여성의 재생산권리와 생명의료과학기술의 관계에 대한 소고 ― 보조생식술의 이용을 중심으로

김은애 한국법철학회 2009 법철학연구 Vol.12 No.1

Due to the development of the biomedical science and technology, including the egg retrieval by the medical operation and the reproduction of the embryo in vitro, the kind of the assisted reproductive technology has became various, it’s use has been increased according to the medicalization of the process from the conception to the delivery in despite of the several bioethical controversy. The utilization of the assisted reproductive technology should assure the reproductive rights of women, insofar as women is the subject of the assisted reproductive technology because only women can get pregnant by the use of the assisted reproductive technology. The reproductive rights of women means that women has the real power to choose and to decide the way and the process of the reproduction. This right should also assure the right to achieve and to maintain the reproductive health(a state of complete physical, mental and social well-being), the right to access the information and the knowledge relevant to the reproduction, and the right to use the biomedical science and technology including the assisted reproductive technology. Since as the medical treatment includes the prescription for the ovulation, the egg retrieval by the medical operation, the multi-embryo transfer and the selective fetal reduction that may cause a harm or baneful influence, the utilization of the assisted reproductive technology has a direct effect on the reproductive rights of women, particularly the reproductive health right of women. Furthermore, the gamete donation and it’s recipience as a the way to build a family is related to the human rights(above all the reproductive rights) of the women as the donor and the recipient. In particular, this new way divides the motherhood into three parts: the genetic mother who offers the egg that is essential to the fertilization, the surrogate mother who goes through the process from the gestation to the parturition, the sponsor who promises to raise the child. The legal condition including the public system regarding the assisted reproductive technology in Korea is inadequate to ensure the reproductive rights of women who are the primary utilizer of the biomedical science and technology including the assisted reproductive technology. Particularly, since the gamete donation and recipience is surrounded by various bioethical, social and legal dispute, it is not easy task to secure the reproductive rights of the donor and the recipient. Therefore, we should acknowledge the need of the assisted reproductive technology including the third party reproduction using the donated gamete to the domain of bioethics and law. We should take and introduce the gamete donation the legal measure to guarantee the reproductive rights of women as the subject of the medical treatment as well as the subject of the donation and the recipience.

기술의 문화적 재현과정과 실천 : 보조생식술을 중심으로

김경례(Gyoung-Rae Kim) 계명대학교 여성학연구소 2010 젠더와 문화 Vol.3 No.2

이 글은 신문기사의 내용과 불임치료와 관련된 대중 의학서적을 통해 의과학적 수사와 담론이 여성의 몸과 불임 그리고 보조생식술을 어떻게 의미화하고 위치 짓는지를 살펴보았다. 이를 통해 첫째, 기술은 문화에 외재한 객관적이고 독립적인 실체가 아니라 사회적 관계와 담론과정에서 생산되는 것임을 밝혔다. 둘째, 지배적인 기술문화는 출산과 기술에 대한 지배적인 사회규범을 반영하면서 그것을 재생산, 강화하는 기능을 한다는 것을 확인하였다. 불임에 대한 의과학적 담론의 핵심은 불임에 대한 사회적 공포를 생산, 확장하는 과정이며 이는 기술적, 사회적 조건과 맞물려 작동한다. 또한 보조생식술에 대한 의과학적 담론은 의과학자들의 사회적 권위와 의과학적 지식권력을 통해 의료기관 및 보조생식술의 이용을 합리화하고 보편화하는 과정이다. 하지만 대중들은 기술에 대한 역사적 경험과 자신들의 체험을 통해 지배적인 기술문화와 경합하면서 기술에 대한 다층적인 해석과 비판적 개입을 시도하기도 한다. 따라서 기술은 특정문화를 구성, 재구성하는 실천으로서 파악될 필요가 있다. This study performs that how medical rhetoric and discourse locate women's bodies, infertility and assisted reproductive technology through popular medical books relating to the treatment of infertility and contents of newspaper articles. Results were as follows: First, technology is produced by social relations and discourse processes, not objective and independent existence that are external to the culture. Second, technology as a dominant culture reflects prevailing social norms. And that perform a function which reproduce and strengthen prevailing social norms. Medical discourse of infertility is the process of producing a social fear on infertility. And it should work together the development of infertility treatment technologies, expansion of infertility industry, and the necessity of government's population control policy. That is, medical discourse work together technical and social conditions. Also, medical discourse on assisted reproductive technology is a process of rationalize and generalize the use of medical Institutions and assisted reproductive technology through the social authority of medical scientists and the power of medical knowledge. But, the people do not fully internalize dominant technology as a culture. They compete with dominant culture of technology through the historical experience about technology and through their experience. They are trying to interpretation and critical intervention about technology. Therefore, technology need to be grasped to practice that (re)constitute of specific culture.

