高龄妇女生育权与生殖伦理对策  

Reproductive rights and countermeasures of reproductive ethics in elderly women

作　　者：胡蓉[1] 白彩锋[2] 

机构地区：[1]宁夏医科大学总医院生殖医学中心,银川750004 [2]宁夏医科大学,银川750004

出　　处：《生殖医学杂志》2017年第3期207-210,共4页Journal of Reproductive Medicine

基　　金：国家自然科学基金项目(81660257);宁夏自然科学基金重点项目(NZ16125);宁夏回族自治区领军人才(2016);宁夏回族自治区留学人员创新项目(2016)

摘　　要：随着生育年龄的延迟及全面二胎政策的放开,要求再生育的高龄妇女增多。高龄不孕患者实施辅助生殖技术的妊娠结局差,即使成功妊娠孕产期母儿并发症的发生风险也高。如何在帮助高龄不孕夫妇实现再生育愿望的同时,又完全遵循利于患者、保护后代、保证社会公益性等伦理原则,成为生殖医学专家目前关注的医学和伦理热点,并引发出高龄妇女生育权的问题。高龄妇女的生育权作为人的基本权利是合法、合理的,是任何时候都不能剥夺的。高龄夫妇的生育所面临的相关伦理学问题是全社会关注的问题。针对这些生殖伦理问题,在助孕治疗过程中的应对策略有:(1)严格遵守人类辅助生殖技术相关伦理基本原则;(2)健全辅助生殖技术相关法律法规;(3)充分尊重高龄不孕患者的助孕选择权;(4)高龄妇女助孕治疗中辅以心理疏导和生殖伦理辅导;(5)充分发挥伦理委员会及资深医学专家的作用。With the delay in childbearing age and the releasing of the second child policy,more and more elderly patients are seeking for assisted reproductive technology（ART）.Elderly women undergoing ART often have poor pregnancy outcome,such as higher miscarriage rate,higher risk of maternal and neonatal complications.How to help the elderly infertile couples to achieve the reproductive desire,and fully observe the ethical principles aiming at benefiting patients,protecting offspring,ensuring social welfare at the same time,which becomes the medical and ethical hot spots concerned by reproductive medicine experts,and lead to some issues involved in reproductive rights of elderly women.The reproductive right of elderly women as the basic human right is legitimate,and it cannot be deprived at any time.However,the related ethical problems faced by the elderly couples are the concern of the whole society.To cope with these reproductive ethics issues,there are some strategies in the process of assisted reproductive therapy：（1）Strict adherence to the basic principles and the related ethics of human assisted reproductive technology;（2）Establishing the related laws and regulations of reproductive technology;（3）Fully respecting elderly infertile patients＇ rights to select assisted reproductive technology;（4）Supplying psychological and reproductive ethics counseling to the elderly women during the period of therapy;（5）Giving full play to the role of ethics committee and senior medical experts.

关 键 词：高龄生育 生育权 生殖伦理 辅助生殖技术 

分 类 号：R[医药卫生]