Thursday , October 6 2022

ONT, against the uterine transplant "due to innate questions and ethical risks"


Filed 05/12/2018 at 02:31:12CET


The National Transplant Organization (ONT) has been a transplant in the uterus for female non-female reproductive organs, and therefore can not be a child, considering "ethical issues and issues". Receptor and baby like technique.

When talking to Europa Press, the ONT's director, Beatriz Dominguez-Gil, rated the birth rate of the first baby in Brazil with a transplanted uterine donor. Although he believes that "it is an important advance in a technical perspective, he values ​​more" ethical questions ".

"Transplantation of the heart, kidneys or lung organs is a risk of surgery, and at the same time there is a risk associated with the need for therapeutic immunosuppression with a side effect, however, to compensate for the benefit obtained. In order to improve survival and quality of life, patients do not have the chance to live or With the dialect that is being treated, the risk benefit benefit is clearly beneficial, "explains the Director of the ONT. However, transplantation in the uterus does not work equally.

Domínguez-Gil "is not life-saving intervention, questioning whether it improves the quality of life and also reduces the probability of success." "It is intended to complement the mother's mother and a desire to be recognized and respectful, but it is necessary to undergo a two-month surgical intervention (a implant in the uterus and later a successful pregnancy) and a mother's immune suppression due to the health status" justifies it.

In addition, remember that the birth of "fetus" could be a negative impact on the development of the baby that has had a detrimental effect on the effects of immunosuppression. "According to this situation," the risk that maternal and childbearing risks endangering other risks (ending maternal intent) The procedure is "". "In this case, the risk benefit fund does not accept any kind of intervention," garbage.

If his assessment is carried out with the uterine transplant dead or life-giving, Domínguez-Gil points out that in the case of donors, "risks to donors will be added." "In the fall, these risks disappear, but other ethical problems have not been solved, as well as the huge risks of the mother and the fetus," he added.


According to the ONT's director, "this is usually a questionable day", this type of intervention says that Spain "never" does a similar procedure, although "the group has indicated that the program of these characteristics has been launched, but without official request."

If this occurs, it must be considered as an "experimental procedure" that passes through "sharp" phases. First of all, the researchers responsible for the operation have evaluated the Ethical Commissions for Clinical Research and the Center's Ethics Committees in their appropriate centers. In addition, it should be authorized by its autonomous community, and the approval of the Transference Commission between the National System of Health (CISNS).

"Objetively, at all stages, the transplant problem of this kind would be placed on the ethical dilemma table, if the request is considered, it would be considered as an experimental procedure," Domínguez-Gil advanced, "in principle", the position of the ONT would be "very inadequate". "There is no doubt about that," he adds.

In a hypothetical situation, the ONT director believes that this intervention should not be covered with public funds. "We are not referring to a procedure that improves life saving or quality of life, as in other experimental experiments, in this case, we are referring to a risky procedure for a woman's motherhood when there are alternative options that are ethically justified and use public health resources" , concludes.

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