Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 994
Filtrar
1.
Medicina (Kaunas) ; 57(1)2021 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-33429930

RESUMO

Background and objectives: To explore the ethical and legal complexities arising from the controversial issue of surrogacy, particularly in terms of how they affect fundamental rights of children and parents. Surrogacy is a form of medically-assisted procreation (MAP) in which a woman "lends" her uterus to carry out a pregnancy on behalf of a third party. There are pathological conditions, such as uterine agenesis or hysterectomy outcomes, that may prevent prospective mothers from becoming pregnant or carry a pregnancy to term; such patients may consider finding a surrogate mother. Many issues relating to surrogacy remain unresolved, with significant disagreements and controversy within the scientific community and public opinion. There are several factors called into play and multiple parties and stakeholders whose objectives and interests need to somehow be reconciled. First and foremost, the authors contend, it is essential to prioritize and uphold the rights of children born through surrogacy and heterologous MAP. Materials and methods: To draw a parallel between Italy and the rest of the world, the legislation in force in twelve European countries was analyzed, eleven of which are part of the European Union (France, Germany, Italy, Spain, Greece, Netherlands, Belgium, Denmark, Lithuania, Czech Republic and Portugal) and three non-members of the same (United Kingdom, Ukraine and Russia), as well as that of twelve non-European countries considered exemplary (United States, Canada, Australia, India, China, Thailand, Israel, Nigeria and South Africa); in particular, legislative sources and legal databases were drawn upon, in order to draw a comparison with the Italian legislation currently in force and map out the evolution of the Italian case law on the basis of the judgments issued by Italian courts, including the Constitutional and Supreme Courts and the European Court of Human Rights (ECHR); search engines such as PubMed and Google Scholar were also used, by entering the keywords "surrogacy" and "surrogate motherhood", to find scientific articles concerning assisted reproduction techniques with a close focus on surrogacy. Results: SM is a prohibited and sanctioned practice in Italy; on the other hand, it is allowed in other countries of the world, which leads Italian couples, or couples from other countries where it is banned, to often contact foreign centers in order to undertake a MAP pathway which includes surrogacy; in addition, challenges may arise from the legal status of children born through surrogacy abroad: to date, in most countries, there is no specific legislation aimed at regulating their legal registration and parental status. Conclusion: With reference to the Italian context, despite the scientific and legal evolution on the subject, a legislative intervention aimed at filling the regulatory gaps in terms of heterologous MAP and surrogacy has not yet come to fruition. Considering the possibility of "fertility tourism", i.e., traveling to countries where the practice is legal, as indeed already happens in a relatively significant number of cases, the current legislation, although integrated by the legal interpretation, does not appear to be effective in avoiding the phenomenon of procreative tourism. Moreover, to overcome some contradictions currently present between law 40 and law 194, it would be appropriate to outline an organic and exhaustive framework of rules, which should take into account the multiplicity of interests at stake, in keeping with a fair and sustainable balance when regulating such practices.


Assuntos
Política Pública/legislação & jurisprudência , Técnicas de Reprodução Assistida/legislação & jurisprudência , Mães Substitutas/legislação & jurisprudência , Altruísmo , Austrália , Criança , Bem-Estar da Criança/ética , Bem-Estar da Criança/legislação & jurisprudência , Comércio , Europa (Continente) , Feminino , Humanos , Israel , Itália , Japão , Turismo Médico/ética , Turismo Médico/legislação & jurisprudência , Gravidez , Técnicas de Reprodução Assistida/ética , Federação Russa , Problemas Sociais , Tailândia , Ucrânia , Estados Unidos
2.
Clin Ter ; 171(1): e57-e59, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33346329

RESUMO

Medically-assisted-procreation via in vitro fertilization, an integral part of of the so-called "reproductive revolution", is a valuable option for couples with sterility or fertility issues. That has however brought about three relevant results: the rift between procreation and sexual intercourse, the opportunity to use heterologous fertilization through donated gametes, and the ensuing increase in the number of "reproductive contributors" (male and/or female gamete donors, surrogate mothers). In Italy, Law n. 40 has put in place several restrictions, stricter than in most other European countries. Before being declared partly unconstitutional, Law 40 used to impose an array of bans and restrictions other than the ones still currently in force, such as the still unchanged prohibition to use human embryos for experimentation purposes and the ban on surrogacy. For same-sex couples who travel abroad to get around the Italian ban on heterologous fertilization, surrogacy, and MAP for homosexual couples. The authors have attempted to lay out a short analysis of how Italian courts have attempted to uphold the best interests of children born abroad in homosexual families, by taking into account the latest decisions on the subject.


