The purpose of this article is to reflect on the changes that the implementation of artificial wombs would bring to society, the family, and the concept of motherhood and fatherhood through the lens of two recent books: Helen Sedgwick’s The Growing Season and Rebecca Ann Smith’s Baby X. Each of the two novels, set in a near future, follows the work of a scientist who develops artificial womb technology. Significantly, both women experience concerns about the technology and its long-term effects (...) that make both of them leave their laboratories and rethink the technology they invented, while considering its many ethical implications. Both novels can be seen as feminist revisionary rewritings of Aldous Huxley’s Brave New World, rejecting the vision of rows of mass-produced, anonymous babies in artificial wombs, stressing instead the closeness of the parents to their offspring. They nevertheless critically evaluate not only the many potential benefits for women of ectogenetic technology but also the possible disadvantages and pitfalls. (shrink)

This paper aims to problematize pregnancy and support the development of a safe alternative method of gestation. Our arguments engage with the health risks of gestation and childbirth, the value assigned to pregnancy, as well as social and medical attitudes toward women’s pain, especially in labor. We claim that the harm caused by pregnancy and childbirth provides a prima facie case in favor of prioritizing research on a method of extra corporeal gestation.

Women are underrepresented in philosophy. And pregnancy is under-researched in philosophy. Can a connection be made between the two? I will argue that whilst the counterfactual of ‘had women historically been better represented in philosophy then pregnancy would have been too’ may be true, it is not necessarily the case that we can now, in the present day, expect (or desire) a correlation. In order to understand the gap between these two areas of underrepresentation, one need only adopt a non- (...) essentialist understanding of women so as to recognise that not all women experience pregnancy or are interested in pregnancy (philosophically or otherwise). Nevertheless, given the historical silence(ing) of women in philosophy on the topic of pregnancy, it is important now to redress that imbalance by tackling both issues of underrepresentation simultaneously. To demonstrate further I refer to the difference between representational diversity and substantive diversity (which is related to the more commonly known distinction between descriptive representation and substantive representation). This will be the topic of the first section of the paper. Then, in the second and third sections of the paper I will explore the underrepresentation and misrepresentation of women in philosophy, regarding not only the lack of women numerically speaking but also how women, as a general ‘kind’, are (misogynistically) described in philosophy historically. I will then apply the same treatment to pregnancy in the fourth and fifth sections of the paper, exploring both its underrepresentation as a topic of philosophical endeavour and misrepresentation within society at large. The analysis contains a review of the literature, and cites statistical quantitative data and qualitative grounded interviews, to provide evidence for my claims. I will end by hypothesising about the relationship between these under- and mis- representations, and will provide musings on the future for women and pregnancy in philosophy. (shrink)

In a recent article in this journal, Kathryn MacKay advances a defence of ectogenesis that is grounded in this technology’s potential to end—or at least mitigate the effects of—gender‐based oppression. MacKay raises important issues concerning the socialization of women as ‘mothers’, and the harms that this socialization causes. She also considers ectogenesis as an ethically preferable alternative to gestational surrogacy and uterine transplantation, one that is less harmful to women and less subject to being co‐opted to further oppressive ends. In (...) this article, I challenge some of the assumptions that underlie MacKay’s case in favour of ectogenesis by questioning whether the relationship between women’s capacity to gestate and birth children and gender‐based oppression is as strong as MacKay makes it out to be. I subsequently argue that—even if MacKay’s reading of this relationship is accurate—ectogenesis is not a desirable means to end gender‐based oppression. It embodies a strategy that could be used to pursue liberating projects that follow what Iris Marion Young defines as ‘the ideal of assimilation’, but that must be resisted. I then concur with MacKay’s contention that ectogenesis is better than gestational surrogacy and uterine transplantation. My argument is that many of the problematic issues that MacKay herself sees as features of these practices will not disappear with ectogenesis. Finally, I conclude that MacKay’s narrow focus on women’s biology and ectogenesis as a solution to gender‐based oppression results in the overlooking of broader systemic issues that contribute to the upholding of oppressive norms. (shrink)

