Book: Modern Families: Stories of Extraordinary Journeys to Kinship

Modern Families: Stories of Extraordinary Journeys to Kinship
By Joshua Gamson | NYU Press | 2015
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From the publisher’s website:

From adoption and assisted reproduction, to gay and straight parents, coupled and single, and multi-parent families, the stories in Modern Families explain how individuals make unconventional families by accessing a broad range of technological, medical and legal choices that expand our definitions of parenting and kinship. Joshua Gamson introduces us to a child with two mothers, made with one mother’s egg and the sperm of a man none of them has ever met; another born in Ethiopia, delivered by his natural grandmother to an orphanage after both his parents died in close succession, and then to the arms of his mother, who is raising him solo.

These tales are deeply personal and political. The process of forming these families involved jumping tremendous hurdles—social conventions, legal and medical institutions—with heightened intention and inventiveness, within and across multiple inequities and privileges. Yet each of these families, however they came to be, shares the same universal joys that all families share.

From the book’s foreword by Melissa Harris-Perry, Maya Angelou Presidential Chair and Professor of Politics and International Affairs at Wake Forest University and, formerly, host of MSNBC’s Melissa Harris-Perry:

These family making journeys raise hard questions, but offer no formulaic answers. These are stories of choices made consciously and sometimes uncomfortably to create and combine lives amidst the messy human realities of desire, commerce, science, faith, community and family. This collection is not a roadmap; it is a companion for all those who choose to navigate the world of modern kinship.

Report: The Surrogacy (Regulation) Bill, 2016

The Surrogacy (Regulation) Bill, 2016
By PRS Legislative Research | 2016

In case there were any doubts, this short overview of the regulation in India is a helpful crib sheet on the legal status of commercial surrogacy in the country. Three main conditions included in the bill include:

  • The intending couple must be Indian citizens and married for at least five years with at least one of them being infertile.  The surrogate mother has to be a close relative who has been married and has had a child of her own.
  • No payment other than reasonable medical expenses can be made to the surrogate mother.  The surrogate child will be deemed to be the biological child of the intending couple.
  • Central and state governments will appoint appropriate authorities to grant eligibility certificates to the intending couple and the surrogate mother.  These authorities will also regulate surrogacy clinics.

Read the full overview and analysis >

For background and information on preceding legislation (2012), read BioNews on visa restrictions imposed by the Indian government on foreign intended parents.

Report: Assisted Reproductive Technology National Summary Report

Assisted Reproductive Technology National Summary Report
Centers for Disease Control and Prevention | October 2016

cdc-2016-art-reportThe data for this report come from the 458 U.S. fertility clinics in operation in 2014. It is organized into the following sections.

  • Section 1: Information on the different types of ART cycles performed in 2014.
  • Section 2: Information on ART cycles that used only fresh non-donor eggs or embryos.
  • Section 3: Information on the ART cycles that used only frozen non-donor embryos.
  • Section 4: Information on the ART cycles that used only donated eggs or embryos.
  • Section 5: Information on trends in the number of ART procedures and measures of success over the past 10 years, from 2005 through 2014.

Read the full report >

Report: Ethical Use of Assisted Reproductive Technologies

Ethical Use of Assisted Reproductive Technologies
National Perinatal Association | December 2015

screen-shot-2016-12-06-at-3-06-14-pmProfessor Michele Goodwin at the University of Minnesota and Judy Norsigian have described the “raw and debilitating physical, emotional and spiritual challenges created by deeply personal and life-altering procedures” experienced by some women seeking ART and support the need for additional regulation. In addition to the invasive processes involved in conception, the ethical quandary created by a recommendation for fetal reduction and the emotional toll on women and couples may be profound and is incompletely studied. Professor Goodwin asserts there is a “much needed public discourse that could also become the clarion call for regulation of a field of medicine that has thus far unsuccessfully regulated itself.”

This position paper by the National Perinatal Association addresses the ethical use of assisted reproductive technologies. It emphasizes reducing disparities in care provided to mothers and children and makes helpful recommendations, including: single embryo transfers, counseling from a multi-disciplinary team, informed consent prior to treatment, and access to comprehensive obstetric care during and after treatment.

Read the full document >

Initiative: Responsible Surrogacy

Responsible Surrogacy is a web-based project created by a group of volunteers in Israel. It provides people considering surrogacy with information on the ethical and practical aspects of an arrangement. The information is available in Hebrew and English.

The site is facilitated by intended parents who believe “the ethical responsibility for the surrogacy process lies with the intended parents.” From the About page:

Surrogacy is a difficult process for all involved in many aspects, and it is often initiated after much hardship for the intended parents. For those in need of it, surrogacy is commonly the last hope to raise a family. They reach it exhausted but with a sense of purpose. Perhaps that is why in many cases we have encountered upon building this information center there was a tendency of intended parents to neglect one of the most important points – on the other side of this process is a person.