첨단의료보조생식에서의 법적 문제 ― 과학적 증명에 기반을 둔 친자법(親子法) 개정안을 중심으로 ―

송석현 ( Song Seok Hyun ) 연세대학교 법학연구원 의료·과학기술과 법센터 2018 연세 의료·과학기술과 법 Vol.9 No.2

생명과학과 의학기술의 발달은 인공수정과 같은 전통적인 방식과는 매우 다른 형태의 생식을 가능하게 하였다. 이러한 새로운 형태의 생식 방법은 유도만능줄기세포의 활용, 유전자 편집기술의 발전, 인공자궁의 개발 등과 함께 더욱 다양해질 것으로 예상된다. 극심한 저 출산 기조에 있는 대한민국의 인구건전성을 확보하는 측면에서 이러한 의료보조생식 기술의 발전과 활용을 장려할 필요성이 있지만, 이로 인한 사회적 혼란을 방지해야할 필요성 또한 존재한다. 이러한 문제를 해결하기 위해서는 실정법의 해석론으로 그치는 것이 아닌 새로운 법률을 통한 입법적 해결만이 근본적인 해결방법이 될 것이다. 따라서 본 연구에서는 첨단의료보조생식 기술의 개발현황을 살펴보고, 관련된 법적 문제들을 살펴본다. 이 과정을 통해 첨단의료보조생식에 있어서 부모의 개념에 대한 새로운 법적 정의의 필요성을 확인하고, 첨단 의료보조생식에서의 친생자 결정을 위한 부모개념을 제시한다. 그리고 본 연구의 계기가 된 서울가정법원 2018년 5월 18일 자 2018브15 결정을 검토하고 그 타당성을 평가한다. 마지막으로 기존에 국회에 제출된 입법안 및 외국의 입법례에 대한 검토를 기반으로 친자법 개정안을 제안한다. 제안하는 개정안의 핵심 내용은 민법상 친자에 관한 규정을 과학적 증명에 기반을 둔 방식으로 개정하고, 의료보조생식에 대한 허가제를 도입하는 것이다. 지금까지 절대적인 원칙으로 지켜졌던 “Mater semper certa est”의 원칙에서 과감히 벗어나, 친자관계에 대해서 규범적 정의가 아닌 과학적 정의를 기반으로 한 친자법의 규정을 시도하는 것이다. 이와 같은 접근방법은 현대 사회의 변화된 모습에 비추어 타당한 것으로 생각되며, 앞으로 더 많은 법적 문제의 입법적 해결에 있어 활용될 수 있을 것으로 예상한다. 기술의 발전에 따라 전통적인 임신과 출산 기준의 모성 인정에서 벗어난 사회적 인식의 변화가 존재하므로, 이에 발맞추어 법과 제도의 정비를 해 나가는 것이 중요하다. 그러나 그 과정에서 너무 서두른 나머지 기본적인 인간의 존엄을 해치거나 의료보조생식을 통해 태어난 새 생명에 대한 배려가 부족해지면 안 될 것이다. 이 연구는 첨단의료보조생식과 관련된 법적 문제를 해결하기 위한 첫걸음에 불과하며, 앞으로 민사법의 영역뿐만 아니라 주된 유전적 특징의 정의를 위한 생명공학분야의 연구라든지, 공법이나 형사법 같은 다른 법학 영역에서의 연구도 필요할 것이다. 앞으로의 과정에서도 늘 법과 제도의 편리보다는 생명에 대한 존중과 사람의 자유와 행복이 항상 고려되어야 할 것이다. The development of life sciences and medical technology has enabled other forms of reproduction like artificial insemination which is very different from the traditional way. In the near future, the way of reproduction is expected to be more diverse, with the use of induced pluripotent stem cell, gene editing technology, and the development of artificial womb. Even in order to secure the nation's population health, it needs to encourage further development of advanced assisted reproductive technologies(ARTs). However, it should also prevent social chaos. After all, only the enactment of a new law, not just interpretations of the positive law, will be fundamental solutions. In this paper, It firstly studied advanced assisted reproductive technologies starting with an overview of ARTs. Then, it finds if there are any legal issues with regard to medically assisted reproduction. It identifies the need for a new definition of parents to make a decision who is the parents, especially when reproduction occurs with advanced ARTs. And it presents the new concept of parents for the determination of legal parents in the assisted reproduction. Next, it reviews the judgment of the Seoul family court(2018. 5. 18. 2018브15) that inspired this study. Lastly, it tries to propose an amendment of the law of parent and children that reflects the characteristics of advanced ART based on the problem of parents' decision. For the purpose, it reviews the foreign regulation and legislation in assisted reproduction and legislation that has been submitted to our national assembly so far. The contents of the amendment are revising the civil law and adopting a licensing system for assisted reproduction. The proposed amendment of the law of parents and children is not based on a normative judgment but a scientific judgment. This approach is considered reasonable in light of the changing appearance of modern society and is expected to be used in the legislative resolution of more legal issues in the future. With technological advancements, there is a shift in social perception that deviates from the maternal recognition of traditional standards of pregnancy and birth, so it is important to keep the law and the system in line with the changes. However, the process should not be too hasty to undermine basic human dignity or lack consideration for new life born through assisted reproduction. This paper is only the first step in solving the legal issues associated with advanced ARTs, and it is believed that much discussion will be needed in the fields of public and criminal law as well as in the areas of civil law. In future processes, respect for life and liberty and happiness should always be considered rather than the convenience of law and institutions.

