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A Human Rights-Based and Relational Justice Approach to Assisted Reproduction in Spain
Rocío Paricio Del Castillo1, María de Los Ángeles Cano-Linares2, Mónica Díaz-de-Neira-Hernando1
1Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.
Bioethics
|March 22, 2026
Summary
Spanish assisted reproductive technologies (ART) offer broad access but face ethical and legal challenges. A relational justice approach is proposed to address competing rights and ensure equitable, sustainable reproductive care.
Area of Science:
- Bioethics
- Reproductive Law
- Human Rights
Background:
- Spanish assisted reproductive technologies (ART) provide broad access, including for single women and lesbian couples.
- Existing legal frameworks struggle to balance competing rights like bodily autonomy, identity, and the child's best interests.
- Current regulations are influenced by an individualistic view of reproductive rights, neglecting relational aspects.
Purpose of the Study:
- To explore ethical and legal challenges in ART regulation in Spain.
- To propose a relational justice framework for a more equitable and ethically consistent approach.
- To advocate for regulatory reforms prioritizing care-based practices and reproductive equity.
Main Methods:
- Human rights-based legal analysis.
- Application of feminist bioethics and reproductive justice theories.
- Development of a relational justice framework.
Main Results:
- Spanish ART law grants broad access but inadequately addresses conflicts between individual rights.
- The current legal model overlooks the interdependent and relational dimensions of assisted reproduction.
- A relational justice approach highlights shared responsibilities and vulnerabilities among all stakeholders.
Conclusions:
- Strengthening ART regulation requires more than access; it demands ethical consistency and social justice.
- Regulatory reforms should prioritize reproductive equity and care-based practices.
- A relational justice framework offers a path toward ethically sustainable and socially just reproductive experiences.
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