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Positioning uterus transplantation as a more ethical alternative to surrogacy: Exploring symmetries between uterus transplantation and surrogacy through analysis of a Swedish government white paper
Linköping University, Department of Thematic Studies, Technology and Social Change. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0001-8344-0308
Univ Lancaster, England.
2018 (English)In: Bioethics, ISSN 0269-9702, E-ISSN 1467-8519, Vol. 32, no 8, p. 509-518Article in journal (Refereed) Published
Abstract [en]

Within the ethics and science literature surrounding uterus transplantation (UTx), emphasis is often placed on the extent to which UTx might improve upon, or offer additional benefits when compared to, existing treatment options for women with absolute uterine factor infertility, such as adoption and gestational surrogacy. Within this literature UTx is often positioned as superior to surrogacy because it can deliver things that surrogacy cannot (such as the experience of gestation). Yet, in addition to claims that UTx is superior in the aforementioned sense it is also often assumed (either implicitly or explicitly) that UTx is less fraught with ethical difficulties and thus should be considered a less morally problematic option. This article seeks to examine this assumption. Given that much UTx research has been performed in Sweden, a country where surrogacy is effectively although not currently explicitly forbidden, we do this through an analysis of the arguments underpinning a 2016 Swedish white paper which considered amending existing policy such that altruistic surrogacy arrangements would be permitted. By applying the white papers arguments for a restrictive position on altruistic surrogacy to the case of UTx using living altruistic donors we find that such arguments, if they hold in the case of surrogacy, apply similarly to UTx. We thus suggest that, for reasons of consistency, a similar stance should be taken towards the moral and legal permissibility of these two practices.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 32, no 8, p. 509-518
Keywords [en]
consistency; legislation and policy; reproductive ethics; surrogacy; transplantation ethics; uterus transplantation
National Category
Ethics
Identifiers
URN: urn:nbn:se:liu:diva-152390DOI: 10.1111/bioe.12469ISI: 000447264100005PubMedID: 30048000OAI: oai:DiVA.org:liu-152390DiVA, id: diva2:1259628
Note

Funding Agencies|Wellcome Trust

Available from: 2018-10-30 Created: 2018-10-30 Last updated: 2019-11-26

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Guntram, Lisa
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CiteExportLink to record
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Citation style
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  • Other style
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Language
  • de-DE
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  • en-US
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  • nn-NB
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  • Other locale
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Output format
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  • asciidoc
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