Beginning of Life Flashcards
Personhood
- Autonomy of individual/couple
- Non-maleficence of newborn
Potential child welfare
- Human Fertilisaton Embryology Act 1990 (updated 2008)
- Treatment conditional to predicted wellbeing/welfare of potential child
- Fostering and adoption criteria
Contraception
Fertilisation is a choice due to large range of contraception available
Artificial reproduction techniques
- Artificial insemination
- IVF
- ICSI
- Preimplantation genetic testing
- Gamete/embryo donation
- Surrogacy
- Artificial gametes
- Reproductive cloning
Infertility
- Medical/social infertility
- Treatment: artificial reproduction
Pre-implantation genetic screening/diagnosis
- Prevention of inherited disorders/future anomalies
Fertility preservation
Future infertility due to:
- Treatments e.g. chemo
- Age-related
More reproductive control but financial impact
Sex selection
Primarily: family balancing
- Creates gender ratio imbalance
- Undermine women (in some countries)
- Against unconditional parental love
“Designer babies”
Seeking disability
e.g. deafness, achondroplasia
Reproductive industry
- Commercialisation/tourism
- Source gametes/surrogates
- Potential for new opportunity/exploitation
Arguments for abortion
- Acknowledges sexual/reproductive rights of women
- Unwanted pregnancy can cause physical/mental harm
- Safe abortion saves lives globally
- Potential human is not a child
Arguments against abortion
- Denial of rights of embryo/foetus
- Eliminating the potential for life
- Contraception as an alternative
Neonatal care of prematurity
- Common complication of pregnancy
- 24 weeks: age of viability but serious disability risk
- Difficult decision for resuscitation of 23rd week
Pre-natal screening
- Triple Test in Scotland
- Non-invasive prenatal screening
- Progress to diagnostic tests (CVS, amniocentesis): Which conditions? Who to test? Terminate pregnancy or just obtain knowledge?
Triple test
- Chromosomal abnormalities: Down’s, Edward’s, Patau’s trisomies
- AFP, Estrio, beta hCG
Moral status of embryo
- Up to 14 days after fertilisation (primitive streak appears)
Maternal vs foetal interest
Maternal autonomy vs foetal status
- Foetal therapy/surgery (risk to both parties)
- Delivery for foetal interest
- Delivery for maternal interest
- Competence for informed consent