Slide 1

Reproductive Ethics

Cheryl NienaberFerris State UniversityWinter 2013

1 January 26, 2009

Noah (A) 2 lbs 11 oz Maliyah (B) 2 lbs 12 oz Isaiah (C) 3 lbs 4 oz Nariyah (D) 2 lbs 8 oz Jonah (E) 1 lbs 8 oz Makai (F) 2 lbs 12 oz Josiah (G) 1 lbs 15 oz Jeremiah (H) 2 lbs 11 oz

Noah, Maliyah, Isaiah, Nariyah, Jonah, Makai, Josiah and Jeremiah, eight innocent children thrust into the limelight, just for being born. Even if you do not know the names, you certainly know the story. January 26, 2009 Nayda Suleman, a single mother, gave birth to eight children during her 31st week of pregnancy. The media quickly dubbed her octomom and we were all drawn into the real life drama of this family. This story made national and international headlines; their life story continues to create heated debates2Upon completion of the seminar, the student will be able to:

Provide ethical terms and definitions to support their view on the topic.

Reflect on prior personal experiences and identify ways to handle ethical situations in the future.

Accept a willingness to consider other points of view even when they do not reflect your own.

Seminar Outcomes:

Roys Adaptation Theory

Self Concept-Group IdentityRole Function

Deontological Theory

Immanuel KantW. D. Ross

Alligood, M., & Tomey, A. (2010) \ Edge, R., & Groves, J. (2006) Theories to Consider

Egg/Sperm Collection

Held in Clinic up to 5 Days

Average Price $12,400 per Cycle

Success Rate 22.4% (Age Dependant) Todd, 2012What is IVF

The IVF Industry's Dirty Little Secret: "Selective Reduction" http://youtu.be/PBpJ-Xio5YY

Elective ReductionWatch the first 3 minutes of the attached you-tube video to witness the process of elective reduction.

What is the Correct number of Embryos to Implant?

Number of Previous ChildrenSafetyAge of MotherCost Factors McClimans, (2009). Orentlicher, (2010).

Concepts/Ideas

How did we get to this point?

Cost

Autonomy

Core Values

Consequentialism Data/Info/Evidence

http://msnbcmedia4.msn.com/j/MSNBC/Components/Photo/_new/090529-jon-kate-vmed.widec.jpg

Which Embryo(s) is/are RemovedWho Decides

What If

Point of View/Assumptions

www.yalescientific.org/2012/05/the-more-the-merrier-limiting-the-number-of-embryo-implantations/)

Abortion vs Elective Reduction

Judge and JuryInferences/Interpretation

Autonomy

Welfare of Children

EnvironmentImplications/Consequences

Standards of Professional Performance

Standard 7 Ethics

Standard 12 Leadership

Standard 14 Professional Practice Evaluation ANA Standards

Current Policy

Best Evidence Practice

Review Policies of Other Countries

Reduce Cost of IVF Recommendations for Quality and Safety Improvements

Can you provide ethical terms and definitions to support your view elective reduction?

Can you reflect on prior personal experiences and identify ways to handle ethical situations in the future?

Can you accept a willingness to consider other points of view even when they do not reflect your own?

Personal Decisions

Alligood, M., & Tomey, A. (2010). Nursing theorists and their work (7th Ed.). Maryland Heights, MO: Mosby Elsevier.American Nurses Association [ANA] (2010). Nursing: Scope & standards of practice (2010 Ed.). Silver Spring, MD: Nursesbooks.org.Edge, R., & Groves, J. (2006). Ethics of health care: A guide for clinical practice (3rd Ed.). Clifton Park, NY:Delmar.McClimans, L. (2009). Elective twin reductions: evidence and ethics. Bioethics, 24 (60), 295-303.Orentlicher, D. (2010). Multiple embryo transfers: time for policy. Hastings Center Report. 40 (3), 12-13.Reference