Wednesday, 29 May 2013

Womb for rent


In this era of high medical technology and free market, the new reproductive technologies such as sperm donation, insemination, cloning and surrogacy has always raised pros and cons since it was invented. Not merely only from the culture or religion based debates but also from the humanity side of it.

According to the Webster’s new world dictionary, Surrogate means to delegate, to substitute. In the medical reproduction term surrogacy means to arrange a woman to bear a child, carries and delivers for another couple or person. Meaning the woman’s womb is used technically to bear a womb for nine months and then delivers it for the adoption of another couple or person.

In the medical term there are two (2) types of surrogacy. Traditional surrogacy and gestational surrogacy. The traditional surrogacy, the surrogate is the child’s genetic mother. In that, the child may be conceived via artificial insemination or impregnated trough IUI (Intrauterine insemination) or ICI (Intracervical insemination) performed from a clinic. The advantage of traditional surrogacy is that there is still biological connection to the couple since the male provided his own sperm. But the disadvantage is emotional attachment of the surrogate mother to the baby in her womb, especially since the egg came from her. While the gestational surrogacy, the woman carrying the child maybe genetically unrelated to the child, therefore it requires the transfer of embryo to the woman’s womb. Most couples would prefer this because the surrogate mother is not the supplier of the egg.

Surrogacy procedure is obviously not easily done and costly. In 2009, the average cost of surrogacy ranged from $25,000 to $100,000. The time frame can take to years from the beginning couples to decide on surrogacy to legally process adopting the child later after the child is born.

The surrogacy contract agreement form of bearing child will usually takes place in an agency where a couple or a person agreed to pay certain amount of money to have their genetic or non genetic embryo beared by a woman. The surrogate mother who agreed to bear the child for nine (9) months then give out the born child to the couple or a person. There are reasons why surrogacy happens. It can be because the couple are not medically fit to have babies, or there are certain health reasons behind it. Some because of the social parents (parents to raise the child) is gay or lesbian but wanted to adopt a child or maybe he/she is a single parent. On the other hand there are also reasons behind a person becoming a surrogate mother, but mainly because of financial reason.

In certain countries such as Singapore, surrogacy is illegal that is why couples who are seeking to do surrogate procedure need to go to overseas country such as Malaysia, India to perform the contract.

In New Delhi, India, a certified surrogate mother clinic can get $6,000 from the $28,000 total surrogacy procedure cost (nd, the star online). The issue of wealthy foreigners paying poor Indians to have babies has raised ethical concerns in many Indian minds about “baby factories” despite the fact that the Indian government has been pushing the country as a medical tourism destination. Many of the surrogate mothers in the clinc has been “improved economically” since they had been a surrogate, some even go as far to do it again.

Despite the positive encounter the surrogacy had on improving the surrogate mother financially, there are some arguments which says it was not human for the mother since it is similar to a form of human exploitation and prostitution. Some religious organizations firmly forbid their members from participating in surrogacy, whatever reason and however desperate they are to have a child.

Objectively we have to not only judge but also need to see the case of surrogacy delicately since some of the advantages can also be weigh. Such as it can help couples on their marriage-especially when the woman has health issues that becoming pregnant would be life threatening, help childless couples to have child with genes from either or both of them instead of doing adoption, help gay or lesbian couples, and helping a single parent to have a child. Disadvantages are the potential emotional and psychological aspects of being a surrogate mother or the social parents. Furthermore they also have to deal with trying to convince relatives or family members that this is a right thing to do. It will be a big issue to discuss with since there will be a long procedures to follow trough.

In conclusion, surrogacy motherhood is a complex issues. It involves complicated systematic and humanitarian issues which need to be addressed delicately and considered case per case.

 

Friday, 3 May 2013

Medically Assisted Centre

One afternoon in Hospital Clinique, during my visit to the gynaecologist, during consultation, the assistant doctor called us up for a pre-treatment information. As we are giving out personal information background, we are then assisted to mention our preferred form of treatment.One personal question was asked whether i wanted to conceive a child from my spouse or other man.
I thought the assistant doctor was joking but he looked serious, so I asked why. Apparently there are cases where the potential mother willing to conceive a child from other man. Culturally and religiously I know this is a new issue for me. But apparently in some cases where the disease was so serious and uncurred it is permissable. In western country there are many cases of sperm donors and surrogacy mother. Is it ethical?
Sperm donors is define as a procedure in which a man donates semen, to help an individual or a couple conceive baby. Donated sperm can be by two (2) ways, first is injected into a woman's reproductive organs (intrauterine insemination) or secondly is by used to fertilize mature eggs in a lab (in vitro fertilization). The use of donated sperm is known as third party reproduction. For the procedure of sperm donation, the identity of the man who donates it can be known or anonymous to the recipient. Sperm donations made to a known recipient are called directed donations. Afterward, the donator must be screened for medical conditions and other risk factors before they can make a sperm donation.
There are several ethical issues concerned such as emotional, psychological and legal issues are also needed to be considered for the sperm donation. Not only it will affect the future parents, it will also involve the phsycological factors of the future child and the biological father.
If the child came from same or similar race, it will not be so obvious for him/her when the parents chose to hide the donator identity. But if it comes from different race or biracial, then it will be an issue which needed to be solved when the child grow up and find out about their real identity. The child might also face a problem of bullying from their peers since they grew up from a single mother/unmarried or a biracial parents.  Other issue is that regarding how informed the client or recipient of sperm donation on the limitations and potential complications involved with sperm donation. Sperm donation is not always successful and multiple treatments might have to be performed. Whether the sperm is disease free or free from genetic abnormalities. Another risk is that if a right of third party reproduction become so common in the society, plenty of unmarried single women will be having family of their own. The concept of 'family' will be questioned. 
Above all risks, the most significant  case which cannot be avoided is that the chance of half brothers or half sisters (from the same donor father) have actually married not knowing they were related.
On the the other hand, the third party reproductions have helped a number of infertile people both physically and mentally, giving them hope and courage to actually have a child. It has a positive impact for those who are infertile or have a major problems in going on a normal procedure to produce a child. In minor cases, mostly western countries and european countries, homosexual couples are helped by this form of reproduction. Other cases such as single parent by choice (SPC), it also help them to reproduce without having to adopt a child.
In conclusion, the issue of this third party reproduction have to be regulate and delicately handled since it is quite new and sensistive issue both ethically and legal terms. Some cultures in certain countries even strictly prohibited the third party reproduction or sperm donor to be legalised, not only concerning ethical issues but mostly religious view.