Ethics of artificial wombs: missing angles and special concerns Sophya Yumakulov, BHSc, Gregor Wolbring, PhD Faculty of Medicine, University of Calgary, Calgary, AB, CANADA We acknowledge the support of the Wolb-Pack [email protected], [email protected]

Artificial womb technology Discourses Around Artificial Wombs The Global Perspective

technology (AWT): man- The Advantages Disadvantages Keeping preterm babies alive[99] AWT would undermine women’s The Global Perspective is lacking in this made technology that can gestate a .  AWT can end the abortion debate – allowing women to Safer environment for the fetus[100] right to decide when/how to become literature, even though artificial womb Progress to date: Potential for in utero[100] mothers[3] terminate pregnancy without technology has implications on a global scale. 1986-1997 – artificial perfusion of needing to kill the fetus[3] Saving IVF embryos[4] Risks of removing a fetus from Replace , for women unable womb[3] uteri in Italy[1] AWT will NOT end the abortion debate, because women who seek to have offspring[5] Men taking over uniquely female 1996 – Kubawara et al gestate goat abortion are trying to end not only Liberate women from negative effects function/experience[3] Global Health – AWT has the potential to increase fetus in artificial for 3 pregnancy but motherhood [3] of pregnancy and birth = gender Men gaining complete control over inequities between Southern and Northern weeks[2] equality[6-8] reproduction and women’s bodies[9] Reduced women’s status to countries, creating differences between countries 2002 – Hung Ching Liu et al design http://myk15.blogspot.ca/2004/12/japanese-pioneers- laborers, sex providers and that can afford it and countries that cannot, in terms raise-kid-in-rubber.html What is missing? human and grow embryos for breeders[10] Currently perspectives are mainly limited to of maternal/child health and reproductive health 6 days[2] American feminism Medical tourism and outsourcing – controversial Can be developed indirectly by the Consideration of future possibilities Such “far-fetched” possibilities are technologies such as IVF and stem cell research are  not considered or discussed in eventual meeting of IVF technology Further medicalization of reproduction taken up by countries that have more lenient (allowing embryos to survive in vitro longer Reproductive technologies are seen as women’s current artificial womb literature, “rights” in industrialized countries, but this may even though these visions of the regulations (eg. Lebanon, India) and use them as a and longer) and neonatal technology http://farm4.static.flickr.com/3545/3441035507_ not be true of other places (eg. used for genocide 23291db642_o.jpg future are not far-fetched at all; they national source of income. AWT can easily be or infanticide) (allowing premature to survive at have precedents in today’s world, included in this enterprise. younger and younger stages)[1] Government-sponsored reproduction Combined with = custom and they can be reached by simple Regulating reproduction – for highly populated humans logical steps from where we are countries where reproduction is already being In places where reproduction is controlled by today. certain groups (ie. males), AWT would be controlled, and where women might be in short Study Purpose: accepted, threatening women’s right. supply (eg. China). AWT also opens doors to genetic Research Timeline manipulations and “designer babies”. To understand the scope of research, discussion, The Fate of Women – exacerbating women’s rights

and discourse around artificial womb technology, Geography of Research 2010 issues already present in many countries, AWT will including special challenges for , women’s shift the cultural perceptions of women and their issues, and global health. roles in society, especially where a woman’s value is

UK 5% measured by her ability reproduce, “bear sons”, etc. US Israel 4% 2000 Methods 63%

Review of literature related to AWT Australia References

Databases 14% 1990 1. Simonstein, F.,Mashiacheizenberg,M. (2009). The artificial womb: A pilot study ScienceDirect, Compendex, IEEE, Communication Abstracts, Scopus, considering people's views on the artificial womb and in israel. Cambridge OVID(All), EBSCO(All), Academic One File, Web of Science, and JSTOR Quarterly of Healthcare Ethic, 18, 87-94. Types of Articles 2. Bulletti, C Palagiano, A Pace, C Cerni, A Borini, A de Ziegler,D. (2011). The artificial womb. REPRODUCTIVE SCIENCE, 1221, 124-128. 90 3. Langford, S. (2008). An end to abortion? A feminist critique of the 'ectogenetic solution' Search Term 80 80 to abortion. WOMENS STUDIES INTERNATIONAL FORUM, 31, 263-269. “artificial womb” 70 4. Reiber, D. T. (2010). The morality of artificial womb technology. National Catholic 60 Bioethics Quarterly, 10(3), 515-528.

1980 50 5. Shanley, M. L. (1993). Surrogate mothering and women's freedom: A critique of contracts Inclusion/Exclusion Criteria 40 for human reproduction. Signs, 18(3), 618-639. 6. Sander-Staudt, M. (2006). Chapter eight: OF MACHINE BORN? A FEMINIST ASSESSMENT Include: English-language, primary research, conceptual pieces, reviews, 30 23 OF ECTOGENESIS AND ARTIFICIAL WOMBS. Ectogenesis 20 15 13 academic newsletters, book chapters, book reviews 8 7. Woolfrey, J. (2006). Chapter nine: ECTOGENESIS: LIBERATION, TECHNOLOGICAL TYRANNY, 10 3 3 Exclude: Non-English, pure technical, no PDF-link 1 1 OR JUST MORE OF THE SAME? Ectogenesis 0 8. Weinberg, J. K. (1988). Abortion, technology and the law. The Women's Review of Books, 194 articles found, 133 included. 6(3), 9-10 9. Cannold, L. (2006). Chapter four: WOMEN, ECTOGENESIS, AND ETHICAL THEORY. 1970

Ectogenesis

Analysis 10. Rowland, R. (1985). A child at any price?. an overview of issues in the use of the new

6 8 4

2 reproductive technologies, and the threat to women. Women's Studies Int. Forum, 8(6), 12

Use Atlas.ti ver. 7 to perform content analysis, find themes, and organize 10 539-546. data. Number of articles