Consent agreements for cryopreserved embryos: the case for choice
Under current UK law, an embryo cannot be transferred to a woman's uterus without the consent of both of its genetic parents, that is both of the people from whose gametes the embryo was created. This consent can be withdrawn at any time before the embryo transfer procedure. Withdrawal of conse...
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Veröffentlicht in: | Journal of medical ethics 2010-04, Vol.36 (4), p.230-233 |
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description | Under current UK law, an embryo cannot be transferred to a woman's uterus without the consent of both of its genetic parents, that is both of the people from whose gametes the embryo was created. This consent can be withdrawn at any time before the embryo transfer procedure. Withdrawal of consent by one genetic parent can result in the other genetic parent losing the opportunity to have their own genetic children. We argue that offering couples only one type of consent agreement, as happens at present, is too restrictive. An alternative form of agreement, in which one genetic parent agrees to forego the right to future withdrawal of consent, should be available alongside the current form of agreement. Giving couples such a choice will better enable them to store embryos under a consent agreement that is appropriate for their circumstances. Allowing such a choice, with robust procedures in place to ensure the validity of consent, is the best way to respect patient autonomy. |
doi_str_mv | 10.1136/jme.2009.033373 |
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This consent can be withdrawn at any time before the embryo transfer procedure. Withdrawal of consent by one genetic parent can result in the other genetic parent losing the opportunity to have their own genetic children. We argue that offering couples only one type of consent agreement, as happens at present, is too restrictive. An alternative form of agreement, in which one genetic parent agrees to forego the right to future withdrawal of consent, should be available alongside the current form of agreement. Giving couples such a choice will better enable them to store embryos under a consent agreement that is appropriate for their circumstances. Allowing such a choice, with robust procedures in place to ensure the validity of consent, is the best way to respect patient autonomy.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/jme.2009.033373</identifier><identifier>PMID: 20338935</identifier><identifier>CODEN: JMETDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Institute of Medical Ethics</publisher><subject>Agreements ; Artificial insemination, Human ; Autonomy ; Bioethics ; Child welfare ; Choice Behavior - ethics ; Consent ; Couples ; cryobanking of sperm ; Cryopreservation ; cryopreservation of sperm ; Embryo Implantation ; Embryology ; Embryos ; Female ; Fertility ; Gametes ; Genetic aspects ; Government regulation ; Human artificial insemination ; Human Fertilisation and Embryology Act ; Human genetics ; Human rights ; Humans ; In vitro fertilization ; in-vitro fertilisation and embryo transfer ; Informed consent ; Informed consent (Medical law) ; Informed Consent - legislation & jurisprudence ; Informed Consent - psychology ; Law, Ethics and Medicine ; laws and cases ; Laws, regulations and rules ; legal aspects: bills ; Legal consent ; Male ; Medical genetics ; Mothers ; oocytes or embryos ; ova or embryos ; Parents ; Parents - psychology ; Patient Rights - ethics ; Sperm ; Time Factors ; United Kingdom</subject><ispartof>Journal of medical ethics, 2010-04, Vol.36 (4), p.230-233</ispartof><rights>2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright © 2010 BMJ Publishing Group Ltd and the Institute of Medical Ethics</rights><rights>Copyright: 2010 (c) 2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2010, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b553t-e360326095fb88fc4c2aa6689c173011a1adf1f017f395710da0acc3b55248323</citedby><cites>FETCH-LOGICAL-b553t-e360326095fb88fc4c2aa6689c173011a1adf1f017f395710da0acc3b55248323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jme.bmj.com/content/36/4/230.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://jme.bmj.com/content/36/4/230.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>114,115,230,314,776,780,799,881,3183,23550,27901,27902,57992,58225,77342,77373</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20338935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sozou, Peter D</creatorcontrib><creatorcontrib>Sheldon, Sally</creatorcontrib><creatorcontrib>Hartshorne, Geraldine M</creatorcontrib><title>Consent agreements for cryopreserved embryos: the case for choice</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>Under current UK law, an embryo cannot be transferred to a woman's uterus without the consent of both of its genetic parents, that is both of the people from whose gametes the embryo was created. This consent can be withdrawn at any time before the embryo transfer procedure. Withdrawal of consent by one genetic parent can result in the other genetic parent losing the opportunity to have their own genetic children. We argue that offering couples only one type of consent agreement, as happens at present, is too restrictive. An alternative form of agreement, in which one genetic parent agrees to forego the right to future withdrawal of consent, should be available alongside the current form of agreement. Giving couples such a choice will better enable them to store embryos under a consent agreement that is appropriate for their circumstances. Allowing such a choice, with robust procedures in place to ensure the validity of consent, is the best way to respect patient autonomy.