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Opinion of Obstetricians and Gynaecologists on Ethical Issues in the Practice of In-Vitro Fertilisation and Embryo Transfer in Nigeria

R. A. Ajayi, O. J. Dibosa-Osadolor

Abstract

The objective of this study was to bring ethical issues in the practice of in-vitro fertilisation (IVF) in Nigeria to the fore, to determine and articulate the views of Obstetricians and Gynaecologists on treatment modalities and to drive regulation of this specialised field. A plenary session was organised by The Bridge Clinic at the 2010 Society of Gynaecology and Obstetrics of Nigeria (SOGON) annual general meeting. Participants self-administered a 33-point questionnaire on their views on ethical issues in IVF.  The results buttress the conclusions of an earlier publication, clearly indicating that even amongst specialised medical professionals; there are varying views which really cannot be challenged as being either right or wrong as they represent the individuals’ position and his culture. Within the context of our society, ethics and morality especially as they affect patient care can and must be hinged on a code or framework which should be developed, implemented and its implementation monitored by a legally bound regulatory body for the protection of the rights and safety of our patients, their unborn children and for the integrity of our health care systems. (Afr J Reprod Health 2013; 17[1]: 130-136).

Résumé

L'objectif de cette étude était de mettre en évidence les questions éthiques dans la pratique de la fécondation in vitro (FIV) au  Nigéria afin de déterminer et d’exprimer les avis des gynécologues sur les  modalités du traitement et de conduire la réglementation de ce domaine spécialisé. Une séance plénière a été coordonnée par Bridge Clinique au cours de l’assemblée générale annuelle de SOGON 2012 et les participants ont rempli un questionnaire auto-administré contenant 33 points sur leurs points de vue sur les questions éthiques concernant   la FIV. Les résultats ont soutenu les conclusions d'une publication antérieure, prouvant clairement que, même parmi les professionnels médicaux spécialisés, il existe de différents points de vue qui ne peuvent vraiment pas être contestés comme étant soit corrects ou faux, car ils représentent la position de l’individu et  sa culture. Dans le contexte de notre société, l'éthique et  la moralité, surtout  quand cela touchent aux soins des patients, peuvent  et doivent être articulées sur un code ou un cadre qui devrait être élaboré, mis en application et son application doit être contrôlée par un organisme légalement réglementaire pour la protection des droits et la sécurité de nos patientes, de leurs enfants à naître et pour l'intégrité de nos systèmes de soins de santé (Afr J Reprod Health 2013; 17[1]: 130-136).

Keywords: IVF, ethical considerations, IVF controversies, healthcare regulation

 

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