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46 - Code of practice on the use of fetuses and fetal material in research and treatment (extracts from the Polkinghorne Report)

Published online by Cambridge University Press:  08 January 2010

Sue Eckstein
Affiliation:
King's College London
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Summary

The guidance in this Chapter is taken from the Review of the Guidance on the Research Use of Fetuses and Fetal Material (“The Polkinghorne Report”)CM 762, HMSO 1989 and the figures in brackets refer to the relevant paragraph in the text of the Report.

In this Code fetus means the embryo or fetus from implantation until gestation ends and, unless qualified by the words in utero, includes the fetus outside the womb. (1.5)

Treatment of the fetus

1.1 Two categories of fetus are recognised:

  1. a. The live fetus, whether in utero or ex utero, which should be treated on principles broadly similar to those which apply to treatment and research conducted with children and adults. (2.4, 3.2).

  2. b. The dead fetus. The determination of death shall be by reference to the absence of vital functions, as indicated by the absence of spontaneous respiration and heartbeat after consideration of possibly reversible factors, such as the effects of hypothermia in the fetus, or of drugs or metabolic disorders in the mother. This determination shall be made or confirmed by a doctor responsible for the clinical management of the mother and the fetus and not involved with the subsequent unconnected use of fetal tissue. (3.7).

Only tissue from the dead fetus is ethically available for use in therapy.

1.2 It is unethical to administer drugs or carry out any procedures during pregnancy with the intent of ascertaining whether or not they might harm the fetus. (3.3)

1.3 In the case of nervous tissue only isolated neurones or fragments of tissue may be used for transplantation.(3.11)

Type
Chapter
Information
Manual for Research Ethics Committees
Centre of Medical Law and Ethics, King's College London
, pp. 313 - 315
Publisher: Cambridge University Press
Print publication year: 2003

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