Where Will We Go Wrong With Reproductive Technology?

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From "test-tube babies" to mechanical wombs, how will we know when medical technology has gone too far?

This question came up while researching for my novel, The Other Women. Generally, ideas for my writing come to me as "What-if" questions. I'll notice something out in the world, and I'll wonder about it. And if my wondering takes me far enough, I'll know I've got a story. For this particular book, the idea of mechanical wombs, or what I call nursery wombs in the book came up as the central idea. Here's an example of my thought-ramblings as I unraveled the idea:

What if there were a way to keep tabs on a developing baby?

It would have to be an implant of some sort. I wouldn't want that kind of implant.

But, wait. What if it were possible to grow babies in artificial wombs, so you could watch life as it unfolds and be certain the process is going along flawlessly? Surely that's going to be a thing at some point.

And what if they were so commonplace that you could have one right in your nursery at home? You could insert a cartridge with the perfect combination of your and your partner's DNA, and you could watch the miracle of life unfolding together.

Man, that would alleviate a lot of complications - maternal death would be zero. Birth would be predictable. Everything would be monitor-able.

So... what if these nursery wombs became the only way people ever had children? What if the government mandated it?

And so began my journey - or, I should say, Lucinda's journey. And Ruma's, and Evie's, and all the other characters in the book. Torn between wanting to know what was going on inside my own body at every moment and wanting the ability to carry my own children, I created a world where that same tension existed in a different form.

I began researching the advancements that have been made in reproductive technology, and then extending them beyond today on what I assumed (based on nothing whatsoever) would be a logical time frame. (Make sure you're a VIP so you can get this projected timeline delivered right to your inbox tomorrow!) And then, even as I researched and wrote the book, breakthroughs kept happening to support my premise: nursery wombs will be a thing. Probably sooner than we think. But where will be the line of propriety, of ethical use?

What will be the nature-technology balance, especially if this kind of thing comes to be seen as superior to, or safer than, the way we do things nowadays?

I promised last week I'd come back around to the question of why we would want or need mechanical wombs to begin with. I'm sure you can think of a reason or two, but I'll outline some here:

• To save a mother's life
  
• To allow a premature baby to develop longer in a more womb-like environment
  
• To allow someone who can't carry a baby safely, or at all, to have their biological baby without the use of a surrogate
• To allow parents who cannot conceive naturally (same-sex parents, for example) to have biological babies without the use of a surrogate
• To even out the parenting responsibilities, time off work, physical demands, etc. of early parenting - in effect, to make both parents "equal"
• To decrease the physical and cosmetic toll of childbirth

Looking over this list, you likely see some obvious benefits nursery wombs would provide. But as you get farther down, you might stop nodding your head and start holding up one finger. There is a line, probably, between what you feel is an acceptable use of this technology and what is not. Where you or I place the line today, though, isn't the point. The point is that, as the technology comes into its own and becomes more readily available, that line will move, blur, maybe even disappear.

After they've been used successfully and proven safe, why wouldn't society want more of them? And in places where medicine is socialized, why wouldn't the government want things to be safer and more predictable? First, maybe there will be incentives for using the nursery wombs. But later, when most of the population is already using them, what would be the harm in mandating them? Who wouldn't want their child, their partner, or themselves to be safe and free of natural childbirth and all it entails?

I could see it happening. How about you?