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Thoughts on the ethics of gestational surrogacy: perspectives from religions, Western liberalism, and comparisons with adoption

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Abstract

Background

In gestational surrogacy, a woman incubates an embryo to which she is not genetically related. Genetic distance from both her and the commissioning parents is increased further when donor gametes are employed. Ethical implications vary depending on the extent to which the parents and surrogates share genetic material with the produced child.

Purpose

This paper seeks to address two primary questions: What do selected ethical frameworks tell us of (1) the relationship between genetic motherhood, gestational motherhood, social motherhood, and marital fidelity? And (2) the effects of gestational surrogacy and gamete donation on our understanding of lineage and heritability?

Methods

Current literature and thought on these questions were considered through the classical ethics lenses of religion, the adoption standard, and Western liberalism.

Results

A genetic link between the parents and the child serves to simplify the adoption process (if one is required) and supports a family’s desire to resemble as much as possible a traditional biological family, thus providing a minimum set of challenges to religious or conservative hesitations.

Conclusion

Inasmuch as gestational surrogacy, with or without donor gametes, is tolerated in a variety of ethical contexts; the basis of its acceptance may be the Western liberal celebration of contractual agreement.

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References

  1. Cottingham J. Babies, Borders and big business. Reproduct Health Matters. 2017;25(49):17–20.

    Google Scholar 

  2. Smerdon UR. Crossing bodies, crossing borders: international surrogacy between the United States and India. Cumberland Law Rev. 2008;39(1):15–85.

    Google Scholar 

  3. PBS, Bloodlines. Last accessed Oct 22, 2018. https://www.pbs.org/bloodlines/timeline/text_timeline.html

  4. Parker Herring Law Group, The history of surrogacy: 4 important eras to know. Last accessed Oct 22, 2018. https://parkerherringlawgroup.com/surrogacy-lawyer-attorney-raleigh-nc/surrogacy-information/history-of-surrogacy/

  5. Surrogacy.com, About surrogacy. From the Bible to today: the history of surrogacy. Last accessed Oct 22, 2018. https://surrogate.com/about-surrogacy/surrogacy-101/history-of-surrogacy/

  6. Chang CL. Surrogate motherhood. Taiwan Yi Xue Ren Wen Xue Kan. 2004;5(12):48–62.

    PubMed  Google Scholar 

  7. Deonandan R, Bente A. Assisted reproduction and cross-border maternal surrogacy regulations in selected nations. Br J Med Med Res. 2012;4(1):1–10.

    Google Scholar 

  8. Wikinson S. The exploitation argument against commercial surrogacy. Bioethics. 2003;17(2):169–87.

    Google Scholar 

  9. Kornegay RJ. Is Commercial surrogacy baby-selling? J Appl Philos. 1990;7(1):45–50.

    Google Scholar 

  10. Parks JA, Murphy TF. So not mothers: responsibility for surrogate orphans. J Med Ethics. 2018;44(8):551–4.

    PubMed  Google Scholar 

  11. Goswami GK. The genetic truth of surrogate parentage. Med Leg J. 2015;83(4):188–93.

    PubMed  Google Scholar 

  12. Vatican Archive. Humanae vitae. 1968. Last accessed Oct 22, 2018. https://w2.vatican.va/content/paul-vi/en/encyclicals/documents/hf_p-vi_enc_25071968_humanae-vitae.html

  13. Vatican Archive. Catechism of the Catholic Church. 1992. Last accessed Oct 22, 2018. http://www.vatican.va/archive/ccc_css/archive/catechism/p3s2c2a6.htm

  14. Haas JM. Begotten not made: a Catholic view of reproductive technology. United States Conference of Catholic Bishops. 1998. Last accessed Jan 20, 2019. http://www.usccb.org/issues-and-action/human-life-and-dignity/reproductive-technology/begotten-not-made-a-catholic-view-of-reproductive-technology.cfm

  15. Berkman J. Ethical and religious directives for a Catholic embryo adoption agency: a thought experiment. From The Ethics of Embryo Adoption and the Catholic Tradition: Moral Arguments, Economic Reality and Social Analysis, edited by Brakman, S-V, and Weaver DF. 2007. (pp.251-273)

  16. Gilbert K. Top Catholic ethicists duel over frozen embryo adoption. Lifesite. 2011. https://www.lifesitenews.com/news/top-catholic-ethicists-duel-over-frozen-embryo-adoption