Assuntos
Fertilização In Vitro/legislação & jurisprudência , Criança , Embrião de Mamíferos , Europa (Continente) , Feminino , Células Germinativas , Humanos , Itália , Masculino , Doação de Oócitos/legislação & jurisprudência , Técnicas de Reprodução Assistida/legislação & jurisprudência , Recuperação Espermática/legislação & jurisprudência , Mães Substitutas
3.
Int J Gynaecol Obstet ; 150(1): 129-133, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32402094

RESUMO

In April 2020, the United Kingdom Supreme Court upheld compensation for a woman whose negligent medical care had left her dependent on surrogate motherhood (SM) to have a family, even though SM might be by lawful commercial services in California, USA. Paid SM is criminal in the UK. Altruistic SM arrangements are legal, but unenforceable. The trial judge felt bound by precedent to disallow compensation for lawful commercial SM abroad, as contrary to public policy. The Court of Appeal reversed this ruling, since public policy is not immutable, and had changed. The Supreme Court agreed, acknowledging an evolution in popular attitudes concerning what a family is, and how it might be formed. Government policy was observed to accommodate SM in suitable cases. Movement was perceived towards legislative reform, and judicial recognition of paid SM arrangements abroad that are not exploitative or abusive of surrogates, commissioning parents, or resulting children was considered appropriate.


Assuntos
Política Pública , Técnicas de Reprodução Assistida/legislação & jurisprudência , Feminino , Humanos , Gravidez , Técnicas de Reprodução Assistida/economia , Mães Substitutas , Reino Unido
4.
Clin Ter ; 171(3): e225-e228, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32323709

RESUMO

Medically assisted procreation and assisted reproductive techniques have made giant strides over the past decades, enabling countless couples to achieve parenthood. Still, the ethical and moral concerns that have come to the fore as a result of ART's rise pose a multi-faceted issue that lawmakers have struggled to keep up with; procedures such as heterologous fertilization are strictly regulated, and even banned, in several nations around the globe, among which Italy, where a controversial piece of legislation was passed in 2004; such a reform has been partly nullified by court decisions, among which the Italian Constitutional Court and even the European Court of Human Rights. Relevant scientific articles were identified from Medline, Cochrane Central, Scopus, Web of Science, Science Direct, EMBASE and Google Scholar, through February 2020, by using the following keywords: "assisted reproductive techniques", "heterologous fertilization", "European rulings on ART", "reproductive damages". The rise of ART has laid bare a shortage of adequate legal tools for the purpose of guaranteeing the exercise of reproductive rights for all. Hence, the harmonization of regulations, at least at the European level, is greatly needed in order to ensure equality of parental opportunities for all.


Assuntos
Imperícia , Técnicas de Reprodução Assistida/legislação & jurisprudência , Feminino , Direitos Humanos/legislação & jurisprudência , Humanos , Itália , Masculino , Princípios Morais , Técnicas de Reprodução Assistida/efeitos adversos , Técnicas de Reprodução Assistida/ética
5.
Sanid. mil ; 76(1): 30-35, ene.-mar. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-193138

RESUMO

Las técnicas de gestación asistida requieren una investigación exhaustiva, buscando proporcionar criterios y argumentos para evaluar los problemas relativos al impacto de la investigación y la práctica de la reproducción humana asistida. La sociedad de nuestros días plantea problemas muy diversos en el campo de la reproducción humana, como el de la elección del sexo de los hijos, sobre los cuales conviene concretar sus posibilidades e inconvenientes. Por ello la Ley 14/2006, sobre Técnicas de Reproducción Humana Asistida (LRHA), tiene como principal objetivo facilitar la descendencia por medio de la manipulación de los gametos y preembriones humanos. Esta norma regula también la aplicación de las técnicas de reproducción asistida en la prevención y tratamiento de enfermedades de origen genético o hereditario y las condiciones en las que podrá autorizarse la utilización de gametos y preembriones humanos con fines de investigación. En tal sentido, comenzaremos exponiendo las técnicas de reproducción asistida, para continuar describiendo el principio de la veracidad biológica paternal y la elección del sexo de los hijos


