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Review
. 2023 Dec;26(4):591-603.
doi: 10.1007/s11019-023-10172-w. Epub 2023 Sep 3.

Rethinking advanced motherhood: a new ethical narrative

Affiliations
Review

Rethinking advanced motherhood: a new ethical narrative

Eva De Clercq et al. Med Health Care Philos. 2023 Dec.

Abstract

The aim of the study is to rethink the ethics of advanced motherhood. In the literature, delayed childbearing is usually discussed in the context of reproductive justice, and in relationship to ethical issues associated with the use and risk of assisted reproductive technologies. We aim to go beyond these more "traditional" ways in which reproductive ethics is framed by revisiting ethics itself through the lens of the figure of the so-called "older" mother. For this purpose, we start by exploring some of the deep seated socio-cultural discourses in the context of procreation: ageism, ableism and the widespread bias towards geneticism and pronatalism. Afterwards, we provide a critical overview of the key arguments against or in support of advanced motherhood. We then briefly discuss how entrenchment by both sides has produced an impasse in the debate on the ethics of advanced motherhood and proceed by arguing that it is fundamental to bring about a change in this narrative. For this purpose, we will revisit the feminist usage of the concept of vulnerability which will allow us both to criticize culturally prescribed norms about motherhood and to address the painful reality of age-related fertility decline. In the last section, we argue that instead of defining "older" motherhood as an ethical problem, we should problematize the fact that female reproductive ageing is an understudied and ill-sourced topic. We believe that allocating resources to research to better understand female reproductive ageing is not only ethically permissible, but might even be ethically desirable.

Keywords: Delayed childbearing; Feminism; Infertility; Older motherhood; Reproductive ethics; Vulnerability.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. 2022. Recognizing the importance of ovarian aging research. Nature Aging 12: 1071–1072. doi:10.1038/s43587-022-00339-0. - PubMed
    1. Adrian SW, Kroløkke C, Rothmar J. Monstrous motherhood—Women on the edge of reproductive age. Science as Culture. 2021;304:491–512.
    1. Aldrighi JD, Wall ML, Souza SR, Cancela FZ. The experiences of pregnant women at an advanced maternal age: An integrative review. Revista da Escola de Enfermagem da USP. 2016;503:512–521. - PubMed
    1. Aldrighi JD, Wall ML, Souza SR. Experience of pregnant women at an advanced age. Revista Gaúcha de Enfermagem. 2018;239:e20170112. - PubMed
    1. Amanvermez R, Tosun M. An update on ovarian aging and ovarian reserve tests. International Journal of Fertility & Sterility. 2016;94:411–415. - PMC - PubMed

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