‘I Want a Child!’ Concerning Problems of Informed Consent in Fertility Treatment

Frank, Claudia

doi:10.1080/02668730701359748

Cited by 3 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It was noted in the ndings of this study that couples are usually desperate to have their own children and may override thoughtful decision-making during the informed consent process. This nding is consistent with previous studies, including those by Frank, Mohammadzadeh, and Van-Den Akker [30][31][32], which have all indicated that the intense desire for a biological child can complicate ethical decisionmaking and lead individuals to overlook potential risks associated with IVF treatment. The intense longing for a biological child creates an emotional state that may overshadow rational decision-making.…”

Section: Discussionsupporting

confidence: 92%

Ethical concerns in the provision of in vitro fertilization treatment in Ghana: A qualitative study.

Appiah,

Ganle

2024

Preprint

View full text Add to dashboard Cite

Background Infertility presents both medical and public health challenges, with in vitro fertilization (IVF) emerging as a prominent solution, particularly when other alternatives are exhausted. However, IVF treatment raises significant ethical questions that have been under explored in the Ghanaian context. This study aimed to explore ethical concerns regarding the provision of in vitro fertilization (IVF) treatment in Ghana. Methods A phenomenological descriptive qualitative design was employed. Purposive sampling techniques were used to recruit 12 participants from three in vitro fertilization (IVF) centres. In-depth face-to-face interviews guided by an open-ended interview guide were conducted. Thematic analysis of the interviews was performed to identify major themes. Results Providing IVF in Ghana raises several ethical issues, including inequitable access due to high costs and limited availability, which favour wealthier individuals and leave marginalized populations with fewer options. There are significant ethical considerations in balancing the potential benefits of successful IVF outcomes against the health risks and emotional tolls on patients. Decisions about the fate of surplus embryos present moral dilemmas, including whether to preserve, donate, or discard them. Differing personal beliefs about the moral status of the embryo further complicate the ethical landscape. Ensuring informed consent is challenging due to the complex medical, ethical, and emotional implications of IVF, potentially leading to compromised consent. Additionally, there are ongoing risks of breaches in confidentiality, given the sensitive nature of reproductive health data and the importance of protecting patient privacy. Conclusion This study revealed that several ethical dilemmas confront both healthcare providers and couples in the process of IVF. There is an urgent need for the development of clear and uniform regulations to govern the practice of IVF treatment in Ghana, with further attention given to mitigating financial barriers and enhancing support systems for couples considering IVF.

show abstract

Section: Discussionsupporting

confidence: 92%

Ethical concerns in the provision of in vitro fertilization treatment in Ghana: A qualitative study.

Appiah,

Ganle

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Además de todo lo ya aludido, un concepto surgido en el seno de la bioética, como lo es el consentimiento informado (CI), también ha sido tratado desde el punto de vista psicoanalítico (Frank, 2007). Las críticas al CI desde el psicoanálisis resultan muy interesantes, ya que suele reducirse la capacidad para emitir tal tipo de consentimiento (donde puede ir hasta la propia vida o la de otro/a, cuando esto es necesario) a puros factores meramente conscientes.…”

Section: La Realidad Tecnocientífica Contemporáneaunclassified

Psicoanálisis y bioética

Díaz

2014

Rev. latinoam. bioet

View full text Add to dashboard Cite

Este trabajo busca cómo articular el psicoanálisis y la bioética. Para ello, se revisa cuáles marcos podrían ser adecuados, optando por la transdisciplina. Para una aproximación transdisciplinaria se requiere romper con algunos puntos de la ortodoxia de cada una de las disciplinas que intentan relacionarse, así como el requerimiento de un eje transdisciplinar que no se restrinja a reunir unas visiones de un modo reductible, ni sometible, ni complementario (en el sentido de agregable), sino que las reorganice en un nuevo nivel epistemológico, distinto. El trabajo propone que los puntos de ruptura de la ortodoxia de la relación entre psicoanálisis y bioética podrían ser la realidad tecnocientífica contemporánea y el papel del psicoanalista en un comité de ética. Finalmente, se propone que un posible eje transdisciplinario entre psicoanálisis y bioética puede ser la deliberación, metodología propuesta para la bioética (en cuanto ética de la responsabilidad) por Diego Gracia Guillén.

show abstract

Reproductive Choices and Informed Consent: Fetal Interests, Women's Identity, and Relational Autonomy

Laufer-Ukeles

2011

Am. J. Law. Med.

View full text Add to dashboard Cite

In this Article, I describe and examine the severe shortcomings in women's autonomy in the context of reproductive choices in the medical arena. The reproductive choices I explore are those choices that involve gestation: abortion, fertility treatments, and interventions during pregnancy. Due to state and medical interests in the fetus, I describe how information conveyed to patients making reproductive choices is biased towards fetal interests, relies on female stereotypes, and is still conveyed with the objective authority of the medical profession. Moreover, reproductive choices implicate women's values and identity interests that reach beyond medical concerns, which are not part of the informed consent doctrine at all. The narrow, individualistic informed consent torts doctrine intended to protect patient autonomy does not do enough in this context to balance bias nor does it mandate discussion of important identity interests and values. Accordingly, I argue that when faced with reproductive choices, women are not provided the balanced and comprehensive information needed to promote their autonomy. In response to the breakdown in patient autonomy I describe, instead of leaving women alone to make choices or regulating in order to protect them from their choices, a broader framework for supporting reproductive choices should be established. In light of the interdependence of woman and fetus, as well as the broader social context shaping these decisions, I argue that a more contextual, relational perspective of autonomy should be the goal of informed consent in the context of reproductive choices. I suggest a number of reforms that aim to optimize patient autonomy from a relational perspective. I suggest a broad, deliberative doctor-patient consultation and legal reforms that create more balance between the pull towards intervention and fetal protection on the one hand, and non-intervention and protection of women's personal identity interests on the other.

show abstract

‘I Want a Child!’ Concerning Problems of Informed Consent in Fertility Treatment

Cited by 3 publications

References 2 publications

Ethical concerns in the provision of in vitro fertilization treatment in Ghana: A qualitative study.

Ethical concerns in the provision of in vitro fertilization treatment in Ghana: A qualitative study.

Psicoanálisis y bioética

Reproductive Choices and Informed Consent: Fetal Interests, Women's Identity, and Relational Autonomy

Contact Info

Product

Resources

About