Ethical Consideration in Infertility Treatment Pro-cess: A Non-Evasion Dilemma

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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RROYAN20_406

تاریخ نمایه سازی: 29 مهر 1398

Abstract:

Background: Now day, infertility treatment knowledge and technology are growing rapidly. Although this is very encourag-ing matter for infertile couple; but in some cases, facing ethical and religious issues caused these treatments as a double-edged blade.Materials and Methods: This is a review about Ethical consid-erations in infertility treatment.Results: Reviews of literatures shows some general ethical considerations before starting infertility treatments: 1. Atten-tion to the physical and mental health and economic power of couples to create a safe environment for the child in the future. 2. Although as the World Health Organization recommenda-tion, the maximum age for maternity is 49 years, Parents who decide to have a child on the verge of middle age may not have enough power to play the role of parent correctly. 3. All infertility treatments are along with many complications, such as repeated ovulation stimulation, over-stimulation of ovar-ian syndrome, sperm injections into ovules and maternal and fetal complications, Failure to accept infertility and insistence on treatment, denial of problems, especially fear of losing the foundation of the family in the assumption of remarriage, So, some limitations in the treatment of infertility may be suit-able, One of these limitations can be the assurance in Failure results. One of the obvious examples for infertility treatment in vain is the continuity of the treatment cycle at the old ages. It is true that the treatment is a patientʼs right, but the doctors commitment is not to harm the patients. 4. Providing services to applicants with gender disruptions will be challenged, as the child will not be in the same family as the normal family, and in the future they may be faced with many risks. 5. Con-scious Consent involves providing sufficient information, ex-amining couple decision-making capacity, voluntary decision-making, especially for the donor s couple. 6. Evaluation and screening of embryo donors and recipients 7. Confidentiality of information about donors, recipients and child from the do-nation. If a child lives with the knowledge of his/her biologi-cal parents from the beginning, he/her may never be sure of the parents who raised him/her (the official law of donation is the unknown of the parties.)Conclusion: Clinicians should pay attention to the ethical con-siderations mentioned above in the treatment centers. We should note that according to the definition of right , the therapist can-not prohibit anyone from childbirth. But in case of treatment, careful consideration should be given to the child s benefit and treatment seekers.

Authors

B Afshar

Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

L Amini

Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran