Applying Catholic Responsibility to In Vitro Fertilization: Obligations to the Spouse, the Body, and the Common Good

2012 ◽  
Vol 18 (3) ◽  
pp. 271-286 ◽  
Author(s):  
C. Richie
2020 ◽  
Vol 2 (2) ◽  
pp. 11
Author(s):  
Gehan S. Abdelgelel ◽  
Shadia H. Muhsib ◽  
Mona H. Abdelaal ◽  
Randa M. Ibrahim

Context: Infertility is defined as not being able to conceive after one year of unprotected sex. In vitro fertilization (IVF) is a process of fertilization where an ovum is combined with sperm outside the body, in vitro. In vitro fertilization (IVF) is psychologically and emotionally stressful. Coping strategies are needed to master, tolerate, reduce, or minimize stressful events. Aim: This study aimed to evaluate the effect of nursing guidelines on coping of infertile couples' undergoing In Vitro Fertilization. Methods: A quasi-experimental research design was utilized to achieve the aim of this study. This study conducted at the assisted reproductive technology unit of Ain shams Maternity University Hospital on a convenient sample of 98 couples undergoing fertility treatments. Two tools were used for data collection; the first tool was a structured interviewing questionnaire to assess the couple's socio-demographic data, obstetric history, the couple's knowledge regarding in vitro fertilization. The second tool was ways of coping scale (WQS) to assess coping strategies among the infertile couple. Results: There is no statistically significant difference between couples in both groups according to their knowledge and their coping strategies to IVF before the implementation of nursing guidelines (p> 0.05). In contrast, there is a highly statistically significant improvement in knowledge and coping strategies of couples on the study group compared to control group couples after implementation of nursing guidelines(p<0.001). Conclusion: The finding of the current study supported the hypothesis, which stated that the infertile couples who will expose to the nursing guidelines, will exhibit improved coping strategies to IVF compared to the controls. The study recommended the application of nursing guidelines at the IVF unit of Ain Shams Maternity University Hospital and other settings for IVF treatment as routine care to improve infertile couples' coping strategies.


Author(s):  
Allakhyarov D.Z. ◽  
Petrov Yu.A. ◽  
Palieva N.V.

This article presents reviews of literature sources on the issue of assessing the risk of developing gynecological cancer in women after an in vitro fertilization program. Infertility and infertile marriages have now become quite a big problem of modern medicine. Against the background of the unfavorable demographic situation in the Russian Federation, this problem is becoming quite urgent. The main way to solve this situation is assisted reproductive technologies, among which the most common is in vitro fertilization. The in vitro fertilization program is accompanied by a hormonal ovulation stimulation procedure to obtain a female germ cell capable of fertilization. Against the background of the active use of the in vitro fertilization procedure, many patients had concerns related to the risk of developing gynecological cancer after the IVF procedure, which is due to the use of hormonal drugs to stimulate the ovaries. Also of concern is the fact that certain types of cancer, including ovarian cancer, endometrial cancer and breast cancer, are hormone-dependent. In this regard, multiple large-scale studies were conducted, which showed that the risk of developing gynecological cancer is really increased in patients after the in vitro fertilization program. In particular, breast cancer in women after the in vitro fertilization program is more common by 10%, and in women without a history of pregnancy and over the age of 40, it is more common by 31%. The increased risk may be due to age-related vulnerability to the effects of hormones or higher doses of hormones during the IVF procedure. Ovarian cancer and endometrial cancer are also more common in patients after IVF. According to the research results, it is suggested that it is not the IVF procedure itself that causes the development of cancer, but excessive hormonal load of the body, which leads to the launch of carcinogenesis.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Veronika Günther ◽  
Ibrahim Alkatout ◽  
Corinna Fuhs ◽  
Ali Salmassi ◽  
Liselotte Mettler ◽  
...  

