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Assisted Reproduction and Reproductive Rights: The Case of In Vitro Fertilization

Published online by Cambridge University Press:  17 May 2016

Robert H. Blank
Robert H. Blank*
Affiliation:
University of Canterbury, New Zealand
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Abstract

In vitro fertilization (IVF) and other assisted reproduction technologies (ARTs) have become widely accepted as therapy for a wide array of fertility problems and accompanied by the rapid expansion of clinics that provide a full range of ARTs. Although these technologies undoubtedly offer benefits for some individuals, they raise important questions over reproductive rights to safe and effective treatment as well as access. This article analyzes current data concerning the safety, effectiveness, and cost of IVF. It concludes that IVF and related techniques have been transformed too rapidly and easily from experimental to therapy status, despite evidence that suggests considerable caution is warranted. Unfortunately, the widespread diffusion of IVF has preceded rather than followed firm evidence of its value in extending the reproductive rights of women and couples. Resources might better be directed toward prevention of fertility problems and discovering the causes of infertility.

Type
Reproductive Rights
Information
Politics and the Life Sciences , Volume 16 , Issue 2 , September 1997 , pp. 279 - 288
Copyright
Copyright © Association for Politics and the Life Sciences 

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References

Austria (1992). Act No. 275. “Regulating Medically Assisted Procreation.”Google Scholar
Bartholet, E. (1992). “In Vitro Fertilization: The Construction of Infertility and of Parenting.” In Holmes, Helen Bequaert (ed.), Issues in Reproductive Technology I. New York: Garland.Google Scholar
Berkowitz, R.L., Lynch, L., Lapinski, R., and Bergh, P. (1992). “First-Trimester Transabdominal Multifetal Pregnancy Reduction: A Report of Two Hundred Completed Cases.” American Journal of Obstetrics and Gynecology 169(1):17–21.Google Scholar
Blank, R.H. (1992). “Rationing Medicine in the Neonatal Intensive Care Unit (NICU).” In Caplan, A., Blank, R., and Merrick, J. (eds.), Compelled Compassion. Totawa, NJ: Humana.Google Scholar
Boone, S.S. (1992). “Slavery and Contract Motherhood: A ‘Racialized’ Objection to Autonomy Arguments.” In Holmes, H.B. (ed.), Issues in Reproductive Technology I. New York: Garland.Google Scholar
Brodribb, S. (1984). “Reproductive Technologies, Masculine Dominance, and the Canadian State.” Occasional Papers in Social Policy Analysis. Toronto: Ontario Institute for Studies in Education.Google Scholar
Callahan, T.L. et al. (1994). “The Economic Impact of Multiple-Gestation Pregnancies and the Contribution of Assisted-Reproduction Techniques to Their Incidence.” New England Journal of Medicine 331(4):244–49.CrossRefGoogle Scholar
Caplan, A.L. (1990). “Arguing with Success: Is In Vitro Fertilization Research or Therapy?” In Bartels, D.M. et al. (eds.), Beyond Baby M: Ethical Issues in New Reproductive Techniques. Totowa, NJ: Humana Press.Google Scholar
Chisholm, D. and Umbers, L. (1994). “Scientist Quits over Lesbian Ruling.” Christchurch Press (July 29):2.Google Scholar
Collins, J.A. (1994). “Reproductive Technology: The Price of Progress.” New England Journal of Medicine 331(4):270–71.Google Scholar
Collins, M.S. and Bleyl, J.A. (1990). “Seventy-one Quadruplet Pregnancies: Management and Outcome.” American Journal of Obstetrics and Gynecology 162:1384–92.Google Scholar
Corea, G. (1985). The Mother Machine: Reproductive Technologies from Artificial Insemination to Artificial Wombs. New York: Harper and Row.Google Scholar
Corson, S.L. et al. (1989). “Outcome in 242 In Vitro Fertilization-Embryo Replacement or Gamete Intrafallopian Transfer-Induced Pregnancies.” Fertility and Sterility 51:644–50.Google Scholar
Fishel, S. and Jackson, P. (1989). “Follicular Stimulation for High Tech Pregnancies: Are We Playing It Safe?” British Medial Journal 299:309–11.Google Scholar
Gillett, W., Peek, J., and Lilford, R. (1995). Costs and Effectiveness of Infertility Services in New Zealand: A Decision Analysis. Wellington: Core Services Committee.Google Scholar
Gilstrap, L.C. III and Brown, C.E. (1988). “Prevention and Treatment of Preterm Labor in Twins.” Clinical Perinatology 15:71–77.Google Scholar
