Biomedical ethical analysis of patients' perspectives on posthumous reproduction in a gynecology and obstetrics clinic.

Abstract

Background: This study explores the perspectives of patients attending a gynecology and obstetrics clinic in Türkiye regarding posthumous reproduction from a biomedical ethics standpoint. To examine the bioethical issues about the subject related surviving spouses and potential children may face.

Methods: A cross-sectional and descriptive survey was conducted between May 1, 2023, and August 1, 2023. A total of 200 women visiting the Kırşehir Ahi Evran University Gynecology and Obstetrics Clinic participated in face-to-face interviews. The survey comprised 20 questions aimed at evaluating participants' views on posthumous reproduction. Data were analyzed using SPSS 25 software, and the Chi-square test was applied, with statistical significance set at p < 0.05.

Results: Of the participants, 59.5% opposed a woman having a child using a preserved embryo after her husband's death, while 75.5% disapproved of a man having a child through a surrogate after his wife's death. Additionally, 55% supported a woman's reproductive rights in such cases, whereas 57% objected to a man exercising the same right. Concerns about the potential negative impact on children ranged from 50% to 57.5%. The majority believed that posthumous reproduction should only be ethically permissible if the deceased had provided explicit consent beforehand.

Conclusion: Findings indicate that perspectives on posthumous reproduction are influenced by social, cultural, and ethical considerations. Turkish society generally maintains a reserved and critical stance on this issue, with stronger opposition to male surrogacy. The ethical and legal implications of posthumous reproduction highlight the need for legal regulations and public awareness initiatives.