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Titolo:
Gamete retrieval in terminal conditions
Autore:
Finnerty, JJ; Thomas, TS; Boyle, RJ; Howards, SS; Karns, LB;
Indirizzi:
Univ Virginia, Hlth Sci Ctr, Dept Obstet & Gynecol, Charlottesville, VA 22908 USA Univ Virginia Charlottesville VA USA 22908 Charlottesville, VA 22908 USA Univ Virginia, Hlth Sci Ctr, Dept Neonatol, Charlottesville, VA 22908 USA Univ Virginia Charlottesville VA USA 22908 Charlottesville, VA 22908 USA Univ Virginia, Hlth Sci Ctr, Dept Urol, Charlottesville, VA 22908 USA UnivVirginia Charlottesville VA USA 22908 Charlottesville, VA 22908 USA
Titolo Testata:
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
fascicolo: 2, volume: 185, anno: 2001,
pagine: 300 - 307
SICI:
0002-9378(200108)185:2<300:GRITC>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRACYTOPLASMIC SPERM INJECTION; OVARIAN TISSUE; CRYOPRESERVATION; TRANSPLANTATION; FERTILIZATION; TECHNOLOGY; DEATH;
Keywords:
gamete retrieval; terminal conditions; sudden death; technical and ethical considerations;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Finnerty, JJ Univ Virginia, Hlth Sci Ctr, Dept Obstet & Gynecol, POB 800712, Charlottesville, VA 22908 USA Univ Virginia POB 800712 Charlottesville VA USA 22908 908 USA
Citazione:
J.J. Finnerty et al., "Gamete retrieval in terminal conditions", AM J OBST G, 185(2), 2001, pp. 300-307

Abstract

There has been a growing interest and requests by patients facing intensive chemotherapy or surgically ablative procedures for gamete retrieval and preservation for future procreative efforts. There are technical difficulties in this area but little ethical discomfort. More troubling are the issuesthat arise with a terminally ill, incapable patient-one who is in a persistent vegetative state or who is declared brain dead or who is neurologically devastated with no hope for recovery, but not yet in either of the above states-or with a person who has suddenly died. In these cases, the surviving spouse, partner, or family members may request gamete retrieval for future reproductive efforts. Discussion of this topic within the Ethics Consultation Service at the University of Virginia demonstrated a need for development of insight derived from facts and ethical deliberation to help formulate a policy that would apply to such cases. A group was assembled with the expertise to explore the issue and to help formulate a policy that could be suggested for adoption by the hospital administration. The group consisted of a urologist with experience in sperm retrieval from terminally ill patients; the director of the laboratory supporting the assisted reproductive facility in the Department of Obstetrics andGynecology; the chairperson of the Ethics Consultation Service (who is also a neonatologist); and 2 members of the Ethics Consultation Service, one agenetic counselor and the other an obstetrician-gynecologist with a master's degree in biomedical ethics. Current literature was reviewed, the expertise of the urological member and the reproductive laboratory director was explored, and the insight of themembers of the Ethics Consultation Service was added. We explored the technical aspects of both male and female gamete retrieval and preservation andthe reproductive potential of these stored gametes. We present a review ofthe current literature on both the technical and ethical aspects of the topic. Finally, we present a policy that we deem acceptable for adoption and that should be of value to other practitioners and facilities as they contemplate facing requests for gamete retrieval.

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Documento generato il 25/11/20 alle ore 17:15:12