Ethical Rationales and Guidelines for the Continued Use of Archival Collections of Embryonic and Fetal Specimens

• Published in: Anatomical sciences education Vol. 12; no. 4; pp. 407 - 416
• Main Authors: Fourniquet, Sophie E., Beiter, Kaylin J., Mussell, Jason C.
• Format: Journal Article
• Language: English
• Published: United States Wiley-Blackwell 01.07.2019; Wiley Subscription Services, Inc
• Subjects: Aborted Fetus; Allied Health Occupations Education; anatomical gifting; Anatomy; anatomy education; archival collections; bioethics; body donation; Cadaver; Congenital Impairments; Death; Education; Education, Professional - ethics; Education, Professional - methods; Education, Professional - standards; Embryo, Mammalian; Embryology; Embryology - education; Embryology - ethics; Embryology - instrumentation; Ethics; fetal tissues; Fetuses; Guidelines; Guidelines as Topic; Health Occupations; Health Occupations - education; Human Body; Humans; Informed Consent; Medical Education; Models, Anatomic; Morals; Printing, Three-Dimensional; Tissue and Organ Procurement - legislation & jurisprudence; United States; United States; fetal tissues; anatomy education; body donation; medical education; bioethics; anatomical gifting; archival collections; embryology education
• ISSN: 1935-9772; 1935-9780
• DOI: 10.1002/ase.1897

Benefits from the use of cadavers in anatomical education are well described. Historically, human embryos and fetal cadavers were used in anatomy education to understand development and congenital malformations. Recently, three‐dimensional printed models produced from archival fetal specimens, and online repositories of images from archival collections of embryos and fetuses, have been used as an educational tool in human development courses. Given that the archival specimens were likely obtained prior to the era of informed consent, this raises questions about their appropriate and ethical use. Because some institutions in the United States retain archival collections of embryonic and fetal specimens that were once used as educational tools, their existence and utility require frequent reexamination against contemporary ethical frameworks to guide appropriate use or utilization. Four ethical rationales for uses of these collections are examined, including destruction, indefinite storage, use in research, and use in health professions education. Guidelines for the use of archival collections of human embryos and fetuses are presented. Indefinite storage and use in health professions education are supported, while use in research is also permitted, however, such use is limited and dependent on circumstance and purpose. The development of current digital repositories and three‐dimensionally printed models based on archival collections that were collected without informed consent, or those promoting commercial opportunity, are not supported. New embryonic and fetal donations obtained with informed consent should include reference to potential uses with new technology and virtual, genetic, or imaging applications.