  17. Brakman S-V, Weaver DF. Introductory chapter. From The Ethics of Embryo Adoption and the Catholic Tradition Moral Arguments, Economic Reality and Social Analysis, edited by Brakman, S-V, and Weaver DF. 2007 (pp1-2)

  18. Vatican Archive. Instruction on respect for human life in its origin and on the dignity of procreation: replies to certain questions of the day. Feb 22, 1987. Last accessed Oct 22, 2018. http://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_19870222_respect-for-human-life_en.html

  19. Vatican Archive. Instruction Dignitas Personae on certain bioethical questions. 2008. Last accessed Oct 22, 2018. http://www.vatican.va/roman_curia/congregations/cfaith/documents/rc_con_cfaith_doc_20081208_dignitas-personae_en.html

  20. Schenker JG. Assisted reproductive practice: religious perspectives. Reprod Biomed Online. 2005;10(3):310-9.

    PubMed  Google Scholar 

  21. Shellnutt K. America’s surrogacy bump: is fertility a blessing to be shared? Christianity Today. 2018; https://www.christianitytoday.com/ct/2018/march/surrogacy-surge-us-christians-bioethics-ivf-reproduction.html. Accessed 3 Dec 2019.

  22. Lones ME. A Christian ethical perspective on surrogacy. Bioethics Faith Pract. 2016;2(1):5.

    Google Scholar 

  23. Schenker JG. Jewish and Moslem aspects of in vitro fertilization and embryo transfer. Ann N Y Acad Sci. 1985;442(1):601–8.

    CAS  PubMed  Google Scholar 

  24. Serour GI. Ethical issues in human reproduction: Islamic perspectives. Gynecol Endocrinol. 2013;29(11):949–52.

    CAS  PubMed  Google Scholar 

  25. Muaygil RA. Reexamining the prohibition of gestational surrogacy in Sunni Islam. Dev World Bioeth. 2017;17(2):112–20.

    PubMed  Google Scholar 

  26. Kholwadia MA. The Islamic ruling on surrogate motherhood. IlmGate: A Digital Archive of Islamic Knowledge. Last accessed Oct 25, 2018. https://www.ilmgate.org/the-islamic-ruling-on-surrogate-motherhood

  27. Schenker JG. Human reproduction: Jewish perspectives. Gynecol Endocrinol. 2013;29(11):945–8.

    PubMed  Google Scholar 

  28. Besser M. Jewish ethics and surrogacy. Jewish Independent. 2017. http://www.jewishindependent.ca/jewish-ethics-and-surrogacy/. Accessed 3 Dec 2019.

  29. Broyde MJ. The establishment of maternity and paternity in Jewish and American law: III. The establishment of maternity and surrogate motherhood. Jewish Law Articles. 2010. Last accessed Oct 22, 2018. https://www.jlaw.com/Articles/maternity3.html

  30. McQuisition HL. Clarifying “biological,” “natural,” and “adoptive” parents. Am J Public Health. 1996;86(11):1649.

    Google Scholar 

  31. Dorff EN. Artifiial insemination, egg donation and adoption. Rabbinical Assembly. Last accessed Oct 22, 2018. https://www.rabbinicalassembly.org/sites/default/files/public/halakhah/teshuvot/19912000/dorff_artificial.pdf

  32. Schenker JG. Religious views regarding gamete donation. In: Seibel MM, Crockin SL, editors. Family Building Through Egg and Sperm Donation. Boston: Jones and Bartlett; 1996. p. 238–50.

    Google Scholar 

  33. TheJC. Is it permissible to have a child through egg donation? 2013. Last accessed Oct 22, 2018. https://www.thejc.com/judaism/rabbi-i-have-a-problem/is-it-permissible-to-have-a-child-through-egg-donation-1.42463

  34. Rutzick J. The egg donor might not have been Jewish, but my baby is. Haaretz. 2014. https://www.haaretz.com/opinion/.premium-egg-wasn-t-jewish-but-my-baby-is-1.5252404

  35. Jacobovitz I. Jewish medical ethics: a comparative and historical study of the Jewish religious attitude to medicine and its practice. New York: Bloch Publishers; 1975.

    Google Scholar 

  36. Tendler M. Infertility management: cure or Ill. Sh’ma. 1987;17(334):109–10.

    Google Scholar 

  37. Golinkin D. What does Jewish law have to say about surrogacy? The Schechter Institutes. 2012;7(3). Last accessed Oct 22, 2018. http://www.schechter.edu/what-does-jewish-law-have-to-say-about-surrogacy/

  38. Pew Research Centre. The global religious landscape: Hinduism. 2012. Last accessed April 26, 2019. https://www.pewforum.org/2012/12/18/global-religious-landscape-hindu/

  39. Ray S. India bans commercial surrogacy to stop ‘rent a womb’ exploitation of vulnerable women. The Telegraph. 2018. https://www.telegraph.co.uk/news/2018/12/20/india-bans-commercial-surrogacy-stop-rent-womb-exploitation/. Accessed 3 Dec 2019.

