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The Value of Life and Reproductive and Professional Autonomy.

Camb Q Healthc Ethics

November 2024

Professor of Bioethics and Health Research, Centre for Social Ethics and Policy, University of Manchester, Manchester, UK.

This article considers John Harris' work on autonomy, specifically reproductive autonomy, outlined in and developed throughout his career. Harris often used the concept of reproductive autonomy to make the case for liberal approaches to developments in reproductive and genetic technologies. Harris argued that reproductive autonomy should be highly valued, and therefore we need compelling arguments to justify limiting it in anyway.

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The Association of Reproductive and Clinical Scientists (ARCS) has long promoted the importance of externally accredited training and assessment of scientific staff within assisted conception centres to ensure professional registration and relevant training at all levels. This not only gives scientific staff the opportunity to empower themselves but also acts to ensure assisted conception centres maintain the highest standards of care and quality for patients whilst meeting HFEA requirements for staffing and training. It also provides assurance to patients that treatment is being delivered by highly trained and competent staff.

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We sought to find out if information about public funding for regulated donor insemination (DI) was available on UK fertility clinic websites, and if so, what information was provided for same-sex couples and single women; and if the available information was easily readable. The 'Choose a fertility clinic' pages of the Human Fertilisation and Embryology Authority (HFEA) website were used to identify all licensed fertility clinics in the UK, and any available text on public funding for DI treatment was extracted. The Flesch reading ease scores were calculated to determine the readability of the extracted text.

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Article Synopsis
  • IVF add-ons are extra techniques or medicines used to help regular IVF work better, and the UK created a traffic light system to show their effectiveness.
  • Researchers interviewed 73 people, including doctors and patients, to get their thoughts on this traffic light system, and most were supportive but saw some problems.
  • People wanted more details about the add-ons, especially why there were no green options, and believed changes could make the traffic light system better for informing patients.
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Research Question: What implications for policy and practice can be derived from outcomes and trends observed across 8 years of a surrogacy programme in two UK-regulated IVF centres (London, Cardiff)?

Design: Retrospective cohort study analysing surrogacy treatments undertaken between 2014 and September 2021.

Results: Surrogacy continues to rise in popularity in the UK despite the inability of those supporting safe and professional practice to advertise to recruit surrogates. In two IVF centres regulated by the Human Fertilisation and Embryology Authority (HFEA), both the number of surrogacy treatments and the proportion of those undertaken on behalf of same-sex male intended parents increased year on year in the period studied.

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