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Objective: To review the ethical arguments on Artificial Womb Technology (AWT) in relation to abortion. Design: We conducted a systematic review of the ethical literature. Articles were selected based on the following predefined inclusion criteria: 1) English-language articles 2) containing fully elaborated ethical arguments 3) on artificial womb technologies (i.e. technologies mimicking the human womb to maintain fully or partially a gestation in an artificial environment) related to abortion. Analysis: Following the QUAGOL approach we repeatedly read the articles and developed individual summaries, conceptual schemes, and an overall conceptual scheme. Ethical arguments were identified and analyzed. Results: Forty-seven articles were included out of 1948 screened. Our results indicated an ongoing debate on whether and how abortion access should be affected by the advent of AWT. Different approaches to how AWT could affect viability thresholds –currently used to regulate abortion access in some jurisdictions– were developed. The majority of the authors has been divided in two groups, one supporting that AWT should substitute abortion and one opposing this position. Arguments related to autonomy, the right not to be a biological parent, the right to genetic privacy and the right to property were used to determine whether AWT should substitute abortion. There was disagreement on who is entitled to decide whether and how to terminate a pregnancy when AWT is available. Concerns about practical implications of substituting abortion were raised without receiving proportionate consideration from the authors that support an abortion substitution. Conclusion: The debate should shift away from viability concerns and speculative arguments, towards a concrete legal discussion investigating the real implications of substituting abortion with the AWT currently in development. Authors supporting an abortion substitution should be more realistic and transparent when describing the impact and consequences of their arguments.

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This article looks at the extremely premature infants born in the grey zone, which means between the 23rd and 25th week. The decision-making for those infants is particularly challenging because of the high medical and ethical uncertainty. The article aims at a better comprehension of the ethical problems generated by the grey zone and of the possible solutions. In order to achieve this goal we firstly isolated the main ethical issues: which is the best option, how we can decide, who should decide and the management of possible disagreement between the stakeholders. Finally, we analysed them with three different ethical approaches: Principlism approach to the Best Interest Standard, Kopelman‟s interpretation of the Best Interest Standard and the Zone of Parental discretion.