Report: Assisted Reproductive Technology Surveillance — United States, 2015

Assisted Reproductive Technology Surveillance — United States, 2015
By Centers for Disease Control and Prevention | Morbidity and Mortality Weekly Report | Feb. 16, 2018

From the introduction:

Since the first U.S. infant conceived with assisted reproductive technology (ART) was born in 1981, both the use of ART and the number of fertility clinics providing ART services have increased steadily in the United States. ART includes fertility treatments in which eggs or embryos are handled in the laboratory (i.e., in vitro fertilization [IVF] and related procedures). Although the majority of infants conceived through ART are singletons, women who undergo ART procedures are more likely than women who conceive naturally to deliver multiple-birth infants. Multiple births pose substantial risks for both mothers and infants, including obstetric complications, preterm delivery (<37 weeks), and low birthweight (<2,500 g) infants. This report provides state-specific information for the United States (including the District of Columbia and Puerto Rico) on ART procedures performed in 2015 and compares birth outcomes that occurred in 2015 (resulting from ART procedures performed in 2014 and 2015) with outcomes for all infants born in the United States in 2015.

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Report: Multiple Pregnancies Following Assisted Conception

Multiple Pregnancies Following Assisted Conception
By T. El-Toukhy, S. Bhattacharya and V. A. Akande | Royal College of Obstetricians and Gynaecologists | February 2018

First published in 2011, under the same title, this report raises an alarm about the risks of multiple pregnancies in assisted reproduction, resulting from the common practice of transferring multiple embryos. Maternal complications, according to the report, include increased risk of pregnancy-induced hypertension, gestational diabetes, peripartum haemorrhage, operative delivery, postpartum depression, and heightened symptoms of anxiety and parenting stress. Multiple pregnancy is also associated with a six-fold increase in the risk of preterm birth, which is a leading cause of infant mortality and long-term mental and physical disabilities, including cerebral palsy, learning difficulties and chronic lung disease.

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Read a summary, along with RCOG’s recommendation that IVF be fully funded by the National Health Service, as a step towards reducing multiple pregnancies and related risks.

 

Video: Deseos (“Longing”)

Deseos
By GIRE Mexico | 2017

GIRE, a Mexico-based organization that has studied, documented, published, and advocated on international recently released a documentary on the practice in 2017. “Deseos” or “Longing” follows Mirna, a divorced gestational mother with three of her own and shines a critical light on the lack of regulation around surrogacy in Mexico.

Visit GIRE’s website and read the organization’s latest report on surrogacy in Mexico. In it, GIRE offers a comprehensive overview of the current status of surrogacy, the scope of the debate around the practice, legal frameworks, cases, and recommendations. The last includes, for example:

  • Legislation that defines surrogacy as a contract between gestational mothers and intended parents.
  • Decriminalization of all the parties involved, including any criminalization based on nationality, sexual orientation, marital status, and age.
  • Quality and confidential health and legal care for gestational mothers.
  • Guarantees that costs related to pregnancy, birth, and postpartum be covered by intended parents (regardless of birth outcomes).
  • Contract revisions be contingent on the involvement of a competent notary/judge and consent of all parties.
  • Notifications of relevant state and federal authorities to avoid problems related to registration, legal parentage, and citizenship while contracts are valid or after birth.

Read the full report > 

Article: Ethical Case for Abolishing All Forms of Surrogacy

Ethical Case for Abolishing All Forms of Surrogacy
By Catherine Lynch | Sunday Guardian | Oct. 28, 2017

This is the fifth installment of an ongoing series called “Global Child Rights, and Wrongs,” focussing on global child rights within the field of reproductive technologies.

While these are often discussed in terms of the rights of adults to have children, there is very little discussion from the perspective of the child born of such technologies.

Dr. Lynch, an Australian lawyer and adoptee rights activist, addresses this gap with an essay on the ethics of surrogacy and an argument to ban all forms of the practice.

Here is an excerpt:

As an adoptee, I was removed at birth from my gestational mother, her breasts bound for three days in another room while I screamed for her, and my hospital records record my growing distress. Adoptees around the world testify to their battles with depression and rage, difficulties in trusting and attachment, and a profound sense of loss and grief caused by the loss of their mothers at birth. Scientific studies prove that maternal-neonate separation in the crucial months after birth disturbs the baby’s heart rate and sleep and other biological systems, predisposing the child to difficulties later in life which can include relationship and emotional difficulties, mental disorders and illnesses. In taking a child-centered view of surrogacy, we must take into account what we know of the trauma and confusion of separation from the natural family, especially from the birth mother, experienced by adoptees.

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News Program: The Legal and Ethical Complexities of Sperm and Egg Donation

The Legal and Ethical Complexities of Sperm and Egg Donation
By Nightlife | March 27, 2017

Listen to medical research scientist, Damian Adams and Associate Professor in Health Law, Dr. Sonia Allen discuss challenges around sperm and egg donation, including issues related to the rights of parents, donors, and children.

Dr. Sonia Allen consults with the South Australian government on ARTs, sperm and egg donation. A report on her review of the South Australian Assisted Reproductive Treatment Act 1988 is available to read.

Update: In November 2017, the South Australian government tabled their response to the review conducted by Dr. Allan from 2015-2017. The Hon. Peter Malinauskas, Minister for Health, thanked Dr. Allan, stating the government had commissioned her due to her international expertise in the field. He then committed the government to establishing a donor-conception register, making the rights of donor-conceived people “a main priority for South Australia” and committing to implementing changes that “best reflect Dr. Allan’s recommendations.” Victoria enacted Dr. Allan’s model for access to information by donor-conceived people into law in March 2017 – the first of its kind in the world – and now South Australia has made the commitment to follow. 