Cytokines are key modulators of the immune system and play an important role in the ovarian cycle. IL-18 levels in serum and follicular fluid were analyzed in women undergoing in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) treatment. The cohort study group consisted of 90 women, who were undergoing IVF or ICSI. The body mass index (BMI) was determined in all patients; IL-18 levels were measured in follicular fluid and serum. IL-18 levels in serum were significantly higher than those in follicular fluid. The median level in serum was 162.75 (80.21) pg/mL and that in follicular fluid, 138.24 (91.78) pg/mL. Women undergoing IVF treatment had lower IL-18 levels in serum (median, 151.19 (90.73) pg/mL) than those treated with ICSI (median, 163.57 (89.97) pg/mL). The correlation between IL-18 levels in serum and BMI was statistically significant, as well as the correlation between IL-18 levels in follicular fluid and ovarian stimulation response (p=0.003). IL-18 was correlated with the response to ovarian stimulation and was the reason for successful pregnancy after IVF or ICSI treatment. Among other cytokines, IL-18 appears to be a promising prognostic marker of success in reproductive treatment and should be evaluated as such in further prospective studies.


Author(s):  
Luke Sunderland

This chapter argues that political thinkers across Europe in the twelfth to fourteenth centuries were negotiating the paradoxes of sovereignty when they elaborated distinctions between kingship and tyranny. New concepts of the just war, necessity, and treason conspired to allow sovereigns to crush opposition or abrogate full powers, suspending the laws. Any king, then, was a tyrant in waiting—hence the fears of political thinkers such as John of Salisbury, Aquinas, and Marsilius of Padua, who attempted to rein in sovereigns by articulating ideals such as the body politic and the common good, which argued for royal responsibilities towards society as a whole. Politics was drifting away from morality, but these writers attempted to recouple them.


2018 ◽  
Author(s):  
Jessica R Zolton ◽  
Rhea Chattopadhyay ◽  
Alan H. DeCherney

Assisted reproductive technology (ART) encompasses all procedures that manipulate the oocytes, sperm, and embryos outside of the body. Decades of research have allowed the field to emerge as a reliable and safe treatment for infertile men and women. Indications for in vitro fertilization (IVF) include tubal factor infertility, anovulation, male factor infertility, and decreased ovarian reserve. Treatment is not limited to the infertile population, as IVF with preimplantation genetic diagnosis also offers patients an opportunity to prevent transmission of a genetic condition for which they have been found to carry. The field of ART continues to rapidly evolve, as more knowledge is gained from studies reporting on ovarian stimulation protocols, reproductive techniques such as intracytoplasmic sperm injection, and blastocyst transfer. Techniques are aimed to improve live birth rates while ensuring the optimal health of children conceived using IVF. This review contains 8 figures, 5 tables and 63 references Key Words: assisted reproductive technology, blastocyst, decreased ovarian reserve, embryo transfer, gonadotropin-releasing hormone agonist, gonadotropin-releasing hormone antagonist, intracytoplasmic sperm injection, luteal phase support, ovarian hyperstimulation syndrome, vitrification


2012 ◽  
Vol 14 (3) ◽  
pp. 400-407
Author(s):  
Christopher Hill

In the Archbishop of Canterbury's Foreword to the findings of the Anglican Communion Legal Advisers' Network, Rowan Williams argues that law is a way of securing two things for the common good: equity and responsibility. Law is against arbitrariness and for knowing who is responsible for this or that. Law in the Church is also about equitable life in the communion of the Body of Christ and the mutual obligations of our interdependence. As Convenor of the Legal Advisers' Network, Canon John Rees observes that their work, which emerged as The Principles of Canon Law Common to the Churches of the Anglican Communion, is not a quick fix to the contemporary problems of the Anglican Communion. Nor is it a covert device for the introduction of a universal canon law for the whole Anglican Communion with an aim to impose covenantal sanctions for churches which do not toe the line.


