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      Reviewing the womb

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          Abstract

          Throughout most of human history women have been defined by their biological role in reproduction, seen first and foremost as gestators, which has led to the reproductive system being subjected to outside interference. The womb was perceived as dangerous and an object which husbands, doctors and the state had a legitimate interest in controlling. In this article, we consider how notions of conflict surrounding the womb have endured over time. We demonstrate how concerns seemingly generated by the invisibility of reproduction and the inaccessibility of the womb have translated into similar arguments for controlling women, as technology increases the accessibility of the female body and the womb. Developments in reproductive medicine, from in vitro fertilisation (IVF) to surrogacy, have enabled women and men who would otherwise have been childless to become parents. Uterus transplants and ‘artificial wombs’ could provide additional alternatives to natural gestation. An era of ‘womb technology’ dawns. Some argue that such technology providing an alternative to ‘natural’ gestation could be a source of liberation for female persons because reproduction will no longer be something necessarily confined to the female body. ‘Womb technology’, however, also has the potential to exacerbate the labelling of the female body as a source of danger and an ‘imperfect’ site of gestation, thus replaying rudimentary and regressive arguments about controlling female behaviour. We argue that pernicious narratives about control, conflict and the womb must be addressed in the face of these technological developments.

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          An extra-uterine system to physiologically support the extreme premature lamb

          In the developed world, extreme prematurity is the leading cause of neonatal mortality and morbidity due to a combination of organ immaturity and iatrogenic injury. Until now, efforts to extend gestation using extracorporeal systems have achieved limited success. Here we report the development of a system that incorporates a pumpless oxygenator circuit connected to the fetus of a lamb via an umbilical cord interface that is maintained within a closed ‘amniotic fluid' circuit that closely reproduces the environment of the womb. We show that fetal lambs that are developmentally equivalent to the extreme premature human infant can be physiologically supported in this extra-uterine device for up to 4 weeks. Lambs on support maintain stable haemodynamics, have normal blood gas and oxygenation parameters and maintain patency of the fetal circulation. With appropriate nutritional support, lambs on the system demonstrate normal somatic growth, lung maturation and brain growth and myelination.
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            Fetal Images: The Power of Visual Culture in the Politics of Reproduction

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              Arrests of and Forced Interventions on Pregnant Women in the United States, 1973–2005: Implications for Women's Legal Status and Public Health

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                Author and article information

                Journal
                J Med Ethics
                J Med Ethics
                medethics
                jme
                Journal of Medical Ethics
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                0306-6800
                1473-4257
                December 2021
                29 July 2020
                : 47
                : 12
                : 820-829
                Affiliations
                [1] departmentCentre for Social Ethics and Policy, Department of Law , University of Manchester , Manchester, UK
                Author notes
                [Correspondence to ] Elizabeth Chloe Romanis, Centre for Social Ethics and Policy, University of Manchester Manchester School of Law, Manchester M13 9PL, UK; elizabeth.romanis@ 123456manchester.ac.uk
                Author information
                http://orcid.org/0000-0002-8774-4015
                Article
                medethics-2020-106160
                10.1136/medethics-2020-106160
                8639904
                32727855
                df39b14b-d15a-41ff-a039-6fd0d691ea49
                © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

                History
                : 27 February 2020
                : 19 May 2020
                : 08 June 2020
                Funding
                Funded by: Institute of Medical Ethics;
                Funded by: FundRef http://dx.doi.org/10.13039/100004440, Wellcome Trust;
                Award ID: 208245/Z/17/Z
                Categories
                Extended Essay
                1506
                Custom metadata
                unlocked

                Ethics
                women,interests of woman/fetus/father,reproductive medicine,embryos and fetuses,social control of science/technology

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