보조생식술을 통해 태어난 자의 친자관계에 관한 소고

오호철(O Ho-Cheol) 한국법학회 2009 법학연구 Vol.33 No.-

최근 불임부부가 증가하면서 보조생식술을 통해 자를 갖기를 희망하는 부부가 늘어나고 있으며, 실질적으로 이를 통해 출생하는 자도 증가하고 있다. 보조생식술은 크게 인공수정과 체외수정이 있으며, 각각 배우자간의 인공수정(체외수정)과 비배우자간의 인공수정(체외수정)으로 나뉜다. 이외에 대리모를 통해서도 자를 얻을 수 있다. 이렇게 보조생식술을 통해 자를 얻을 수 있음에도 불구하고 현재 우리나라의 경우 이를 직접적으로 규율하는 법률이 없기 때문에 다양한 문제가 발생하고 있다. 특히 현행 민법은 자연생식을 통해 자를 얻는 경우의 친자관계만을 규율하고 있기 때문에 보조생식술을 통해 태어난 자에게 이를 그대로 적용할 수 없는 문제를 안고 있다. 다만, 보조생식술 중에서 배우자간의 인공수정(체외수정)의 경우는 자연생식에 의해 태어난 자와 차이가 없기 때문에 현행 민법의 규정을 적용해도 문제가 되지 않는다. 따라서 본 논문은 비배우자간의 인공수정(체외수정)과 대리모의 경우 어떻게 친자관계를 정하는 것이 바람직한가를 외국의 입법례를 참고하여 살펴보았다. Recently, theres many couple who hope to have a child through assisted reproductive technology as increased sterile ones, and also many children who were born through assisted reproductive technology. Assisted reproductive technology is highly divided in artificial insemination and in vitro fertilization and embryo transfer, which is respectively divided in artificial insemination(in vitro fertilization and embryo transfer) between couple and no couple. Besides, it is possible to have a child even through surrogate mother. However, the actual problem in Korea is that many problems have been occurred as theres no law which is regulating the assisted reproductive technology. Specially, the current civil law is regulating only the relation between parent and child for who get their child through the natural reproduction and this is not applicable for who was born through assisted reproductive technology. But, in case of artificial insemination(in vitro fertilization and embryo transfer) between the spouses has no difference from the one who was born through the natural coitus, and this is not a problem though was applied by the current regulation of civil law. Therefore, this paper tried to observe on how to make the relation between parent and child desirably in case of artificial insemination(in vitro fertilization and embryo transfer) between no couple and of surrogate mother, referring to the foreign legislative examples.

