Publication Date:
1983-10-14
Description:
In vitro fertilization, in its first 5 years of use, has met minimum standards for efficacy and safety, as judged by published clinical reports. It is becoming more widely available as an approach for overcoming sterility in married couples and appears also to be gaining social acceptance in that context. Several technical options presented by the procedure, particularly storage of frozen embryos and embryo transfers involving third-party contributions, are less fully evaluated clinically and raise social, ethical, and legal questions that go beyond the original medical model for therapeutic intervention. The clinical success of in vitro fertilization and the options it affords call for careful policy consideration. Estimates of costs and of potential demand for and supply of services are provided and the current status of relevant policy in the United States and abroad is discussed.〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Grobstein, C -- Flower, M -- Mendeloff, J -- New York, N.Y. -- Science. 1983 Oct 14;222(4620):127-33.〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/6623063" target="_blank"〉PubMed〈/a〉
Keywords:
Advisory Committees
;
Costs and Cost Analysis
;
Embryo Transfer
;
Ethical Review
;
Ethics
;
Fallopian Tube Diseases/therapy
;
Federal Government
;
Female
;
Fertilization in Vitro/*methods
;
Humans
;
Infertility, Female/therapy
;
Infertility, Male/therapy
;
Legislation, Medical
;
Male
;
Obstetrics/economics/standards
;
Oocyte Donation
;
Pregnancy
;
Resource Allocation
;
*Risk Assessment
;
during its first five years. Efficacy, safety, costs, demand and supply, and
;
feasible extensions of the basic procedure are discussed. The authors contend
;
that, while Australia and Great Britain have made progress toward formulating
;
public policy on IVF, efforts in the United States have not gone beyond a 1979
;
report and recommendations issued by the Department of Health, Education, and
;
Welfare's Ethics Advisory Board. Given the ready clinical and public acceptance
;
of IVF, there is need for an oversight mechanism at the federal level, perhaps
;
via a forum concerned also with the overlapping area of human genetic
;
intervention.
Print ISSN:
0036-8075
Electronic ISSN:
1095-9203
Topics:
Biology
,
Chemistry and Pharmacology
,
Computer Science
,
Medicine
,
Natural Sciences in General
,
Physics
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