Surrogate motherhood, indian scenario, Obstetricians' Role, , obstetricians, postgraduates, undergraduates

1. Surrogate mother-Wrong

2. Dr. V.L.Deshmukh
associate prof.
Dept. of OBGY

3. Procedure for surrogacy
• Selection of surrogate mother
• Consent-agreement-”baby let go”
• Legal contracts-?brokers
• Pregnancy-IUI,AID,IVF,Egg donor
• ANC,drugs, labor-fees
• Parents legally adopt the baby
• Delivery-baby handed over 2 parents

6. Factors
• Wombs for rent?
• Undue advantage of desperate
@unstable mothers

7. Baby farming?

8. Reproductive prostitution?
only worse…

9. Exploitation of women?rich?
(invest time @risk2 bodies to
bring forth a new life)

10. Reproductive machines?
(driven entirely by money)

11. Objects of negotiation &
purchase?

12. Wombs For Rent
• Miracle of human birth is turned into
financial transaction.
• Turns women into reproductive
machine.
• Emotionally and physically
demanding task.

13. Wombs For Rent.
• India has become destination in
surrogacy related fertility tourism.
• Low cost, easy availability.(2-5 lacs)
• Exploitation of women- Worrying
factor.

14. Legal complex matters.
• Confusing, complex, unsettled.
• India 2002- legalized.
• Surrogate mother-Even if not a
biological mother, still regarded by
law as a mother as she has given birth
• Disaster stories due to change of
mind of the surrogate mother.

15. Legal Complex Matters
• Citizenship-Indian surrogate mother and
German parents.
• Care taking-In case the parents divorce or
death of one partner.(Legal tussle between
divorced Japanese parents and Indian
surrogate mother)
• US law states that a child born abroad to a
surrogate mother, who is the egg donor,
and whose father is a US citizen, is
treated for citizenship purposes as a child
born out of wedlock.

16. Legal Complex Matters
• Third party involvement
• Abortion
• Agreement not as a binding contract
• Repeated surrogacy-effect on
woman’s health
• Icmr guidelines- silent about foreign
clients using indian surrogate mothers

17. Ethical and Moral issues.

18. Ethical and Moral issues.
• “Children are not elegant little
presents we can wrap up with a bow
and send out of the door.”- Diane
Rotherburg of Boston(Filed law suit
to get her child back after 2 and a ½
year of surrogate contract)

20. Ethical and Moral issues.
• Surrogacy destroys the sanctity of
marriage.
• Destroys the spiritual connection the
parents and child.
• Bring the child and mother bearing it to be
objects of negotiation and purchase.
• Turns women into reproductive machines.

21. Ethical and Moral issues
• May lead to confused parent- child
relationship.
• Ultimately damages the institution of
family.
• Only poor women are “happy to help”-
economical reasons?????
• Involvement of a third
party-”reproductive prostitution”

22. Other Factors.
• Complicated procedures like IUI & IVF
needed. sucesss rate---????
• Highly controversial.
• Time required-Simple desire of having a
baby-couple undergoes an overwhelming
process of unexpected choices, unknown
risks and time consumed
• Difficult emotional and psychological issues
over letting the baby go. Postpartum blues
are higher in sm

23. • Legally complicated ethics of “buying”
a baby.
• Child’s emotional development?
• Financial, emotional and physical
resources.
• PRAGMATICS no relationship.
• ELAGITARIANS maintains
relationships.

24. Surrogacy
• Making families or selling babies?.
• Test the boundaries of law and
ethics.
• Exploitation of women.
• Spoiling the family institution

26. Psychological trauma

28. Making most of the new buisnesses