BackgroundBreakthroughs in animal studies make the topic of human application of ectogenesis for medical and non-medical purposes more relevant than ever before. While current data do not yet demonstrate a reasonable expectation of clinical benefit soon, several groups are investigating the feasibility of artificial uteri for extracorporeal human gestation.Main textThis paper offers the first comprehensive and up to date discussion of the most important pros and cons of human ectogenesis in light of clinical application, along with an examination of crucial (...) ethical (and legal) issues that continued research into, and the clinical translation of, ectogenesis gives rise to. The expected benefits include advancing prenatal medicine, improving neonatal intensive care, and providing a novel pathway towards biological parenthood. This comes with important future challenges. Prior to human application, important questions have to be considered concerning translational research, experimental use of human fetuses and appropriate safety testing. Key questions are identified regarding risks to ectogenesis’ subjects, and the physical impact on the pregnant person when transfer from the uterus to the artificial womb is required. Critical issues concerning proportionality have to be considered, also in terms of equity of access, relative to the envisaged application of ectogenesis. The advent of ectogenesis also comes with crucial issues surrounding abortion, extended fetal viability and moral status of the fetus.ConclusionsThe development of human ectogenesis will have numerous implications for clinical practice. Prior to human testing, close consideration should be given to whether (and how) ectogenesis can be introduced as a continuation of existing neonatal care, with due attention to both safety risks to the fetus and pressures on pregnant persons to undergo experimental and/or invasive procedures. Equally important is the societal debate about the acceptable applications of ectogenesis and how access to these usages should be prioritized. It should be anticipated that clinical availability of ectogenesis, possibly first as a way to save extremely premature fetuses, may spark demand for non-medical purposes, like avoiding physical and social burdens of pregnancy. (shrink)

De Bie et al. (2023) found that most feminist literature praises Artificial Womb Technologies (AWT) for its potential to increase equality among the sexes. This literature frames gestation as a poi...

This paper calls for the development of a method of ectogestation as an emancipatory intervention for women. I argue that ectogestation would have a dual social benefit: first, by providing a gestational alternative to pregnancy, it would create unique conditions to reevaluate one’s reproductive preferences—which, for women, always include gestational considerations—and to satisfy a potential preference not to gestate. Enabling the satisfaction of such a preference is particularly valuable due to the pressures women face to embrace pregnancy as central to (...) their identity, while at the same time being penalised by it. Second, ectogestation would address certain specific negative social implications of gestation and childbirth, which cannot be avoided through social measures as they are caused by the corporeal nature of these phenomena. Finally, I argue that it is unfair to hold ectogestation to a higher standard than other innovations such as modern contraceptives and non-medical egg freezing. (shrink)

Since the publication of the successful animal trials of the Biobag, a prototypical extrauterine support for extremely premature neonates, numerous ethicists have debated the potential implications of such a device. Some have argued that the Biobag represents a natural evolution of traditional newborn intensive care, while others believe that the Biobag would create a new class of being for the patients housed within. Kingma and Finn argued inBioethicsfor making a categorical distinction between fetuses, newborns and ‘gestatelings’ in a Biobag on (...) the basis of a conceptual distinction between ectogenesis versus ectogestation. Applying their arguments to the clinical realities of newborn intensive care, however, demonstrates the inapplicability of their ideas to the practice of medicine. Here, I present three clinical examples of the difficulty and confusion their argument would create for clinicians and offer a possible remedy: namely, discarding the term ‘artificial womb’ in favour of ‘Biobag’. (shrink)