Article: Legal Controversy Might Lead to Ban of Surrogacy in Russia

Legal Controversy Might Lead to Ban of Surrogacy in Russia
By RT News | March 27, 2017

Russia is considering a ban on surrogacy until a review of the existing law is complete. This article briefly explains the current status of the practice and the direction of future legislation – both of which are heavily influenced by the Russian Orthodox Church, a longstanding voice against all forms of surrogacy and public in its opinion of the practice as a threat to traditional marriage, childbearing, and family formation.

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Study: IVF Has Little Effect on Health of the Child

IVF Has Little Effect on Health of the Child
By Jordana Bell, Jeffrey Craig and Juan Castillo-Fernandez | The Conversation | March 28, 2017

A new study has been published on risks to children conceived via IVF. According to the researchers at King’s College London and Murdoch Children’s Research Institute, fears of commonly assumed risks are “largely unfounded” and the long-term health effects of IVF are still relatively unknown.

A summary of the study discusses the role of epigenetics in the development of health problems in twins conceived naturally and via IVF. While epigenetic influence has been identified in conditions such as cancer and mental illness, the researchers observe no such differences in children conceived by IVF. They conclude on a reassuring note, for people who have used and have children via IVF, along with a call for more studies to confirm whether smaller epigenetic changes they observed during the study remain over time.

Read the full summary and the report >

Book: Babies for Sale? Transnational Surrogacy, Human Rights and the Politics of Reproduction

Babies for Sale? Transnational Surrogacy, Human Rights and the Politics of Reproduction
Editor: Miranda Davies | Zed Books | March 2017
Buy at Amazon >

From the publisher’s website:

Featuring contributions from over thirty activists and scholars from a range of countries and disciplines, this collection offers the first genuinely international study of transnational surrogacy. Its innovative bottom-up approach, rooted in feminist perspectives, gives due prominence to the voices of those most affected by the global surrogacy chain, namely the surrogate mothers, donors, prospective parents and the children themselves. Through case studies ranging from Israel to Mexico, the book outlines the forces that are driving the growth of transnational surrogacy, as well as its implications for feminism, human rights, motherhood and masculinity.

Our Bodies Ourselves is a contributor to the anthology, along with an impressive line up of experts in the field. (Read the table of contents.)

In a chapter titled “Frequently Unasked Questions: Understanding and Responding to Gaps in Public Knowledge of International Surrogacy Practices Worldwide,” Our Bodies Ourselves shares findings from an analysis of publicly-accessible information on international commercial surrogacy. This includes a random survey of news media articles and the websites of select international agents. The chapter also introduces readers to this information clearinghouse on the practice.

The Our Bodies Ourselves blog recently posted an article, authored by staff member Ayesha Chatterjee, on the contribution made by “Babies for Sale?” to literature on international commercial surrogacy.  

For a special 40 percent discount, buy the book on the Zed website using the code “BABIESZED.” This offer is time limited and will end May 31, 2017. 

Article: The Practical Case for Legalizing Surrogacy

The Practical Case for Legalizing Surrogacy
By Ding Chunyan | Sixth Tone | March 22, 2017

I propose that we legalize altruistic gestational surrogacy — that is, procedures involving a third-party surrogate mother with no biological relation to the child, and who receives no financial compensation for taking on the role. To protect the interests of the surrogate mother, the intended parents, and the surrogate child, the government should establish clear rules specifying the qualifications for both the surrogate mother and intended parents, as well as the conditions for surrogacy, the restrictions on reimbursement, the privacy of those involved, and the child’s right to know of that it was born from the arrangement.

Citing laws that are, in the author’s opinion, “simply not up to the task of solving the current complex tangle of legal and regulatory problems related to surrogacy,” this article chronicles issues facing surrogacy in China. It includes: the rampant use of non-ARTs – not covered by regulation – in surrogacy arrangements; judicial bias towards genetic parentage; precedents set by divorce cases that have not always granted custody to the more “capable” parent; and the rise of entities and a “black market” willing to violate law.

Legalizing altruistic surrogacy is the proposed fix by Ding Chunyan, an associate professor at the Law School of Hong Kong City University, along with the creation of a neutral oversight body. Success, in her opinion, is also pinned on her proposal to ban commercial surrogacy.

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Article: Women Fear Drug They Used to Halt Puberty Led to Health Problems

Women Fear Drug They Used to Halt Puberty Led to Health Problems
By Christine Jewett | Kaiser Health News | Feb. 2, 2017

Lupron is most often linked to egg retrieval. (See Egg Providers and other articles in this section, such as Diane Tober’s piece on Rewire, for more information.)

Few people might be aware of Lupron’s use to treat central precocious puberty (PP) or growth issues in young children. Kaiser Health News and Reveal from The Center for Investigative Reporting track the effects of the drug on adults exposed to it as children, to treat PP. The article follows Sharissa Derricott, now 30 years and living in the U.S. state of Oklahoma, and others who have suffered a laundry list of physical and emotional problems as a result.

Read the full article > 

In a related piece by Lynne Millican, people are invited to share their own experiences with Lupron. Learn more about Lynne’s personal journey on Impact Ethics and visit her website.