</description><subject>Agreements</subject><subject>Artificial insemination, Human</subject><subject>Autonomy</subject><subject>Bioethics</subject><subject>Child welfare</subject><subject>Choice Behavior - ethics</subject><subject>Consent</subject><subject>Couples</subject><subject>cryobanking of sperm</subject><subject>Cryopreservation</subject><subject>cryopreservation of sperm</subject><subject>Embryo Implantation</subject><subject>Embryology</subject><subject>Embryos</subject><subject>Female</subject><subject>Fertility</subject><subject>Gametes</subject><subject>Genetic aspects</subject><subject>Government regulation</subject><subject>Human artificial insemination</subject><subject>Human Fertilisation and Embryology Act</subject><subject>Human genetics</subject><subject>Human rights</subject><subject>Humans</subject><subject>In vitro fertilization</subject><subject>in-vitro fertilisation and embryo transfer</subject><subject>Informed consent</subject><subject>Informed consent (Medical law)</subject><subject>Informed Consent - legislation & jurisprudence</subject><subject>Informed Consent - psychology</subject><subject>Law, Ethics and Medicine</subject><subject>laws and cases</subject><subject>Laws, regulations and rules</subject><subject>legal aspects: bills</subject><subject>Legal consent</subject><subject>Male</subject><subject>Medical genetics</subject><subject>Mothers</subject><subject>oocytes or embryos</subject><subject>ova or embryos</subject><subject>Parents</subject><subject>Parents - psychology</subject><subject>Patient Rights - ethics</subject><subject>Sperm</subject><subject>Time Factors</subject><subject>United Kingdom</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>AVQMV</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUFv1DAQhS0EotuFMydQpB6QkLK1PYkdc0BaIqBIFb1AQVwsxzvZTUjirZ2t2n-PVynbwgVLlseab8Zv_Ah5weiCMRCnbY8LTqlaUACQ8IjMWCYhzXguH5MZBSpSUVB6RI5DaGlcvFBPyRGPeKEgn5Fl6YaAw5iYtUfsYxSS2vnE-lu39RjQX-Mqwb6K9_A2GTeYWBNwYjausfiMPKlNF_D53Tkn3z5--FqepecXnz6Xy_O0ynMYUwRBgQuq8roqitpmlhsjRKEsk0AZM8ysalZTJmtQuWR0ZaixFmI1zwrgMCfvpr7bXdXjykap3nR665ve-FvtTKP_zgzNRq_dteaKM15AbPD6roF3VzsMo-6bYLHrzIBuF7SMf8Igi3tOTv4hW7fzQ5xOM1kwqqQAGql0otamQ90M1g0j3ozWdR2uUcfhywu95DxXXGbZ_v3TibfeheCxPmhnVO_d1NFNvXdTT27GilcPRz7wf-yLwMsJaMPo_IO8UEIKdS-xCVHaIW_8Ly0kyFx_uSy1gJK-__Hzu76M_JuJr_r2v-p-AzRYvyI</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Sozou, Peter D</creator><creator>Sheldon, Sally</creator><creator>Hartshorne, Geraldine M</creator><general>BMJ Publishing Group Ltd and Institute of Medical Ethics</general><general>Institute of Medical Ethics and BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100401</creationdate><title>Consent agreements for cryopreserved embryos: the case for choice</title><author>Sozou, Peter D ; Sheldon, Sally ; Hartshorne, Geraldine M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b553t-e360326095fb88fc4c2aa6689c173011a1adf1f017f395710da0acc3b55248323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Agreements</topic><topic>Artificial insemination, Human</topic><topic>Autonomy</topic><topic>Bioethics</topic><topic>Child welfare</topic><topic>Choice Behavior - ethics</topic><topic>Consent</topic><topic>Couples</topic><topic>cryobanking of sperm</topic><topic>Cryopreservation</topic><topic>cryopreservation of sperm</topic><topic>Embryo Implantation</topic><topic>Embryology</topic><topic>Embryos</topic><topic>Female</topic><topic>Fertility</topic><topic>Gametes</topic><topic>Genetic aspects</topic><topic>Government regulation</topic><topic>Human artificial insemination</topic><topic>Human Fertilisation and Embryology Act</topic><topic>Human genetics</topic><topic>Human rights</topic><topic>Humans</topic><topic>In vitro fertilization</topic><topic>in-vitro fertilisation and embryo transfer</topic><topic>Informed consent</topic><topic>Informed consent (Medical law)</topic><topic>Informed Consent - legislation & jurisprudence</topic><topic>Informed Consent - psychology</topic><topic>Law, Ethics and Medicine</topic><topic>laws and cases</topic><topic>Laws, regulations and rules</topic><topic>legal aspects: bills</topic><topic>Legal consent</topic><topic>Male</topic><topic>Medical genetics</topic><topic>Mothers</topic><topic>oocytes or embryos</topic><topic>ova or embryos</topic><topic>Parents</topic><topic>Parents - 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This consent can be withdrawn at any time before the embryo transfer procedure. Withdrawal of consent by one genetic parent can result in the other genetic parent losing the opportunity to have their own genetic children. We argue that offering couples only one type of consent agreement, as happens at present, is too restrictive. An alternative form of agreement, in which one genetic parent agrees to forego the right to future withdrawal of consent, should be available alongside the current form of agreement. Giving couples such a choice will better enable them to store embryos under a consent agreement that is appropriate for their circumstances. 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subjects | Agreements Artificial insemination, Human Autonomy Bioethics Child welfare Choice Behavior - ethics Consent Couples cryobanking of sperm Cryopreservation cryopreservation of sperm Embryo Implantation Embryology Embryos Female Fertility Gametes Genetic aspects Government regulation Human artificial insemination Human Fertilisation and Embryology Act Human genetics Human rights Humans In vitro fertilization in-vitro fertilisation and embryo transfer Informed consent Informed consent (Medical law) Informed Consent - legislation & jurisprudence Informed Consent - psychology Law, Ethics and Medicine laws and cases Laws, regulations and rules legal aspects: bills Legal consent Male Medical genetics Mothers oocytes or embryos ova or embryos Parents Parents - psychology Patient Rights - ethics Sperm Time Factors United Kingdom |
title | Consent agreements for cryopreserved embryos: the case for choice |
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