Options for acquiring motherhood in absolute uterine factor infertility; adoption, surrogacy and uterine transplantation.
adoption
infertility
surrogacy
transplantation
uterus
Journal
The obstetrician & gynaecologist : the journal for continuing professional development from the Royal College of Obstetricians & Gynaecologists
ISSN: 1467-2561
Titre abrégé: Obstet Gynaecol
Pays: England
ID NLM: 101137555
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
accepted:
04
08
2020
entrez:
12
7
2021
pubmed:
13
7
2021
medline:
13
7
2021
Statut:
ppublish
Résumé
Following the diagnosis of absolute uterine factor infertility (AUFI), women may experience considerable psychological harm as a result of a loss of reproductive function and the realisation of permanent and irreversible infertility.Adoption enables women with AUFI, and their partners, to experience social and legal parenthood, also often providing benefits for the adopted child.Surrogacy offers the opportunity to have genetically related offspring. Outcomes are generally positive in both surrogates and the children born as a result.Uterine transplantation is the only option to restore reproductive anatomy and functionality. While associated with considerable risk, it allows the experience of gestation and the achievement of biological, social and legal parenthood. To gain an understanding of the routes to parenthood available for women with AUFI experiencing involuntary childlessness, such as adoption, surrogacy and, most recently, uterine transplantationTo consider a suggested management plan to facilitate counselling in women with AUFI who experience involuntary childlessness. In the UK, while the number of children requiring adoption continues to increase, the number being adopted from care is decreasing.Some cultures may hold ethical or religious beliefs that surrogacy is unacceptable, and its legal position in many jurisdictions is problematic.Restrictive selection criteria and high costs may limit future availability of uterine transplantation.
Identifiants
pubmed: 34248417
doi: 10.1111/tog.12729
pii: TOG12729
pmc: PMC8252631
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
138-147Informations de copyright
© 2021 The Authors. The Obstetrician & Gynaecologist published by John Wiley Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.
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