의생명과학기술 법정책에서 성주류화의 필요성 - 보조생식술과 임상시험을 중심으로 -

김은애,김현철 이화여자대학교 법학연구소 2017 法學論集 Vol.22 No.2

The rapid development of biomedical science and technology is deeply affecting human life. So, the new human rights issues that has not been raised in the past is being raised, especially women’s human rights issues. The biomedical science and technology has a neutral motto of ‘human’s healthy life’ as the purpose and justification basis for its development and use. But, not only it has regarded only men (not women) as standard human beings for the subject of its development and use, but also it has provided priority to men over women. Even it has treated women as means or subjects for realizing its goals. Consequently, the relationship between the biomedical science and technology and ‘women’s healthy life’ has been excluded from consideration for a long time as well as has not fully considered until now. It is natural that women and men should be regarded as ‘equal beings’ to each other under the super concept of ‘human being’, but it is undeniable fact that there is a ‘biological difference’ between women and men. Therefore, this biological difference between women and men raise the need for ‘gender mainstreaming’ in the development and use of biomedical science and technology. Particularly, in assisted reproductive technology and clinical trials, appropriate recognition, recognition, and consideration of the biological characteristics of women should enable them to be more prudent and reasonably related to women, resulting in beneficial effects on women’s lives and health. So, in this article, we confirm the extent to which gender mainstreaming has been realized through the content of Korean law and policies related to assisted reproductive technology and clinical trials, identify problems in areas where gender mainstreaming has not been achieved. And, to solve these problems, we would like to suggest opinions on how to improve the law and policies by referring guidelines and regulations of other countries. 의생명과학기술의 급격한 발달은 인간의 삶에 깊은 영향을 주고 있다. 특히 과거에 제기되지 않았던 새로운 인권의 문제가 제기되고 있는데, 그 중 특히 여성 인권은 주요한 주제가 된다. 왜냐하면 의생명과학기술이 그 개발과 사용의 목적과 정당화 근거로서 ‘인간의 건강한 삶’이라는 중립적인 표어를 내세우고 있기는 하지만, 실상은 여성이 아닌 남성을 의생명과학기술의 연구와 적용 대상이 되는 표준적인 인간으로 간주하거나 여성보다 남성을 우선시 해 온 경향이 있고, 여성을 의생명과학기술이 목적하는 바를 실현하기 위한 수단이나 대상으로 여기고 취급해온 경우도 있기 때문이다. 따라서 의생명과학기술과 ‘여성의 건강한 삶’의 관계는 상당 기간 고려 대상에서 배제되어왔고 지금까지도 충분히 고려되고 있지 못하다. 생물학적 측면에서 여성과 남성에게 ‘차이’가 있음은 부정할 수 없는 사실이고, 이러한 차이는 의생명과학기술의 개발과 이용에 있어 ‘성주류화’의 필요성을 제기한다. 특히 보조생식술과 임상시험에 있어서는 여성의 생물학적 특성에 대한 제대로 된 인식, 인정, 고려가 가능하여야만 이러한 일들이 여성과 보다 신중하고 합리적으로 관계될 수 있을 것이기에 결과적으로 여성의 생명과 건강에 이로울 수 있을 것이다. 이에 본 논문에서는 보조생식술과 임상시험에 관계되는 우리나라 법정책의 내용을 통해 성주류화가 어느 정도 실현되었는지를 살펴보고, 그렇지 못한 부분에서의 문제점을 확인함과 아울러 외국의 지침과 규정을 참고해봄으로써 이러한 문제점의 해결을 위해 우리나라 법정책이 어떻게 개선되어야 하는지 그 방안에 대한 의견을 제시해보고자 하였다.

생식보조술을 받은 산모와 자연임신한 산모에서 임신 전체질량지수가 임신 결과에 미치는 영향

김주희,신혜숙,박보경,양광문,이영호,류현미 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.4

Purpose: To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy. Methods: A sample of 165 and 247 pregnant women with and without assisted reproductive technology were retrospectively recruited from electronic medical charts of C hospital. Results: There were significant differences between the two groups for maternal age, paternal age, length of marriage, prepregnancy body mass index, parity, spontaneous abortion experience, and preterm delivery. A prepregnancy body mass index of ≥25 was associated with higher risk for maternal and neonatal complication in the assisted reproductive technology group. Conclusion: The results indicate that a higher prepregnancy body mass index is associated with increased risks for adverse pregnancy outcomes for women using assisted reproductive technology. So these women need appropriate care to compensate for the risk.