  40. Deonandan R. Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy. Risk Manag Healthc Policy. 2015;8:111–9.

    PubMed  PubMed Central  Google Scholar 

  41. Kumar TCA. Ethical aspects of assisted reproduction – an Indian viewpoint. Reprod BioMed Online. 2007;14(1):140–2.

    Google Scholar 

  42. Agarwal A. Celebs who opted for surrogacy. Times of India. 2017. https://timesofindia.indiatimes.com/entertainment/hindi/bollywood/news/Celebs-who-opted-for-surrogacy/articleshow/52971925.cms. Accessed 3 Dec 2019.

  43. Sallam HN, Sallam NH. Religious aspects of assisted reproduction. Facts Views Vis Obgyn. 2016;8(1):33–48.

    CAS  PubMed  PubMed Central  Google Scholar 

  44. Kalra B, Baruah MP, Kalra S. The Mahabharata and reproductive endocrinology. Indian J Endocrinol Metab. 2016;20(3):404–7.

    PubMed  PubMed Central  Google Scholar 

  45. Nelson D. Fair-skinned Indian women paid £1,000 extra to be surrogates. The Telegraph. 2015. https://www.telegraph.co.uk/news/worldnews/asia/india/9633142/Fair-skinned-Indian-women-paid-1000-extra-to-be-surrogates.html

  46. Zoloth L, Henning AA. Bioethics and oncofertility: arguments and insights from religious traditions. Cancer Treat Res. 2010;156:261–78.

    PubMed  PubMed Central  Google Scholar 

  47. Numrich PD. The problem with sex according to Buddhism. Dialog J Theol. 2009;48(1):62–73.

    Google Scholar 

  48. Taniguchi S. Biomedical ethics from a Buddhist perspective. Pac World New Ser. 1987;3:75–83 http://enlight.lib.ntu.edu.tw/FULLTEXT/JR-MAG/mag133029.pdf. Accessed 3 Dec 2019.

  49. Ying LY, Wu LH, Loke AY. The experience of Chinese couples undergoing in vitro fertilization treatment: perception of the treatment process and partner support. PLoS One. 2015;10(10):e0139691.

    PubMed  PubMed Central  Google Scholar 

  50. Keown D. Buddhism and medical ethics: principles and practice: University of London; 1995. Last accessed April 26, 2019. https://www.buddhismuskunde.uni-hamburg.de/pdf/4-publikationen/buddhismus-in-geschichte-und-gegenwart/bd7-k03keown.pdf

  51. Mori S. Bioethics from the viewpoint of Buddhism. 2006. http://www.iop.or.jp/Documents/0717/mori.pdf. Accessed 3 Dec 2019.

  52. Damnoen S. Buddhist ethics and surrogacy problem of thai society. Social Science Research Network. 2017. https://ssrn.com/abstract=3013964

  53. Rochman B. Is it selfish to pursue fertility treatments instead of adoption? Time. 2012. http://healthland.time.com/2012/02/01/is-it-selfish-to-pursue-fertility-treatments-instead-of-adoption/. Accessed 3 Dec 2019.

  54. Saxena P, Mishra A, Malik S. Surrogacy: ethical and legal issues. Indian J Community Med. 2012;37(4):211–3.

    PubMed  PubMed Central  Google Scholar 

  55. Kozicka P. Surrogacy in Canada: what you need to know. Global News. 2016. https://globalnews.ca/news/2879259/surrogacy-in-canada-what-you-need-to-know/. Accessed 3 Dec 2019.

  56. Byrne MP, Snyder SH. The use of prebirth parentage orders in surrogacy proceedings. Mitchell Hamline School of Law. Faculty Scholarship, paper 231. 2005. Last accessed Oct 22, 2018. http://open.mitchellhamline.edu/facsch/231

  57. Atwell BL. Surrogacy and adoption: a case of incompatibility. 20 Colum. Hum. Rts. L. Rev. 1988(1). Last accessed Oct 22, 2018. https://core.ac.uk/download/pdf/46714119.pdf. Accessed 3 Dec 2019.