Gunning, J. and English, V. (1993). Human In Vitro Fertilization: A Case Study in the Regulation of Medical Innovation. Aldershot: Dartmouth.Google Scholar
Haan, G. (1991). “Effects and Costs of In-Vitro Fertilization.” International Journal of Technology Assessment in Health Care 7(4):585–93.Google Scholar
Holmes, H.B. (1992). Preface. In Holmes, H.B. (ed.), Issues in Reproductive Technology I. New York: Garland.Google Scholar
Ketchum, S.A. (1992). “Selling Babies and Selling Bodies.” In Holmes, H.B. and Purdy, L.M. (eds.), Feminist Perspectives in Medical Ethics. Bloomington, IN: Indiana University Press.Google Scholar
Leslie, G.I., Brown, J.R., Arnold, J.D., and Saunders, D.M. (1992). “In Vitro Fertilisation and Neonatal Ventilator Use in a Tertiary Perinatal Centre.” Medical Journal of Australia 157:165–67.Google Scholar
Luke, B. (1994). “The Changing Patterns of Multiple Births in the United States: Maternal and Infant Characteristics, 1973 and 1990.” Obstetrics and Gynecology 84(1):101–106.Google Scholar
Neumann, P.J., Gharib, S.D., and Weinstein, M.C. (1994). “The Cost of a Successful Delivery with In Vitro Fertilization.” New England Journal of Medicine 331(4):239–43.Google Scholar
Neumann, P.J. and Johannesson, M. (1994). “The Willingness to Pay for In Vitro Fertilization: A Pilot Study Using Contingent Valuation.” Medical Care 32(7):686–99.Google Scholar
Nijs, M. et al. (1993). “Prevention of Multiple Pregnancies in an In Vitro Fertilization Program.” Fertility and Sterility 59(6):1245:50.Google Scholar
Norway (1987). Act No. 68 of 12 June 1987. “Relating to Artificial Procreation.”Google Scholar
Office of Technology Assessment, U.S. Congress (1988). Infertility: Medical and Social Choices. Washington, DC: U.S. Government Printing Office.Google Scholar
Overall, C. (1987). Ethics and Human Reproduction: A Feminist Analysis. New York: Routledge, Chapman and Hall.Google Scholar
Overall, C. (1992). “Selective Termination in Pregnancy and Women's Reproductive Autonomy.” In Holmes, H.B. (ed.), Issues in Reproductive Technology I. New York: Garland.Google Scholar
Robertson, J.A. (1994). Children of Choice: Freedom and the New Reproductive Technologies. Princeton, NJ: Princeton University Press.Google Scholar
Roh, S.I. et al. (1987). “In Vitro Fertilization and Embryo Transfer: Treatment-Dependent Versus -Independent Pregnancies.” Fertility and Sterility 58:982–86.Google Scholar
Royal Commission on New Reproductive Technologies (1993). Proceed with Care: Final Report of the Royal Commission on New Reproductive Technologies. Ottawa: Minister of Government Services Canada.Google Scholar
Ruzek, S. (1991). “Women's Reproductive Rights: The Impact of Technology.” In Rodin, J. and Collins, A. (eds.), Women and New Reproductive Technologies: Medical, Psychological, Legal, and Ethical Dilemmas. Hillsdale, N.J.: Lawrence Erlbaum.Google Scholar
Saunders, D.M., Mathews, M., and Lancaster, P.A.L. (1988). “The Australian Register: Current Research and Future Role.” Annals of the New York Academy of Science 541:7–21.CrossRefGoogle Scholar
Schenker, J.G. and Ezra, Y. (1994). “Complications of Assisted Reproduction Techniques.” Fertility and Sterility 61(3):411–22.CrossRefGoogle Scholar
Seoud, M.A.F., Toner, J.P., Kruithoff, C., and Muasher, S.J. (1992). “Outcome of Twin, Triplet and Quadruplet In Vitro Fertilization Pregnancies: The Norfolk Experience.” Fertility and Sterility 57(4):825–34.CrossRefGoogle Scholar
Spain (1988). Law No. 35 of 22 November 1988. “Health: Assisted Reproduction Techniques.”Google Scholar
Sweden (1988). Law No. 77 of 14 June 1988. “Fertilization Outside the Human Body.”Google Scholar
United Nations (1948). Universal Declaration of Human Rights. Geneva: United Nations.Google Scholar
Wagner, M.G. and St. Clair, P.A. (1989). “Are In Vitro Fertilization and Embryo Transfer of Benefit to All?” Lancet 1989(October 28):1027–30.Google Scholar
Weissman, A. et al. (1991). “Management of Triplet Pregnancies in the Late 1980s: Are We Doing Better?” American Journal of Perinatology 8:333–37.CrossRefGoogle Scholar
Whittemore, A.S. (1994). “The Risk of Ovarian Cancer after Treatment for Infertility.” New England Journal of Medicine 331(12):805–806.Google Scholar
Zaner, R.M. and Fox, M.D. (1993). “Selective Termination and Moral Risk: Choice and Responsibility.” In Blank, R.H. and Bonnicksen, A.L. (eds.), Emerging Issues in Biomedical Policy, Vol. 2. New York: Columbia University Press.Google Scholar