• FINISH IVF

• ARTIFICIAL INSEMINATION

• ECTOPIC PREGNANCY

• NATURAL FAMILY PLANNING

• Preimplantation Genetic Diagnosis (PIGD)

• Surrogate motherhood

• “snowflake babies”

• Artificial Insemination (AI)

Preimplantation Genetic Diagnosis (PIGD / PGD)

ZYGOTE

M O

RU LA

COMPACTION

BLASTOMERES

MALE & FEMALE PRONUCLEI

Surrogate motherhood https://en.wikipedia.org/wiki/2014_Thai_surrogacy_controversy

INTRINSIC BIOETHICAL EVIL/WRONG:

NATURAL RIGHT TO BE GESTATED BY BIOLOGICAL MOTHER

“snowflake babies” = ivf embryo transfer http://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_20081208_dignitas-personae_en.html

Artificial Insemination (AI)

ECTOPIC PREGNANCIES

ECTOPIC PREGNANCY (~90% SELF-RESOLVE):

REMOVAL OF TUBE W LIVE UNBORN OK (SALPINGECTOMY)

REMOVAL ONLY OF LIVE UNBORN NOT OK (SALPINGOSTOMY)

CANCEROUS REPRODUCTIVE SYSTEM w PREGNANCY:

THERAPY AND/OR HYSTERECTOMY OK (DOUBLE EFFECT)

PRINCIPLE OF DOUBLE EFFECT

good act -> 2 simult effects

bad

conditions:

1. the act to be done must be good in itself or at least morally indifferent (independently of its consequences)

2. the good effect must not be obtained by means of the evil effect (evil an incidental by-product, not an actual factor in the accomplishment of the good)

3. the evil effect must not be intended for itself but only permitted (evil desire not permitted)

4. there must be a proportionately grave reason for permitting the evil effect

5. Last resort (no other action w/o evil effect available)

All five conditions must be fulfilled. If any one of them is not satisfied, the act is morally wrong.

NATURAL FAMILY PLANNING (NFP)

1. OVULATION SYMPTOMS

2. BIOETHICAL EVALUATION

NATURAL FAMILY PLANNING (NFP)

1. OVULATION SYMPTOMS

a) 3 PRIMARY

b) 7 SECONDARY

PRIMARY OVULATION SYMPTOMS:

1) BASAL BODY TEMPERATURE (BBT)

2) CERVIX ACTIVITY

3) CERVICAL MUCUS

SECONDARY OVULATION SYMPTOMS:

1) MITTELSCHMERZ

2) SPOTTING

3) SWOLLEN VAGINA AND/OR VULVA

4) INCREASED LIBIDO

5) BREAST TENDERNESS

6) GENERAL BLOATING

7) FERNING

SOME MAJOR PROTOCOLS AND METHODS:

• CREIGHTON MODEL (NaPro Technology)

• COUPLE TO COUPLE (CCL)

• SYMPTO-THERMAL METHOD

• BILLINGS METHOD

• FAMILY OF THE AMERICAS (BASED ON BILLINGS)

ACTIVITY OF THE CERVIX AND CERIVCAL OS DURING MENSTRUAL CYCLE

INFERTILEFERTILE

1 DAY BEFORE OVULATION: OS OPEN, CERVIX HIGH,

SOFT AND CENTRAL, EGGWHITE FLUID

INFERTILE PHASE: OS CLOSED, CERVIX FIRM,

ANGLED SLIGHTLY, TACKY FLUID

Examples of cervical mucus

during various days of the

menstrual cycle.

Transparent and elastic

is fertile.

Opaque and tacky

is infertile.

WHAT ABOUT THE HUSBAND?

• DISCIPLINE, RESPECT, COMMUNICATION, SACRIFICIAL LOVE

• OPENNESS TO THE PRESENCE OF GOD IN THEIR DAILY LIFE

2. BIOETHICAL EVALUATION OF NFP:

a) AS A MEANS

b) AS AN END / GOAL / OBJECTIVE

a) AS A MEANS:

• NO SEPARATION ÷ UNITIVE / PROCREATIVE DIMENSIONS

• RESPECTFUL OF HUMAN NATURE

• MARRITAL INTIMACY = UNION OF BODY AND SOUL

b) AS AN END:

HUMANAE VITAE 16b:

“If therefore there are well-grounded reasons for spacing births, arising from the physical or psychological condition of husband or wife, or from external circumstances… then take advantage of the natural cycles immanent in the reproductive system…”

b) AS AN END:

THEREFORE, TO BE AVOIDED IS A CONTRACEPTIVE MENTALITY, WHEREBY PREGNANCY / CHILDREN ARE SEEN AS AN EVIL, TO BE AVOIDED BY ANY MEANS.

INSTEAD, A FUNDAMENTAL OPENNESS TO LIFE, COLLABORATING WITH GOD’S PLAN TO BE CO-CREATORS OF A UNIQUE HUMAN LIFE.