Assisted gestation techniques require a multidisciplinary research line, seeking to provide criteria and arguments for assessing the problems related to the impact of research and practice in the framework of assisted human reproduction. For today's society poses very diverse problems in the field of human reproduction, on which a fair and current legal regulation will have to be pronounced. Therefore Law 14/2006, on Techniques of Assisted Human Reproduction (LRHA), has as main objective to facilitate the offspring through the therapeutic use of human gametes and preembrions. This standard also regulates the application of assisted reproduction techniques in the prevention and treatment of diseases of genetic origin or hereditary origin and the conditions under which the use of human gametes and preembrions may be authorised for research purposes. To structure our exhibition we will begin by exposing the techniques of assisted reproduction, to continue commenting on the biological truthfulness of the paternal and the choice of the sex of the children


Assuntos
Humanos , Técnicas de Reprodução Assistida/legislação & jurisprudência , Autonomia Pessoal , Responsabilidade Legal , Pessoal de Saúde/legislação & jurisprudência , Análise para Determinação do Sexo/normas , Consentimento Livre e Esclarecido , Paternidade
6.
J Forensic Leg Med ; 69: 101891, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32056807

RESUMO

In Italy, the law n. 40 of 2004 (Norms in matter of medically assisted procreation), allows to access to the techniques of Medically assisted Procreation (MAP) exclusively to couples formed by two individuals of different sex. On the basis of this law, two couples of homosexual women were prohibited from using MAP techniques. For this reason, the couples have appealed to the competent courts that have raised doubts of constitutional legitimacy. In June 2019, the Italian Constitutional Court stated that it is not illegal to prohibit gay couples from accessing MAP techniques. In October 2019, the judgment No. 221, in which this decision is based, was published. Following the publication of the judgment, a bioethical-legal debate arose on this issue: is this a discrimination, or a simple limit based on medical-legal criteria?


Assuntos
Homossexualidade Feminina , Homossexualidade Masculina , Técnicas de Reprodução Assistida/legislação & jurisprudência , Feminino , Humanos , Itália , Masculino
7.
Bioethics ; 34(1): 16-32, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31877579

RESUMO

Potential applications of genome editing in assisted reproductive technology (ART) raise a vast array of strong opinions, emotional reactions and divergent perceptions. Acknowledging the need for caution and respecting such reactions, we observe that at least some are based on either a misunderstanding of the science or misconceptions about the content and flexibility of the existing legal frameworks. Combining medical, legal and ethical expertise, we present and discuss regulatory responses at the national, European and international levels. The discussion has an EU starting point and is meant as a contribution to the general international regulatory debate. Overall, this paper concludes that gene editing technologies should not be regulated autonomously. Rather, potential uses should be regulated under general, existing frameworks and where applicable by reference to sufficiently equivalent technologies and techniques already subject to specific regulation. To be clear, we do not argue for the hasty introduction of gene editing as a reproductive treatment option in the immediate future. We call for caution with regard to overreaching moratoria and prohibitions that will also affect basic research. We recommend flexible regulations that allow for further responsible research into the potential development of the technology. We call for an open and inclusive debate and argue that scientific communication should claim a more prominent role to counter the danger of widespread misinformation. A high level of transparency and accuracy should guide scientific communication while simultaneously global-scale responsibility and governance should be fostered by promoting cross-disciplinary thinking and multi-level stakeholder involvement in legal and regulatory processes.


Assuntos
Edição de Genes/ética , Edição de Genes/legislação & jurisprudência , Células Germinativas , Técnicas de Reprodução Assistida/ética , Técnicas de Reprodução Assistida/legislação & jurisprudência , Difusão de Inovações , Pesquisas com Embriões/ética , União Europeia , Edição de Genes/tendências , Humanos , Direito Internacional , Técnicas de Reprodução Assistida/tendências
10.
Rev. derecho genoma hum ; (51): 91-115, jul.-dic. 2019. 10.14679/1168
Artigo em Espanhol | IBECS | ID: ibc-192374

RESUMO

Este trabajo pretende un acercamiento al papel que juega el factor religioso en la bioética y el bioderecho y, más concretamente, analizar hasta qué punto influye dicho factor religioso en el rechazo de la figura de la gestación subrogada o de sustitución en nuestro país. Tras analizar la evolución de la ciencia, el derecho, la ética y la bioética en España, así como la indudable relación que tiene el factor religioso con la bioética, nos centraremos en estudiar la figura de la gestación subrogada y de la misma desde el punto de vista del factor religioso en nuestro país. Es decir, estudiaremos la visión religiosa y ética de la gestación subrogada y examinaremos jurisprudencia sobre el tema que nos llevará a darnos cuenta de cómo esta práctica, a pesar de estar expresamente prohibida en la legislación española, es reconocida indirectamente en los tribunales con el fin de dar protección al así nacido sobre la base del principio superior del interés del menor. Finalmente, pasaremos a observar cómo, aunque se parta del hecho objetivo de que estamos ante un Estado aconfesional, la mayoría de los motivos que alega la parte de la doctrina que rechaza la gestación por sustitución coinciden con los argumentos de rechazo dados por la Iglesia Católica ante esta figura


