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Licence: CC BY: Creative Commons Attribution 4.0 International License
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Options for acquiring motherhood in absolute uterine factor infertility
T2 - adoption, surrogacy and uterine transplantation
AU - Jones, Benjamin
AU - Ranaei-Zamani, Niccole
AU - Vali, Saaliha
AU - Williams, Nicola
AU - Saso, Srdjan
AU - Thum, Meen- Yau
AU - Al-Memar, Maya
AU - Dixon, Nuala
AU - Rose, Gillian
AU - Testa, Giuliano
AU - Johannesson, Liza
AU - Yazbek, Joseph
AU - Wilkinson, Stephen
AU - Smith, J Richard
PY - 2021/4/23
Y1 - 2021/4/23
N2 - Key contentFollowing 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.Learning objectivesTo 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.Ethical issuesIn the UK, whilst 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
AB - Key contentFollowing 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.Learning objectivesTo 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.Ethical issuesIn the UK, whilst 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
KW - adoption
KW - infertility
KW - surrogacy
KW - transplantation
KW - uterus
U2 - 10.1111/tog.12729
DO - 10.1111/tog.12729
M3 - Journal article
VL - 23
SP - 138
EP - 147
JO - The Obstetrician & Gynaecologist
JF - The Obstetrician & Gynaecologist
IS - 2
ER -