국내 비혼단독출산의 법ㆍ제도적 고찰: 보조생식술을 통해 태어날 출생아의 권리 보호를 중심으로

최인선,유수정 (재) 국가생명윤리정책원 2023 생명, 윤리와 정책 Vol.7 No.1

In 2022, a complaint was filed to the National Human Rights Commission of South Korea alleging that the Korean Society of Obstetricians and Gynecologists’ Ethical Guidelines for Assisted Reproductive Technology discriminated against unmarried women. The essence of the complaint is that despite the lack of government policies or laws prohibiting women from giving birth with the help of donated gametes outside of marriage (referred to as “single mothers assisted by sperm donation”), the ethical guidelines established by the Korean Society of Obstetrics and Gynecology (KSOG) limit the number of women who may undergo this procedure to those who are married or live in a common-law relationship, thereby discriminating against women without a spouse. In response to the complaint, the National Human Rights Commission recommended the revision of the KSOG’s ethical guidelines for assisted reproductive technologies, which restrict in vitro procedures for unmarried women; however, the Korean Association of Obstetricians and Gynecologists stated that it would maintain these ethical guidelines as they are. The association explained that the use of a third party’s fertility to give birth through assisted reproduction is a serious issue that needs to be discussed, including the protection of the rights of the sperm donor and the child born; therefore, social consensus and revision of relevant laws should be prioritized. What is noteworthy about this position statement is that it presents ‘protecting the rights of sperm donors and their offspring’ as the main issue to consider in terms of the possibility to allow assisted reproduction using a third party’s fertility. However, the reverse question is whether it is sufficient to limit the condition of a recipient to ‘a marital relationship including common-law marriage’ in order to ‘protect the rights of sperm donors and their offspring’. Based on these issues, this paper concludes through a critical review of the laws and regulations related to assisted reproductive technologies in Korea that it is necessary to examine the qualifications of assisted reproductive technology recipients in terms of protecting the rights of children born through such technologies instead of focusing on marital status. This study examines the Human Fertilization and Embryology Act of the United Kingdom, the French Law on Bioethics, and the Danish Act on Assisted Reproduction, among other overseas countries, which allow non-marital births through assisted reproduction. The conclusion of the present research is that it is possible to recognize the diversity of personal lives in Korea and ensure the right of women to self-determination. This study argues that non-marital childbearing should be recognized as another possibility to build a family.

생식보조의료와 사적생활상의 자기결정권

김민규 부산대학교 법학연구소 2010 법학연구 Vol.51 No.1

This study was conducted as a follow-up study of the researcher's previous research on Assisted Reproductive Technology (Recent Discussions about Assisted Reproductive Technology and the Subject, Dong-A Law Review, Vol.46, Feb. 2010) to find the answer to the problems regarding ART suggested in the findings of the previous study. This study examined legal principles of the formation and application of the autonomy, which is gaining more and more emphasis in personal relationships. This study also investigated the present status of ART and some factors that should be considered in health legislation or paternity law, with the focus on the purview of the autonomy. The findings are as follows:(1) Up to now, regarding Artificial Insemination by Donor (AID) or surrogate maternity, legal scholars have sticked to the principle of mother's right to make a decision. Underlying this argument, there lies the ideology of attaining kinship. However, the present paternity law has its own inherent breakdown of kinship of the real child. Thus, it is necessary to note that a new formation of parents-child relationship that respects “the autonomy of life” can be accepted in the present paternity law. (2) The more important factor when making a legislation for ART is that “the welfare of the child” should not be downplayed. Since the welfare of the child can be realized through the intention of bringing up the child of the people who wants to have a child through AID or surrogate maternity or of their client, it is appropriate to map out the parents-child relationship by respecting of the autonomy. In addition, it goes without saying that the autonomy of the parents who want to have a child on the basis of the intention of bringing up a child can be ensured when secured by “social consensus.”(3) Whether it is AID or surrogate maternity, if it is the final step of fertility treatments, it should be accepted restrictively and exceptionally considering “the intention of bringing up a child and environment (capability)” to maintain the order of reproduction and to reach a social consensus. (4) About 10 years ago, Korean Society of Obstetrics and Gynecology acknowledged AID as well as surrogate maternity based on ethical guidelines for assisted reproduction and has led health legislation or paternity law. From now on, it is important to continue to try to reach a social agreement on ART. (5) Three propositions suggested in the recently submitted legislative bill seem to be moving toward a favorable direction : creating a so-called control tower in order to give medical treatments and manage ART, undertaking a review of the suitability for action with the intervention of a committee or Family Court, and keeping a stable life for the family of the beneficiary by severing the relationship between the donor and the child born through assisted reproduction.

