Rethinking advanced motherhood: a new ethical narrative.

IF 2.3 2区 哲学 Q1 ETHICS
Medicine Health Care and Philosophy Pub Date : 2023-12-01 Epub Date: 2023-09-03 DOI:10.1007/s11019-023-10172-w
Eva De Clercq, Andrea Martani, Nicolas Vulliemoz, Bernice S Elger, Tenzin Wangmo
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Abstract

The aim of the study is to rethink the ethics of advanced motherhood. In the literature, delayed childbearing is usually discussed in the context of reproductive justice, and in relationship to ethical issues associated with the use and risk of assisted reproductive technologies. We aim to go beyond these more "traditional" ways in which reproductive ethics is framed by revisiting ethics itself through the lens of the figure of the so-called "older" mother. For this purpose, we start by exploring some of the deep seated socio-cultural discourses in the context of procreation: ageism, ableism and the widespread bias towards geneticism and pronatalism. Afterwards, we provide a critical overview of the key arguments against or in support of advanced motherhood. We then briefly discuss how entrenchment by both sides has produced an impasse in the debate on the ethics of advanced motherhood and proceed by arguing that it is fundamental to bring about a change in this narrative. For this purpose, we will revisit the feminist usage of the concept of vulnerability which will allow us both to criticize culturally prescribed norms about motherhood and to address the painful reality of age-related fertility decline. In the last section, we argue that instead of defining "older" motherhood as an ethical problem, we should problematize the fact that female reproductive ageing is an understudied and ill-sourced topic. We believe that allocating resources to research to better understand female reproductive ageing is not only ethically permissible, but might even be ethically desirable.

反思高龄产妇:新的伦理叙事。
本研究的目的是重新思考高龄产妇的伦理问题。在文献中,延迟生育通常是在生殖正义的背景下以及与辅助生殖技术的使用和风险相关的伦理问题中讨论的。我们的目标是通过所谓 "高龄 "母亲的视角来重新审视伦理学本身,从而超越这些较为 "传统 "的生殖伦理学框架。为此,我们首先探讨了生育方面一些根深蒂固的社会文化论述:年龄歧视、能力歧视以及普遍存在的遗传歧视和代孕歧视。随后,我们对反对或支持高龄产妇的主要论点进行了批判性概述。然后,我们简要讨论了双方的固执己见是如何使关于高龄产妇伦理的辩论陷入僵局的,并进而论证了改变这种说法的根本意义。为此,我们将重新审视女性主义对 "脆弱性 "概念的使用,这将使我们既能批评文化上规定的母性规范,又能应对与年龄相关的生育力下降这一痛苦的现实。在最后一部分,我们认为,与其将 "高龄 "母亲定义为一个伦理问题,不如将女性生殖老龄化是一个研究不足、资源匮乏的话题这一事实问题化。我们认为,为更好地了解女性生殖老龄化问题分配研究资源不仅在伦理上是允许 的,甚至在伦理上可能是可取的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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