This paper seeks to explore the role played by religion in bioethics and biolaw and, more specifically, to analyse the extent to which this religious factor influences the rejection of the figure of surrogacy in our country. After analysing the evolution of science, law, ethics and bioethics in Spain, as well as the evident relationship between the religious factor and Bioethics, this paper will examine the figure of surrogacy from the Spanish religious point of view. As a result, we will study the religious and ethical vision of surrogacy and we will examine jurisprudence about the matter which will lead us to realize how this practice, despite being expressly prohibited under Spanish law, is indirectly recognized in courts in order to provide protection for the well born on the basis of superior interest of the child principle. Finally, we will observe how, despite being a secular state, most of the arguments against surrogacy put forward by non-religious actors correlate with the anti-surrogacy pronouncements of the Catholic Church


Assuntos
Humanos , Feminino , Técnicas de Reprodução Assistida/legislação & jurisprudência , Técnicas de Reprodução Assistida/normas , Mães Substitutas/legislação & jurisprudência , Religião e Medicina , Religião e Ciência , Bioética
11.
Am J Law Med ; 45(2-3): 130-170, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31722626

RESUMO

In many areas of innovation, the United States is a leader, but this characterization does not apply to the United States' position in assisted reproductive technology innovation and clinical use. This article uses a political science concept, the idea of the "democratic deficit" to examine the lack of American public discourse on innovations in ART. In doing so, the article focuses on America's missing public consultation in health care innovation. This missing discourse is significant, as political and ethical considerations may impact regulatory decisions. Thus, to the extent that these considerations are influencing the decisions of federal agency employees, namely those who work within the U.S. Food and Drug Administration, the public is unable to participate in the decision-making process. This lack of a public discourse undermines the goals of the administrative state, which include democratic participation, transparency, and accountability. The United Kingdom, on the other hand, has had a markedly divergent experience with assisted reproductive technology innovation. Instead of ignoring the various ethical, social, and legal issues surrounding assisted reproductive technology innovation, the United Kingdom engaged in a five-strand public consultation on the topic of mitochondrial transfer, a form of assisted reproductive technology that uses genetic modification in order to prevent disease transmission. This article argues that after a multi-decade standstill in terms of the public discourse related to ethical issues associated with assisted reproductive technology and germline modification, it is time for the United States to institute a more democratic inquiry into the scientific, ethical, and social implications of new forms of assisted reproductive technology and ultimately, forthcoming medical innovations that involve genetic modification.


Assuntos
Tomada de Decisão Compartilhada , Democracia , Invenções/legislação & jurisprudência , Formulação de Políticas , Técnicas de Reprodução Assistida/legislação & jurisprudência , Participação da Comunidade , Governo Federal , Fertilização In Vitro/ética , Fertilização In Vitro/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Humanos , Invenções/ética , Técnicas de Reprodução Assistida/ética , Responsabilidade Social , Participação dos Interessados , Governo Estadual , Inquéritos e Questionários , Reino Unido , Estados Unidos , United States Food and Drug Administration/legislação & jurisprudência
12.
Soins Pediatr Pueric ; 40(311): 21-25, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31757271

RESUMO

Determined in 1994, the legal framework for medically assisted reproduction has barely evolved since. French legislation is among the strictest in Europe. Sweeping changes are planned for the next review of the law on bioethics which should be put to a vote in 2020. The current ban on surrogacy should however remain in place.


Assuntos
Técnicas de Reprodução Assistida , Europa (Continente) , França , Humanos , Técnicas de Reprodução Assistida/legislação & jurisprudência
13.
AMA J Ethics ; 21(11): E988-995, 2019 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-31742548

RESUMO

Recent advances in uterus transplantation (UTx) suggest it is on a trajectory toward becoming an accepted clinical practice to treat absolute uterine factor infertility (AUFI). Additional uses have been envisioned but not studied. UTx programs thus far have relied largely on ethical frameworks associated with clinical research, surgical innovation, organ transplantation, and assisted reproductive technologies, as reflected in the Revised Montreal Criteria and the Indianapolis Consensus. This article argues that it is time to develop integrated guidelines that incorporate existing evidence, acknowledge and address tensions among the ethical frameworks that have informed judgments of UTx for AUFI thus far, identify and address ethical questions on which existing frameworks are silent, and anticipate future ethical issues in UTx research.