재생산의료 영역에서의 남성: 한국의 보조생식기술과 난임 남성의 비가시화

김선혜 비판사회학회 2019 경제와 사회 Vol.- No.124

This paper examines how infertile men have been invisiblized since 2006 when the Korean government implemented ‘infertile couple support policies’ as part of its childbirth promotion policy. Although approximately 50% of the factors in defining infertility are male factors, male infertility issues are considered as supplemental or subordinate to women’s infertility issues as women have taken the primary role in the field of childbirth. This paper analyzes how assisted reproductive technologies have been developed and used to resolve male infertility issues in South Korea, and how the male users of these technologies have been invisible in the discourse around the use of assisted reproductive technologies. While the invisibility of male infertility in the field of reproduction tends to be naturalized, this paper focuses on the process in which male infertility issues were omitted when the infertility issues were transformed from a woman’s issue to a family’s issue to intervene the naturalized discourse. The aim of this paper is to discuss how the invisiblization of male infertility affects both men and women’s reproductive health. 이 글은 보조생식기술의 발전과 함께 등장한 재생산 주체로서의 ‘난임 남성’들이 한 국 사회에서 출산 장려책의 하나로 2006년부터 시행되어 온 난임지원 정책들 속에서 오히려 비가시화되고 있는 구조적 맥락을 논의한다. 난임을 구성하는 원인의 절반은 남 성에게 있으며, 남성의 몸 역시 난임시술의 대상이 되고 있음에도 불구하고, 임신과 출 산을 여성의 역할로 여겨온 사회문화적 배경 속에서 난임 남성은 재생산의료 담론 속에 서 부차적이거나 보조적인 위치에 한정되고 있다. 이 글에서는 남성 난임을 해결하기 위한 기술로 어떠한 보조생식기술들이 발전되어 사용되고 있는지, 그럼에도 불구하고 보조생식기술의 사용을 둘러싼 사회적·정책적·의료적 담론 속에서 남성 주체는 왜 부 재함으로써 존재하는지를 분석한다. 보조생식기술과 관련된 국가의 지원 기준과 조건 들을 분석함으로써, 이 글은 한국의 저출산 위기 담론 아래 난임이 ‘여성의 문제’에서 ‘가족의 문제’로 전환되는 특정한 문화적 변동 속에서 남성 주체가 누락되고 있으며, 남 성 난임이 증가할수록 오히려 재생산과 관련한 여성들의 노동이 더욱 증가하는 역설적 인 상황을 밝힌다. 또한 재생산의료 영역에서 난임 남성의 비가시화는 남성뿐만이 아니 라 여성의 재생산 건강에 밀접한 영향을 끼치고 있다는 점을 논의한다.

보조생식술을 받는 여성의 불확실성과 배우자 지지가 난임 관련 삶의 질에 미치는 영향

이혜신 ( Hye Shin Lee ),부선주 ( Sunjoo Boo ),안정아 ( Jeong-ah Ahn ),송주은 ( Ju-eun Song ) 한국여성건강간호학회 (구 여성건강간호학회) 2020 여성건강간호학회지 Vol.26 No.1

Purpose: The purpose of this study was to investigate the effects of uncertainty and spousal support on infertility-related quality of life (QoL) in women undergoing assisted reproductive technologies. Methods: In this correlational survey study, 172 infertile women undergoing assisted reproductive technologies for infertility treatment at M hospital in Seoul participated. Data collection took place at the outpatient department of M hospital using a self-report questionnaire from July to August 2019. Data were analyzed using SPSS for Windows version 28.0. Results: The mean scores for uncertainty, spousal support, and infertility-related QoL were 28.35 (out of 50), 86.67 (out of 115), and 57.98 (out of 100), respectively. Infertility-related QoL was positively correlated with spousal support and negatively correlated with uncertainty. According to the regression analysis, infertility-related QoL was significantly affected by uncertainty, total number of assisted reproductive technology treatments, marriage duration, subjective health status, the financial burden of infertility testing, and the presence of a burdensome person. These variables had an explanatory power of 35.0% for infertility-related QoL. Conclusion: Uncertainty was an important factor influencing infertility-related QoL among women undergoing assisted reproductive technologies. It is necessary to develop and implement a nursing intervention program focused on reducing various forms of uncertainty during assisted reproductive procedures and to consider other factors affecting infertility-related QoL in the clinical setting.