The website functions like a database, providing information on issues related to the health and well-being of gestational mothers, including the fairness of the contract, monetary and legal considerations, and the woman’s relationship with the intended parents.

The site’s creators believe these – and other – aspects should be considered irrespective of where an arrangement is formed, but intended parents must also seek current and accurate country-specific information for guidance.

responsible-surrogacy-goals

Article: “I Want to Explore Surrogacy”

kim-kardashian-surrogacy-conversation
Surrogacy was a topic of discussion on a recent episode of “Keeping Up With The Kardashians.”

Kim Kardashian recently revealed in an episode of the reality TV show “Keeping Up With The Kardashians” that she wants to explore surrogacy for a third child with her partner, Kanye West.

“If you use a surrogate, nobody has to know the whole time,” her sister Kourtney says in a clip from the show. “You could have a baby for a year and nobody would even know.”

This Daily Mail article from Nov. 7 describes the episode. It also chronicles other comments Kim has made about her first two pregnancies and her experience in both of a life-threatening condition called placenta accreta. This is a clinical condition resulting from the placenta, part of whole, attaching to the uterine wall.

Report: Perinatal Risks Associated with Assisted Reproductive Technology

Perinatal Risks Associated with Assisted Reproductive Technology
The American College of Obstetricians and Gynecologists | Committee Opinion Number 671 | September 2016

screen-shot-2016-12-12-at-3-58-25-pmPerinatal risks that may be associated with assisted reproductive technology (ART) and ovulation induction include multifetal gestations, prematurity, low birth weight, small for gestational age, perinatal mortality, cesarean delivery, placenta previa, abruptio placentae, preeclampsia, and birth defects. Although these risks are much higher in multifetal gestations, even singletons achieved with ART and ovulation induction may be at higher risk than singletons from naturally occurring pregnancies.

ACOG’s report recognizes the importance of ARTs for infertile couples but, in the spirit of informed consent, it provides a comprehensive outline of related perinatal risks.

To promote optimal outcomes, ACOG suggests that patients receive counseling and a thorough medical evaluation; and that obstetrician–gynecologists and other health care providers address maternal health problems or health conditions before initiating treatment and, when proceeding, make every appropriate effort to achieve a singleton gestation.

Read the full report >

Article: Cambodia Bans Booming Commercial Surrogacy Industry

Cambodia Bans Booming Commercial Surrogacy Industry
AFP | Nov. 3, 2016

[A] government edict sent to Cambodian fertility clinics and seen by AFP on Thursday (Nov 3) said that surrogacy was now “absolutely banned”.

Cambodia has become the latest country to ban surrogacy, following a government edict sent to all fertility clinics in the country.

Phon Puthborey, spokesman for the Ministry of Women’s Affairs, describes this as a “transitional period” because the country does not have a law on the books but is looking for ways to effectively implement regulation.

“We are looking for (other) possible measures to respond to the matter effectively. It could be a surrogacy law that includes protections for women and children so that they would not become victims of trafficking,” he told AFP.

The article includes comments from a representative of Families Through Surrogacy, who describes Cambodia as “the last hope” after regulation in neighboring Thailand left many intended parents with fewer options.

Read the full article >

Journal: Transnational Reproductive Travel

Transnational Reproductive Travel
By International Journal of Feminist Approaches to Bioethics, Vol. 7, No. 2 | University of Toronto Press | 2014

The International Journal of Feminist Approaches to Bioethics provides a forum within bioethics for feminist thought and debate. It is sponsored by the International Network on Feminist Approaches to Bioethics, and includes feminist scholarship on ethical issues related to health, health care, and the biomedical sciences.

Contributors to vol. 7, no. 2, titled Transnational Reproductive Travel, explore questions and ethics related to international commercial surrogacy, in countries such as Canada, Thailand, Japan, and Denmark. The issue also includes a commentary on the Hague Convention and a review of “Breeders: A Subclass of Women,” by Jennifer Lahl from Stop Surrogacy Now.

Read the issue >

Article: The Dark Side of Cambodia’s Surrogacy Boom

The Dark Side of Cambodia’s Surrogacy Boom
By Flora Bagenal | News Deeply | July 4, 2016

With bans in major hubs – India, Nepal, and Thailand – and surrogacy moving into Cambodia, this article explores the underbelly in a country rushing to fill a gap, with no laws and little preparation. It quotes a representative from a prominent surrogacy agency in Australia, concerned by the rapid growth, lack of procedure, and the potential for harm to gestational mothers. This opinion is juxtaposed with the experiences of intended parents that have traveled to Cambodia, one of whom is concerned that excessive media attention will eventually force the government to enact unsympathetic regulation.

Read the full article >