Living Legacy: Brigham Conducts Posthumous Reproduction Survey
Itâ€™s now possible to create a child from the eggs or sperm of a deceased partner, but should we?
3D Sperm image via Shutterstock
Consider this hypothetical: In the early years of a happy marriage, one partner dies in an accident. The couple had talked about having children someday, but theyâ€™d never made any firm plans. Suddenly, the hospital gives the surviving spouse an unexpected choice: Do you want to use your partnerâ€™s geneticÂ material to make a child? You have just 24 hours to decide, because after that, the procedure wonâ€™t work.
Posthumous reproduction has been around since 1980, and scenarios like this arise a few times each year at Brigham and Womenâ€™s Hospital. Until recently, healthcare providers had no clear policy forÂ how to proceed in such emotionally high-stakes situations. Each decision was made on a case-by-case basis, and involved asking tough questions such as: Is this what the spouse would have wanted? Is there risk ofÂ a lawsuit related to the childâ€™s right to inheritance?
Last summer, though, Sara Barton, a fertility specialist at the Brigham, and her colleagues published the first nationwide survey on posthumous reproduction with the goal of helping hospitals develop more specific guidelines.
Barton is scheduled to present her findings this weekend at the annual meeting of the American Society for Reproductive Medicine. She found that nearly half of the 1,049 people surveyed favored retrieving gametes from men. Slightly fewer (43 percent) favored doing so from women. Interestingly, when the question became personal, the response was less positive. Of those polled, 36 percent said theyâ€™d want their own spouse to take their genetic material, while 32 percent said theyâ€™d take their spouseâ€™s.
Bartonâ€™s team also discovered that higher income and education made people more likely to support posthumous reproduction, but gender, race, religion, and region playedÂ only a negligible part in the decision. Older people tended to hold a more negative view, but not to the degree that Barton expected. â€śPerhaps,â€ť she surmises, â€śpeople who are older and have had the opportunity to experience children and family are hesitant to withhold those experiences from a younger generation.â€ť
While the question of posthumous reproduction is rare, Barton advises partners to clarify and document their feelings about the issue. A vast majority (70 percent) of supporters in her study agree that prior written consentÂ is paramount, and the Brigham has now rewritten its policy to require it, putting the hospital at the vanguard of the issue.
Source URL: http://www.bostonmagazine.com/health/blog/2012/10/15/living-legacy-brigham-conducts-posthumous-reproduction-survey/