Just Reproduction: Reimagining Autonomy in Reproductive Medicine

Edited by Louise P. King, Rachel L. Zacharias, and Josephine Johnston

“In today’s dialogue about reproduction, medicine, and ethics in the United States, old ethical issues—such as whether women ought to be allowed to access pregnancy termination—are more contested than they have been in decades, while new technologies—like those used to edit the genes of human embryos—suggest that our species could face unprecedented questions about who should exist,” observes the introduction to this special report on reproductive decision-making. The nine essays in this report examine how a variety of factors, including reproductive technologies, clinical practices, and the law influence prospective parents’ reproductive decision-making. All essays in this special report are freely available online.



Autonomy in Tension: Reproduction, Technology, and Justice
Louise P. King, Rachel L. Zacharias, and Josephine Johnston


Reproductive Autonomy: Rights and Access for All

The Future of Reproductive Autonomy
Josephine Johnston and Rachel L. Zacharias

Reproductive Rights without Resources or Recourse
Kimberly Mutcherson

How the Criminalization of Pregnancy Robs Women of Reproductive Autonomy
Michele Goodwin

Case Studies: Reproductive Autonomy in Selected Contexts

Parenting in the Age of Preimplantation Gene Editing
Sigal Klipstein

The Shifting Landscape of Prenatal Testing: Between Reproductive Autonomy and Public Health
Vardit Ravitsky

Freezing Eggs and Creating Patients: Moral Risks of Commercialized Fertility
Elizabeth Reis and Samuel Reis-Dennis

A Call for Empirical Research on Uterine Transplantation and Reproductive Autonomy
Cristie Cole Horsburgh

Autonomy, Regulation, and Clinical Duties: Balancing Values

Should Clinicians Set Limits on Reproductive Autonomy?
Louise P. King

Reproductive Autonomy and Regulation–Coexistence in Action
Ruth Deech