辅助生殖技术中单胚胎移植的伦理考量  

Ethical Reflections on Single Embryo Transfer in Assisted Reproductive Technology

作　　者：林若芸[1] 张波[1] 冯贵雪[1] 

机构地区：[1]广西壮族自治区妇幼保健院生殖中心,广西南宁530003

出　　处：《医学与哲学（A）》2016年第10期29-31,40,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

摘　　要：人类辅助生殖技术已跨入以高效、安全为主题的时代,而因辅助生殖治疗造成高概率的多胎妊娠的伦理问题也更加突出。公众乃至专科工作者都低估多胎妊娠的复杂性和其潜在的对母婴的严重危害,在具体的工作中也存在保证妊娠率与并发医源性多胎妊娠的矛盾,因此在临床工作中如何贯彻执行伦理原则依然存在诸多困惑。研究证实,降低多胎妊娠的根本性防控措施是施行单胚胎移植,基于此,从伦理学角度,对单胎移植能否解决医源性多胎妊娠进行探讨。The assisted reproductive technology （ART） has entered an efficient and safe period, while the ethical problems of multiple pregnancies caused by assisted reproductive treatment are still prominent. The complexity of multiple pregnancies and its potential serious harms to mother and infant are underestimated. Also there is contradiction between the pregnancy rate and the multiple pregnancies in specific cases. Thus, how to implement ethical principles in the clinical practice is the real challenge for applying ART. There were researches confirmed that the fundamental measure to reduce the number of multiple pregnancies was to perform the single embryo transfer. Based on these, the ethical issues on improving the safety of mother and infant by single embryo transfer were investigated and summarized.

关 键 词：单胚胎移植 多胎妊娠 母婴安全性 

分 类 号：R-052[医药卫生]