surrogate mother

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    SURROGATE MOTHER

    PREPARED BY: CHANG HOOI YINLAU WEE DONGN

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    Introduction of

    Surrogacy

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    Surrogacy

    Arrangement in which a woman carries and

    delivers a child for another couple or person.

    The intended parent ofparents, sometimes called

    the social parents, may

    arrange a surrogate

    pregnancy because offemale infertility, other

    medical issues which make

    pregnancy or delivery

    impossible, risky orotherwise undesirable, or

    because the intended

    parent or parents are male.

    Monetary

    compensation

    may or may notbe involved in

    surrogacy

    arrangements.

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    History of Surrogacy

    Many developments in

    medicine, social customs, and

    legal proceedings worldwidepaved the way for modern

    commercial surrogacy.

    One well-known example is the Biblical

    story of Sarah and Abraham, a nomadic

    Hebrew couple unable to conceive.

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    1930s

    In the US, pharmaceutical companies Schering-

    Kahlbaum and Parke-Davis started the mass

    production of estrogen.

    1944

    Harvard Medical School professor John Rock

    broke ground by becoming the first person to

    fertilize human ova outside the uterus.

    1953

    Researchers successfully performed the first

    cryopreservation of sperm.

    1971

    The first commercial sperm bank opened in New

    York, which spurred the growth of this type of

    business into a highly profitable venture.

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    1978

    Louise Brown, the first test tube baby, was

    born in England. She was the product of the

    first successful in vitro fertilization procedure.

    1980

    Michigan lawyer Noel Keane wrote the first

    surrogacy contract. He continued his work

    with surrogacy through his Infertility Center,through which he created the contract

    leading to the Baby M case.

    1985

    A woman carried the first successful

    gestational surrogate pregnancy.

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    1986

    Melissa Stern, otherwise known as Baby

    M, is born in the US. The surrogate and

    biological mother, Mary Beth Whitehead,refused to cede custody of Melissa to the

    couple with whom she made the surrogacy

    agreement. The courts of New Jersey found

    that Mary Beth Whitehead was the child's

    legal mother and declared contracts for

    surrogate motherhood illegal and invalid.

    However, the court found it in the best

    interest of the infant to award custody of

    Melissa to her biological father William

    Stern and his wife Elizabeth Stern, rather

    than to the surrogate mother, Mary Beth

    Whitehead.

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    1990

    In California, gestational carrier Anna Johnson

    refused to give up the baby to intended

    parents Mark and Crispina Calvert. The couple

    sued her for custody and the court upheld

    their parental rights. In doing so, it legally

    defined the true mother as the woman who

    intends to create and raise a child.

    1994

    Latin American fertility specialists convened in

    Chile to discuss assisted reproduction and its

    ethical and legal status.

    The Chinese Ministry of Health bannedgestational surrogacy due to the legal

    complications of defining true parenthood and

    possible refusal by surrogates to relinquish a

    baby.

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    2009

    The Chinese government cracked down on

    enforcement of the gestational surrogacy ban,

    and Chinese women began coming forth with

    complaints of forced abortions.

    There have been cases of clashes between

    surrogate mothers and genetic parents. For

    instance, genetic parents of the fetus may ask

    for an abortion when unexpectedcomplications arise, and the surrogate mother

    may oppose the abortion.

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    Types of Surrogates

    Gestational surrogates Traditional surrogates

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    Gestationalsurrogate

    s

    In vitro

    fertilization (IVF)

    now makes itpossible to

    harvest eggs

    from the

    mother, fertilizethem with

    sperm from the

    father, and place

    the embryo into

    the uterus of a

    gestational

    surrogate.

    The surrogate

    then carries the

    baby until birth.

    A gestationalsurrogate has no

    genetic ties to

    the child.

    A gestationalsurrogate is

    called the "birth

    mother." The

    biological

    mother, though,

    is still the

    woman whose

    egg was

    fertilized.

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    Traditional

    surrogates

    Artificial

    insemination

    first madesurrogacy

    possible. A

    traditional

    surrogate is awoman who is

    artificially

    inseminated

    with the father'ssperm.

    The surrogate

    then carries the

    baby and

    delivers it for theparents to raise.

    A traditional

    surrogate is the

    baby's biologicalmother.

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    Why Uses Surrogates?

    Reasons

    1. Medicalproblems with

    her uterus.

    2. Had ahysterectomy

    that removed

    her uterus.

    3. Conditions that

    make pregnancy

    impossible or

    medically risky4. After trying unsuccessfully to

    get pregnant with a variety of

    assisted-reproduction techniques

    (ART)

    5.Made

    parenthood

    an option

    for people

    who might

    not be able

    to adopt a

    child.

    6. Gay

    men

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    Finding a Surrogate

    friends or family

    a surrogacy agency

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    Choosing a Surrogate1. At least 21 years old.

    2. Has already given birth

    to at least one healthy

    baby

    3. Has passed a

    psychological screening by

    a mental health

    professional

    4. Willingly signs a contract

    agreeing to her role and

    responsibilities in the

    pregnancy

    Expects agree on a few

    criteria for selecting a

    surrogate mother who is:

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    Using a Surrogate

    1.

    Screening

    for

    infectious

    diseases.

    2.

    Screening

    for

    immunity

    to measles,

    rubella,

    and

    chickenpox.

    3. A

    medical

    procedure

    to visually

    "map" the

    normal

    structures

    of theuterus.

    4.

    Determine

    whether

    the

    surrogate

    has her

    own

    medicalinsurance.

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    Legal issues

    Parental rights are not guaranteed after a

    surrogate pregnancy.

    The contract should clearly state the obligations ofthe surrogate mother and the parents-to-be.

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    Religious issues Most of the religious are not allowed

    surrogacy as the donation of sperms

    or ovum are gravely immoral.

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    Thank You