Chapter 7: Child welfare and the regulation of access to uterus transplantation

As uterus transplantation (UTx) is performed to enable a patient’s reproductive goals, it may be taken as axiomatic that the welfare of any children that might be created through UTx should be assessed as a condition of treatment provision - the pre-conception welfare principle (PCWP). However, the...

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1. autor: O’Donovan, Laura
Format: Online
Język:angielski
Wydane: Edward Elgar Publishing 2024
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Dostęp online:https://directory.doabooks.org/handle/20.500.12854/143532
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author O’Donovan, Laura
author_browse O’Donovan, Laura
author_facet O’Donovan, Laura
author_sort O’Donovan, Laura
collection Directory of Open Access Books
description As uterus transplantation (UTx) is performed to enable a patient’s reproductive goals, it may be taken as axiomatic that the welfare of any children that might be created through UTx should be assessed as a condition of treatment provision - the pre-conception welfare principle (PCWP). However, the purpose and role of the PCWP in the regulation of access to UTx is questionable. Indeed, in the context of assisted reproduction generally, the PCWP already raises several concerns regarding the opportunity it creates for value judgement and discrimination against patients. In this chapter, I critically examine the role of welfare considerations in the context of UTx as both a threshold requirement of access to IVF and as a potential criterion to inform transplant listing and allocation policy. I explore and reject proposals in favour of utilising the PCWP to determine both patient listing for transplantation and organ allocation on the basis that it would lead to unjust discrimination against patients, and be unduly burdensome and contrary to established ethical and policy guidance on organ transplantation.
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spelling doab-20.500.12854ir-1435322024-09-03T14:42:50Z Chapter 7: Child welfare and the regulation of access to uterus transplantation O’Donovan, Laura Uterus transplantation; Child welfare; Access to treatment; Infertility; Organ allocation LNTM As uterus transplantation (UTx) is performed to enable a patient’s reproductive goals, it may be taken as axiomatic that the welfare of any children that might be created through UTx should be assessed as a condition of treatment provision - the pre-conception welfare principle (PCWP). However, the purpose and role of the PCWP in the regulation of access to UTx is questionable. Indeed, in the context of assisted reproduction generally, the PCWP already raises several concerns regarding the opportunity it creates for value judgement and discrimination against patients. In this chapter, I critically examine the role of welfare considerations in the context of UTx as both a threshold requirement of access to IVF and as a potential criterion to inform transplant listing and allocation policy. I explore and reject proposals in favour of utilising the PCWP to determine both patient listing for transplantation and organ allocation on the basis that it would lead to unjust discrimination against patients, and be unduly burdensome and contrary to established ethical and policy guidance on organ transplantation. Published 2024-09-03T14:42:46Z 2024-09-03T14:42:46Z 2024-08-02 chapter 9781803920498 https://directory.doabooks.org/handle/20.500.12854/143532 eng image/jpeg Attribution-NonCommercial-NoDerivatives 4.0 International https://www.e-elgar.com/shop/gbp/international-legal-and-ethical-perspectives-on-uterus-transplantation-9781803920481.html https://www.elgaronline.com/edcollchap-oa/book/9781803920498/book-part-9781803920498-17.xml Edward Elgar Publishing Edward Elgar Publishing 10.4337/9781803920498.00017 10.4337/9781803920498.00017 01ceac28-75b4-492a-8eec-f9b98bc6b28c https://creativecommons.org/licenses/by-nc-nd/4.0/ 9781803920498 Edward Elgar Publishing Cheltenham, UK open access
spellingShingle Uterus transplantation; Child welfare; Access to treatment; Infertility; Organ allocation
LNTM
O’Donovan, Laura
Chapter 7: Child welfare and the regulation of access to uterus transplantation
title Chapter 7: Child welfare and the regulation of access to uterus transplantation
title_full Chapter 7: Child welfare and the regulation of access to uterus transplantation
title_fullStr Chapter 7: Child welfare and the regulation of access to uterus transplantation
title_full_unstemmed Chapter 7: Child welfare and the regulation of access to uterus transplantation
title_short Chapter 7: Child welfare and the regulation of access to uterus transplantation
title_sort chapter 7 child welfare and the regulation of access to uterus transplantation
topic Uterus transplantation; Child welfare; Access to treatment; Infertility; Organ allocation
LNTM
topic_facet Uterus transplantation; Child welfare; Access to treatment; Infertility; Organ allocation
LNTM
url https://directory.doabooks.org/handle/20.500.12854/143532
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