Assuntos
Transplante de Órgãos/legislação & jurisprudência , Guias de Prática Clínica como Assunto , Técnicas de Reprodução Assistida/legislação & jurisprudência , Útero/transplante , Feminino , Humanos , Infertilidade Feminina/cirurgia , Transplante de Órgãos/ética , Técnicas de Reprodução Assistida/ética
14.
Clin Ter ; 170(5): e364-e367, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31612194

RESUMO

In the last 40 years, the number of elderly patients that require Assisted Reproductive Technologies (ART) has risen enormously, especially after heterolougus fertilization techniques have become available. In recent years, the incidence of peripartum cardiomyopathy (PPCM) has substantially grown, as a consequence of the combined effect of increased maternal age, consequent high prevalence of hypertension and metabolic syndrome (MS). That cohort of women may be exposed to a greater number of cardiac, obstetric and anesthesio-logical complications, therefore the incidence of medico-legal issues, litigation, liabilities and claims over the past years has significantly risen. Cardiovascular and hormonal changes during pregnancy can challenge even the healthiest of individuals, and in that pregnant population the risk is even greater. These patients should be monitored before the ART, during pregnancy, delivery and puerperium, to avoid heart failure, thrombotic problems, embolic complications, stroke and death. Management issues regarding pregnancy and delivery are elaborate, including anesthesia considerations. This new population of women needs an accurate cardiac risk stratification with a thorough cardiovascular history and examination, 12 lead ECG, and transthoracic echocardiogram. Therefore, a comprehensive multidisciplinary assessment and management can provide the best opportunity to improve maternal and neonatal outcomes.


Assuntos
Síndrome Metabólica/etiologia , Complicações Cardiovasculares na Gravidez/etiologia , Técnicas de Reprodução Assistida/legislação & jurisprudência , Adulto , Fatores Etários , Idoso , Feminino , Humanos , Síndrome Metabólica/prevenção & controle , Gravidez , Complicações Cardiovasculares na Gravidez/prevenção & controle , Gestantes , Técnicas de Reprodução Assistida/efeitos adversos , Fatores de Risco
17.
J Assist Reprod Genet ; 36(8): 1665-1681, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31346936

RESUMO

PURPOSE: The market of assisted reproductive technologies (ARTs) is rapidly evolving, raising growing ethical and social dilemmas. This paper compares the regulatory responses to technological and market developments in Israel and Spain, both intensive users of ART. We identify strengths and deficiencies in the regulation of ART in these two countries. METHODS: We developed a conceptual framework to classify the factors affecting regulations and priority setting, and applied it using a Delphi survey combined with in-depth interviews. We selected two panels of experts from various fields, trying to simulate the bioethics committees of Israel and Spain. RESULTS: ART is often wrongfully perceived as a solution to age-related infertility. Both panels embraced alternative solutions. The impact of private commercial interest on regulations is resulting in excessive practices such as the repeat of ineffective cycles and the push of sometimes unnecessary treatment add-ons. Our findings show experts dissatisfaction with the regulations of donor-eggs concerning reimbursement and registries in both countries. CONCLUSIONS: The adequacy of ART to solve age-related infertility should be confronted with alternative approaches, with emphasis on the distribution of accurate information. The magnitude of ART markets, particularly the use of donor-eggs, should raise the need for additional societal debate and the reform of regulations. The impact factors analysis leads us to question the current regulatory framework, which could be improved by nominating a non-governmental statutory central regulatory agency in Israel and by reforming the Spanish agency.