It seems suitable first to consider the normal mechanism of fertilization and egg-laying in the Lepidoptera (see figure 1). At mating, spermatozoa are intro­duced in one or more little sacs (spermatophores) into the copulatory opening (a) of the female; from there they proceed to the bursa copulatrix (b). After a few hours the membrane of the spermatophores dissolves, and the spermatozoa make their way (either by muscular contraction of the passages or by means of chemical stimuli) through the ductus seminalis (c) into the common oviduct (d) and thence by another fine duct into the receptaculum seminis (g). When a mated female is about to lay, a muscular contraction occurs which pushes each egg towards the ovipore (h); the eggs still in the abdomen of the females, above the single fertile one, remain waiting. During this time meiosis does not occur, the eggs remaining diploid. The stimulus for meiosis starts when the sperm enters the egg through the micropyle as, or just before, it is laid.


2021 ◽  
Vol 16 (1-2) ◽  
pp. 39-46
Author(s):  
Cristina Dobre

The paper examines the problem of in vitro fertilization of the female egg and the male sperm, after which the resulting substance is inseminated into the body of the wife or of a mother engaged for this purpose, and also raises theoretical and practical problems, especially when the couple has not otherwise succeeded in giving birth to a child.


Sympozjum ◽  
2021 ◽  
Vol 25 (2 (41)) ◽  
pp. 45-63
Author(s):  
Konrad Glombik

The problem of consent in the question of the right to life Under particular questions in the field of the right to life occurs the problem of consent which is discussed mainly in the context of legalization of abortion, euthanasia, in vitro fertilization and capital punishment. The question of consent in filed of the right to life is important for the discussions to this theme and is related to the understanding of nature of the right to life, both in juridical and moral perspective. The common accordance in the right to life has an impact on the actual solutions in the range of respect for life and concrete activities and choices of people in this field. The presented paper explains the nature of the consent in the question of the right to life, indicates problematic aspects in this regard and shows some arguments in the process of achievement of common accordance in the problem of the right to life. Wśród szczegółowych zagadnień w obszarze problematyki ochrony prawa do życia występuje zagadnienie konsensu, które jest dyskutowane głównie w kontekście legalizacji ustawodawstwa dotyczącego aborcji, eutanazji, sztucznego zapłodnienia, kary śmierci. Zagadnienie konsensu w kwestii prawa do życia jest kluczowym dla społecznych dyskusji na ten temat i wiąże się z rozumieniem natury prawa do życia, zarówno w perspektywie prawniczej, jak i moralnej. Problem ten ma także znaczenie dla przyjmowanych rozstrzygnięć w zakresie poszanowania życia ludzkiego oraz konkretnych działań i wyborów ludzi w tym obszarze. Niniejszy tekst jest próbą wyjaśnienia istoty konsensu w kwestii prawa do życia, wskazuje na kwestie problematyczne w dyskusjach na ten temat i przedstawia niektóre argumenty w procesie dochodzenia do powszechnej zgody w zakresie prawa do życia.


2020 ◽  
pp. 38-43
Author(s):  
Andrii Serhiiovych Lutskyi

The formation of pinopods occurring in the middle of the luteal phase is a major indicator of the quality of the endometrium. The study is aimed at studying the peculiarities of pinopod formation in the endometrium, depending on the method of maintaining the luteal phase in the treatment of infertility by means of in vitro fertilization. To this end, 50 women being the oocyte donors were examined. They were subdivided into five subgroups depending on the luteal phase support scheme. On the 5th day after receiving oocytes, women underwent endometrial tube biopsy to scan electron microscopy and determine foam events in the endometrium. It has been proven that in patients receiving highly purified progesterone for subcutaneous administration of 25 mg (1 ml) once a day and 90 mg of intra−vaginal progesterone as a gel, normal development of pinopods was observed in 60.0 % of cases. This scheme proved to be the most effective. Therefore, for the success of extracorporeal fertilization, the process of forming pinopods, which depends on the scheme of maintaining the luteal phase of the cycle, is important. It is noted that the common negative features in the formation of pinopods in women during the period of "implantation windows" is a decrease in the number of pinopod events, an increase in the number of foam events, the presence of areas of pinopod absence, mosaicism of their sizes, forms and stages of development. Key words: pinopods, luteal phase support, endometrium, in vitro fertilization.


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