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Reproductive Technologies

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Title: Reproductive Technologies


1
Reproductive Technologies
2
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3
Reproductive Ethics
  • Youre the Counselor!!Case 6.1
  • How would you counsel a couple who had come to
    you for advice on dealing with infertility?
  • Emotional Factors
  • Moral Issues

4
Different Technologies to Make a Baby
  • Inter-Uterine Insemination
  • By Husband
  • By Donor (also egg donation)
  • In Vitro Fertilization Family
  • GIFT (Gamete Intrafallopian Transfer),
    Z(zygote)IFT, IVF
  • Surrogate Motherhood
  • ICSI (Sperm Injection)

5
Types of Surrogate Motherhood
  • Genetic--surrogate provides egg and womb
  • Gestational--surrogate only provides womb
  • Commercial--done for a 10,000-50,000 fee plus
    expenses
  • Altruistic--done for expenses only

6
Theological Foundations
  • Medical Technology in Theological Perspective
  • Dominion Mandate (Gen. 1-2)
  • Impact of the Entrance of Sin
  • Stewardship over Creation
  • Place of General Revelation and Common Grace
  • Must Evaluate the Uses of Technology

7
Theological Foundations
  • Genesis 1-2--The Context for Procreation
  • Permanent, monogamous, heterosexual marriage
  • Novel ways of procreation in the OT
  • Surrogacy
  • Levirate Marriage
  • Polygamy
  • Other violations of the norm in Genesis 1-2
  • Divorce

8
Theological Foundations
  • Use of Gen. 1-2 by NT Authors
  • Romans 1
  • I Timothy 2
  • I Cor. 11
  • Matt. 19
  • Conclusion---Genesis account of creation carries
    great weight with NT authors.

9
Theological Foundations
  • Sacredness of Human Life--Being in the Image of
    God
  • Continuity of Personal Identity from Earliest
    Points of ones life
  • Psalm 139, Psalm 51 (Exodus 21 22-25)
  • Doctrine of the Incarnation
  • Embryos and Biblical Teaching

10
Moral Status of Fetuses and Embryos
  • Thesis Personhood begins at conception
  • Common views of a person assume a continuity of
    personal identity from the earliest points of
    pregnancy
  • Personhood is a matter of essence, not function.
    Personhood is not a degreed property.
  • The difference between an embryo in the lab and
    and fetus in the womb is one of location

11
Moral Status of Fetuses and Embryos
  • All adult persons are the result of a continuous
    process of development that begins at conception.
  • There is no ontologically or morally relevant
    break in the process from conception to birth.
  • Thus, one is a person from conception forward.

12
Theological Parameters--Summary
  • Sanctity of Marriage
  • Sacredness of life from conception onward
  • Be fruitful and multiply
  • Rescuing the vulnerable
  • Adoption as the metaphor for our relationship
    with God
  • Technology a qualified good

13
Catholic Reproductive Ethics
  • Key distinction assisting vs. replacing normal
    sex in marriage
  • Inseparable connection between the unitive and
    procreative aspects of sex
  • it is never permitted to separate these
    different aspects so such a degree as positively
    to exclude either the procreative intention or
    the conjugal relation.

14
Catholic Reproductive Ethics
  • Menopause??
  • Scripture treats the unitive element of sex as a
    sufficient end (I Corinthians 7, Song of Solomon)
  • Rhythm Method of birth control could compromise
    this separation.
  • Genesis 1-2 require procreation in the sphere of
    marriage, not sexual relations.

15
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17
Case 6.2--for Discussion
  • Couple married 4 years.
  • Man infertile due to untreated mumps as a kid.
  • Wife wants a sperm donor so she can have her own
    child.
  • Husband is uneasy about having a procreative
    pinch hitter.

18
Cases for Discussion
  • Couple married for 6 years.
  • Married when older so started trying to conceive
    immediately
  • Trying for 4 years.
  • Physician recommends an egg donor since wife is
    in her early 40s.

19
Questions About Specific Technologies
  • Problems with the IVF Family
  • Disposition of Leftover Embryos
  • Selective Termination of Pregnancies
  • Problems with Surrogate Motherhood
  • Is it the sale of children?
  • In gestational surrogacy, who is the mother?
  • Potential legal problems
  • Contested Custody
  • Genetic Abnormality

20
Surrogacy Case-Case 6.3
  • Couple married for 10 years, trying for 6 years
  • Conceived through IVF--triplets.
  • Miscarried the triplets and had massive uterine
    hemorrhage.
  • Underwent emergency hysterectomy
  • They have 5 embryos left in storage from IVF
  • They want to hire a surrogate to carry them

21
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22
The Brave New World
  • Human Procreative Cloning
  • Artificial Wombs
  • Fetal Egg Donors
  • Gender Selection
  • Designer Embryos
  • Postmenopausal Pregnancies
  • Brain Death and Pregnancy
  • Posthumous Procreation
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