Assuntos
Infertilidade/terapia , Sistema de Registros/estatística & dados numéricos , Técnicas de Reprodução Assistida/legislação & jurisprudência , Feminino , Humanos , Infertilidade/epidemiologia , Israel/epidemiologia , Gravidez , Resultado da Gravidez , Espanha/epidemiologia , Inquéritos e Questionários
18.
Clin Ter ; 170(4): e241-e244, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31304508

RESUMO

Medically-assisted procreation (MAP) has given rise to a crisis in the traditional family model, made up of a mother and a father, and led to the births of babies who are genetically and biologically unrelated to their legal parents. Italian legal statutes ban such practices, which are punishable by law; yet there is currently no legislation aimed at governing and regulating the legal registration of children born through such procedures abroad. Italian jurisprudence, on the other hand, has acknowledged the right to parenthood for homosexual couples, ruling that the children thus born be considered legally bound to their social parents, by virtue of the affection-based bond, rooted in harmony and listening, that has been formed within the family setting, however unconventional it may be. The paper's author feels that an intervention from lawmakers is urgent and inescapable, in order to provide targeted legislation in such a sensitive realm.


Assuntos
Família , Poder Familiar , Criança , Feminino , Humanos , Itália , Masculino , Técnicas de Reprodução Assistida/legislação & jurisprudência
19.
Rev. bioét. derecho ; (46): 149-165, jul. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184857

RESUMO

Este artículo propone criterios para la regulación del consentimiento presunto a las técnicas de reproducción humana asistida post mortem en Argentina y argumenta brevemente sobre los fundamentos del instituto. Si bien el Código Civil y Comercial de la Nación prevé un sistema autónomo de filiación aplicable a las tecnologías reproductivas, los casos post mortem han sido desregulados. En los últimos años se han dictado numerosas sentencias que han reconocido el consentimiento presunto del difunto, aunque sin una construcción conceptual clara al respecto y con la consecuente inseguridad jurídica en torno a la filiación de las personas nacidas


This article proposes principles for the regulation of presumed consent to posthumous assisted human reproduction techniques in Argentina and argues about the basis of that institute. Although the Civil and Commercial Code of the Nation provides an autonomous filiation system applicable to reproductive technologies, posthumous cases have not been regulated. In recent years, several judgments have recognized the presumed consent of the deceased, although without a clear conceptual construction and with the consequent legal uncertainty regarding the filiation of the persons born


Aquest article proposa criteris per a la regulació del consentiment presumpte a les tècniques de reproducció humana assistida post mortem a l'Argentina i argumenta breument sobre el fonament de l'institut. Si bé el Codi Civil i Comercial de la Nació preveu un sistema autònom de filiació aplicable a les tecnologies reproductives, els casos post mortem no han estat regulats. En els últims anys s'han dictat diverses sentències que han reconegut el consentiment presumpte de la persona morta, encara que sense una construcció conceptual clara sobre aquest tema i amb la conseqüent inseguretat jurídica entorn de la filiació de les persones nascudes


Assuntos
Humanos , Técnicas de Reprodução Assistida/legislação & jurisprudência , Consentimento Livre e Esclarecido/legislação & jurisprudência , Mudanças Depois da Morte , Concepção Póstuma/legislação & jurisprudência , Argentina , Criopreservação/ética , Concepção Póstuma/ética
20.
Semin Reprod Med ; 37(1): 12-16, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-31185513

RESUMO

Infertility prevalence and care needs among male and female Veterans are understudied topics. The Veterans Health Administration (VHA) medical benefits package covers full infertility evaluation and many infertility treatments for Veterans but not, by law, for their spouses. In vitro fertilization (IVF) is also specifically excluded from this medical benefits package by regulation. Congress passed a law in 2016 that allowed VHA to provide IVF to Veterans and their legal spouses, and broader infertility benefits to the legal spouse, if the Veteran has a service-connected condition associated with his or her infertility, with some limitations. As the Veteran population becomes increasingly female, research efforts in reproductive health, including infertility, are expanding and evolving. This includes a nationwide study currently underway examining infertility among male and female Veterans and associations with military-related trauma, such as injury, posttraumatic stress disorder, military sexual trauma, and toxin exposure. In this review, we describe the state of the science and policy on infertility care in the VHA along with challenges and opportunities that exist within the VHA system.


Assuntos
Prestação Integrada de Cuidados de Saúde/legislação & jurisprudência , Infertilidade/terapia , Saúde Reprodutiva/legislação & jurisprudência , Medicina Reprodutiva/legislação & jurisprudência , Técnicas de Reprodução Assistida/legislação & jurisprudência , United States Department of Veterans Affairs/legislação & jurisprudência , Serviços de Saúde para Veteranos Militares/legislação & jurisprudência , Saúde dos Veteranos/legislação & jurisprudência , Feminino , Fertilidade , Regulamentação Governamental , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Formulação de Políticas , Estados Unidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...