The Use of Public Health Evidence in Whole Woman’s Health v Hellerstedt

JAMA Intern Med. 2017;177(2):155-156.
Author: Daniel Grossman
“Enacted in 2013, Texas’s House Bill 2 (HB 2) was one of the most restrictive abortion laws in the country. The law had 4 provisions: (1) physicians providing abortion had to have admitting privileges at nearby hospitals, (2) medication abortion had to be provided according to the protocol described in the US Food and Drug Administration (FDA)-approved labeling of mifepristone, (3) most abortions at 20 weeks postfertilization or later were banned, and (4) facilities providing abortion had to meet the standards of ambulatory surgical centers. The first 3 provisions went into effect by November 2013; the fourth provision, meeting the standards of ambulatory surgical centers, was enforced only briefly in October 2014 before the US Supreme Court issued a stay.”
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Uneasy About the Ethics of Egg Donation

The Atlantic, 17 January 2017
Author: Chris Bodenner
“The following reader tells the story of her long battle with infertility that culminated with the successful use of donated eggs. But despite the happy ending, she struggles with uneasy questions about the ethics of the donor industry and the “massive resentment” she harbors toward her husband.”
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Texas rule requiring burial or cremation of fetal tissue shames women, suit says

The Guardian, 13 December 2016
Author: Tom Dart
“The lawsuit against the Texas department of state health services (DSHS), filed in federal court in Austin, alleges that the regulation has no medical benefits, will pose practical burdens by increasing the cost of healthcare services and is an attempt to stigmatise abortion and heap shame on women seeking the procedure.”
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Commentary: Selling unproved fertility treatments to women desperate for a baby may be unethical

BMJ 2016; 355: i6434
Author: Jody Day
“We are living in a time of amplified pronatalist ideology: in one generation the most shamed female stereotype has shifted from being an unmarried mother to being a crazy cat lady—that is, a single, childless woman. Pregnant celebrities grace the covers of women’s magazines, something that would have been seen as private and not alluring as recently as the 1970s. Gushing interviews with new mothers feature variations on “it’s the most meaningful thing I’ve ever done” meme, eclipsing women’s other accomplishments.”
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I would have given anything to have a baby. But what does IVF really cost?

The Guardian, 30 November 2016
Author: Jessica Hepburn
“Reproductive science is big business but seems to be avoiding the ethical microscope. A study by Oxford University’s Centre for Evidence-Based Medicine into 27 such treatments has found that 26 have no good scientific proof of success. Some may even cause you harm. Professor Carl Heneghan, who oversaw the study, said it was one of the worst examples of healthcare practice he had ever seen in this country.”
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IVF clinics caught making false and misleading claims about success rates

SMH, 14 November 2016
Author: Julia Medew
“Some of Australia’s leading IVF clinics have been caught advertising false or misleading information about their success rates in what the Australian Competition and Consumer Commission has described as a “race to the bottom” targeting vulnerable people.”
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Buying and selling human eggs: infertility providers’ ethical and other concerns regarding egg donor agencies

BMC Medical Ethics 2016 17:71
Author: Robert Klitzman
“Egg donor agencies are increasingly being used as part of IVF in the US, but are essentially unregulated, posing critical ethical and policy questions concerning how providers view and use them, and what the implications might be.”
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Why Aren’t More U.S. Doctors Providing The ‘Abortion Pill’ To Their Patients?

Forbes, 4 November 2016
Author: Rita Rubin
“When the Food and Drug Administration approved Mifeprex 16 years ago, advocates assumed that the so-called abortion pill would improve U.S. women’s access to pregnancy termination.”
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‘Social’ egg freezing and the UK’s statutory storage time limits

J Med Ethics 2016; 42: 738-741
Author: Emily Jackson
“This article argues that the statutory time limits upon the storage of gametes have unintended and perhaps even perverse consequences for women freezing their eggs as insurance against age-related fertility decline. They work against good clinical practice and potentially represent an interference with a woman’s right to respect for her family life, which is neither necessary nor proportionate. My claim will be that the statutory time limit, and the options for extension, are no longer fit for purpose.”
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