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Biomedical subjects

P Delbon

Publications and source records attributed to P Delbon.

2 recordsLinked to original sources

Medically-assisted procreation in Italy.

In February 2004, a law was approved in Italy on medically assisted procreation. The authors attempt to discuss the main provisions of the law. In its 18 articles, the law provides access to approved assisted procreation methods for adult couples of different sex, either married or cohabiting, of a potentially fertile age, both living, and establishes that the couple must be offered the chance of reverting to adoption or foster care procedures pursuant to the law in force. The law contains numerous prohibitions and restrictions: heterologous insemination, cloning, the cryo-preservation of embryos and research on human embryos are forbidden; during an assisted reproduction cycle, the methods used must not produce a number of embryos greater than those strictly necessary for a single and simultaneous implant, and in any case never more than three. The law calls for the woman and her husband or partner to be properly informed and for their approval to be given in writing. Fairly severe sanctions have been established for persons who break the law; health workers are however entitled to object on conscientious grounds to performing certain procedures.

Humans↗

Informed consent when taking genetic decisions.

Developments in genetics with diagnostic, pre-symptomatic and predictive testing involve significant changes in the decision-making process, because of the complexity of genetic information and the difficulty related to understanding the causes and mechanism of genetic diseases, ethical, psychological and social implications (psychological stress, anxiety, discrimination in employment and assurance, difficulties in interpersonal relationship), and indirect involvement of third parties. When taking genetic decisions, the patient should receive all the information about the objective and the type of the test, the hypothetical risk, the possibility of obtaining unexpected results, possible psycho-physical repercussion, and means of support for the long time that might pass between the diagnostic predictions and the possible onset of the disease: genetic counseling is a complex but essential operation for acquiring the informed consent of the patient. The outlined peculiarities of the process for informed consent in genetics requires the adequate training of medical personnel to manage the relationship with the patient in these complex cases.

Decision Making↗