Žene su nedovoljno zastupljene u filozofiji, a trudnoća je nedovoljno istražena u filozofiji. Može li se uspostaviti veza između ta dva fenomena? Tvrdit ću da, iako je kontrafaktična tvrdnja "da su žene bile povijesno bolje zastupljene u filozofiji, trudnoća bi bila također zastupljena" možda istinita, to ne znači nužno da sada, u sadašnjosti, možemo očekivati (ili poželjeti) da postoji korelacija. Kako bismo shvatili jaz između ovih dvaju područja nedovoljne zastupljenosti, dovoljno je usvojiti ne-esencijalističko shvaćanje žena kako bismo prepoznali da neke (...) žene ne doživljavaju trudnoću ili nisu zainteresirane za trudnoću (filozofski ili na drugi način). Ipak, s obzirom na povijesno šutnju o trudnoći u filozofiji koju su proživljavale žene, važno je sada ispraviti tu neravnotežu istovremeno obrađujući obje teme nedovoljne zastupljenosti. Kako bih to dalje dokazala, upućujem na razliku između reprezentativne raznolikosti i suštinske raznolikosti (što je povezano s poznatijom razlikom između deskriptivne reprezentacije i suštinske reprezentacije). To će biti tema prvog dijela rada. Zatim, u drugom i trećem dijelu rada, istražit ću nedovoljnu zastupljenost i pogrešno predstavljanje žena u filozofiji, ne samo u smislu nedovoljnog broja žena, već i u smislu načina na koji su žene, kao opći "rod", (mizogino) opisivane u filozofiji kroz povijest. Isti postupak primijenit ću na trudnoću u četvrtom i petom dijelu rada, istražujući kako se tretira kao tema filozofskog istraživanja te kako je pogrešno predstavljena u društvu općenito. Kako bi se pružili dokazi za moje tvrdnje, analiza sadrži pregled literature i navodi statističke kvantitativne podatke i kvalitativno utemeljene intervjue. Završit ću hipotezom o odnosu između ovih nedovoljnih i pogrešnih predstavljanja, te ću ponuditi razmišljanja o budućnosti za žene i trudnoću u filozofiji. (shrink)

There are increasing pressures for bioethics to emphasise ‘translation’. Against this backdrop, we defend ‘speculative bioethics’. We explore speculation as an important tool and line of bioethical inquiry. Further, we examine the relationship between speculation and translational bioethics and posit that speculation can support translational work. First, speculative research might be conducted as ethical analysis of contemporary issues through a new lens, in which case it supports translational work. Second, speculation might be a first step prior to translational work on (...) a topic. Finally, speculative bioethics might constitute different content altogether, without translational objectives. For each conception of speculative bioethics, important methodological aspects determine whether it constitutes good bioethics research. We conclude that whether speculative bioethics is compatible with translational bioethics—and to what extent—depends on whether it is being employed as tool or content. Applying standards of impact uniformly across bioethics may inappropriately limit speculative bioethics. (shrink)

Journal of Social Philosophy, EarlyView.

A large body of literature considers the ethico-legal and regulatory issues surrounding assisted conception. Surrogacy, however, within this body of literature is an odd-fit. It involves a unique demand of another person—a form of reproductive labour—that many other aspects of assisted conception, such as gamete donation do not involve. Surrogacy is a form of assisted gestation. The potential alternatives for individuals who want a genetically related child but who do not have the capacity to gestate are ever increasing: with the (...) advent of uterus transplantation, and the anticipated development of artificial placentas.In this paper, I highlight the pertinent conceptual differences between technologies assisting conception and those assisting gestation to demonstrate that distinct issues arise when assisted gestative technologies are used. I argue that there is utility in considering AGTs as a genus of technologies. These technologies perform the same function from the perspective of putative parents and might exist on a spectrum of alternatives when they become more available. Moreover, since many of the same or very similar ethical, social and legal issues are raised by surrogacy, UTx and ectogestation, analysis of these issues will be better contextualised by considering these technologies together. Many of the matters currently being highlighted for reform in the context of surrogacy will inevitably impact on how other forms of assisted gestation are governed. The conversation should be broadened; we should consider how far other emerging technologies might be accommodated in revised regulatory schemes. (shrink)