Reproductive technologies


What can be done?

(Synthesis of experts texts)

The existing research, while limited, is reassuring. Children conceived by IVF appear to develop psychosocially and emotionally in the same range as naturally conceived children. However, more research is needed to address the psychosocial sequelae of multiple births, longer-term follow-ups and studies on outcomes of cutting-edge IVF technologies.

  • Service-providers need to promote a policy of single embryo replacement to reduce the rate of multiple births, which will in return reduce the workload for neonatal intensive care units and the secondary disability burden on families, the health-care system and our society/economy as a whole.
  • These children should be monitored over the long term in order to anticipate future risks, such as genetic disorders, cancers and reduced fertility, as well as the impact on psychosocial well-being associated with multiple births, women conceiving at an advanced age and the availability of prenatal-genetic diagnosis resulting in so-called “designer babies.”
  • While there are clear differences between embryo donors and birth parents (in the case of adoption), legislators and practitioners need to consider the adoption example with respect to the child’s right to know his or her genetic background, and examine donor- and recipient-related issues, including screening and psychological and legal status of both parties.
  • Policy-makers and practitioners urgently need to address the issue of gamete donation and set reasonable boundaries as the imbalance between supply and demand makes anonymous and commercialized reproduction more readily available and frequent.

 

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