  58. United Kingdom High Court. Re an adoption application (surrogacy), 11 March 1987. Annu Rev Popul Law. 1987;14:–57.

  59. Government of the United Kingdom. Surrogacy: legal rights of parents and surrogates. Last accessed Jan 20, 2019. https://www.gov.uk/legal-rights-when-using-surrogates-and-donors

  60. Government of Canada. Assisted Reproduction Act of 2004. Last accessed Jan 20, 2019. https://laws-lois.justice.gc.ca/eng/acts/A-13.4/index.html

  61. Leighton KL. Accepting adoption’s uncertainty: the limited ethics of pre-adoption genetic testing. Bioeth Inq. 2014;11:245–60.

    Google Scholar 

  62. Harris-Short S. Making and breaking family life: adoption, the state, and human rights. J Law Soc. 2008;35(1):28–51.

    Google Scholar 

  63. Fronek P. Current perspectives on the ethics of selling international surrogacy support services. Medicolegal Bioethics. 2018;8:11–20.

    Google Scholar 

  64. Library of Congress. Adoption law: United States. 2015. https://www.loc.gov/law/help/adoption-law/unitedstates.php#f13. Accessed 3 Dec 2019.

  65. Watson JL. Agnates and outsiders: adoption in a Chinese lineage. Royal Anthropological Institute of Great Britain and Ireland. 10(2):293-306

    Google Scholar 

  66. Deonandan R, Green S, van Beinum A. Ethical concerns for maternal surrogacy and reproductive tourism. J Med Ethics. 2012;38:742–5.

    PubMed  Google Scholar 

  67. Radoilska L. Public health ethics and liberalism. Public Health Ethics. 2009;2(2):135–45.

    PubMed  PubMed Central  Google Scholar 

  68. Locke J. Second Treatise of Government 1689. Last accessed April 26, 2019. https://www.earlymoderntexts.com/assets/pdfs/locke1689a.pdf

  69. Gould A. Origins of liberal dominance. Ann Arbor: University of Michigan Press; 1999.

    Google Scholar 

  70. Kinley M. The requirements for a valid surrogacy parentage contract in California. California Healthcare Law. 2017. http://californiahealthcarelaw.com/?p=526. Accessed 3 Dec 2019.

  71. Mitra S, Schicktanz S. Failed surrogate conceptions: social and ethical aspects of preconception disruptions during commercial surrogacy in India. Philos Ethics Hum Med. 2016;11:9.

    Google Scholar 

  72. Sawer M. The ethical state: social liberalism and the critique of contract. Aust Hist Stud. 2000;31(114):67–90.

    Google Scholar 

  73. Bix BH. Theories of contract law and enforcing promissory morality: comments on Charles Fried. 45 Suffolk U. L. Rev. 2012;719 http://scholarship.law.umn.edu/faculty_articles/204. Accessed 3 Dec 2019.

  74. Atiyah PS. The liberal theory of contracts. In Essays on Contracts, by P.S. Atiyah. Oxford Scholarship, 1990.

  75. Rawls J. A Theory of Justice. Bellknap, 1971.

  76. Schaeffer D. Feminism and liberalism reconsidered: the case of Catharine MacKinnon. Am Polit Sci Rev. 2001;95(3):699–708.

    Google Scholar 

  77. Okin SM. Feminism, the individual, and contract theory. Ethics. 1990;100(3):658–69.

    Google Scholar 

  78. Imrie S, Jadva V. The long-term experiences of surrogates: relationships and contact with surrogacy families in genetic and gestational surrogacy arrangements. Reprod BioMed Online. 2014;29(4):424–35.

    PubMed  Google Scholar 

  79. Bell D. Defining marriage and legitimacy. Curr Anthropol. 38(2):237–53.

    Google Scholar 

  80. Fellows ML. The law of legitimacy: an instrument of procreative power. Columbia J Gend Law. 1993;3(2):495–534.

    Google Scholar 

  81. Van den Akker O. The importance of a genetic link in mothers commissioning a surrogate baby in the UK. Hum Reprod. 2000;15(8):1849–55.

    PubMed  Google Scholar 

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  1. Interdisciplinary School of Health Sciences, University of Ottawa, 25 University Pvt, Ottawa, ON, K1N 6N5, Canada

    Raywat Deonandan

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Deonandan, R. Thoughts on the ethics of gestational surrogacy: perspectives from religions, Western liberalism, and comparisons with adoption. J Assist Reprod Genet 37, 269–279 (2020). https://doi.org/10.1007/s10815-019-01647-y

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