ethics discussion groups.
• Data collection conducted with staff from two PGD/IVF Units in the UK.
• Analysis focused on staff perceptions of embryo work and their moral negotiations.

Main Results:

• A diversity of views on the 'embryo question' emerged, contrasting with polarized public debates.
• Staff reported ambivalent feelings regarding current policies on embryo destruction and research.
• Staff conceptualize embryos as 'moral work objects' to navigate ethical complexities.

Conclusions:

• Staff views on embryo handling in PGD are under-researched and complex.
• The concept of 'moral work objects' helps explain how staff manage ethical tensions.
• Understanding staff perspectives is crucial for ethical frameworks in PGD/IVF settings.