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Gestational Surrogacy and the Health Care Provider: Put Part of the “IVF Genie” Back into the Bottle

Published online by Cambridge University Press:  29 April 2021

Extract

Medical advances in new reproductive technologies continue to raise complex legal and ethical issues. Last October, a California Superior Court judge issued his opinion on the first contested case in this country involving gestational surrogacy. Upholding the surrogacy contract as valid and declaring that the genetic parents had exclusive custody and parental rights, Judge Richard Parslow observed:

The IVF genie is out of the bottle and you’re not going to be able to put it back.

I contend that we must put part of the genie back into the bottle. Gestational surrogacy is not an acceptable option for the extension of in vitro fertilization (IVF). This is not a reaction to the facts of the California case, but rather a recognition that the medicalization of surrogacy as a reproductive technology attempts to legitimize a practice that professionals should not support.

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Article
Copyright
Copyright © 1990 American Society of Law, Medicine & Ethics

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References

Johnson v. Calvert, No. 63-31-90 (Orange Cty. Super. Ct. Calif. October 22, 1990). Gestational surrogacy is used in combination with in vitro fertilization. The fertilized egg of the genetic mother with the sperm of the genetic father or a sperm donor in vitro is transferred into the uterus of the surrogate, who is the birth mother. This differs from what I will term “genetic surrogacy” in which both the egg and gestation are provided by the surrogate, as was the case with Mary Beth Whitehead. Since the first birth in 1986, there have been about 80–100 births by gestational surrogates in this country. (cite) Non-commercial gestational surrogacy is also practiced at Bourn Hall Clinic, Britain's leading IVF clinic near Cambridge, England. See The Sunday Times, Aug. 19, 1990.Google Scholar
Facts reported in The Los Angeles Times, October 23, 1990, Part A, p. 1, col. 5.Google Scholar
Additional facts about the case provided through personal interviews with the lawyers for Anna Johnson and the Calverts (October 1990).Google Scholar
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Since the New Jersey Supreme Court declared the surrogacy contract unenforceable in In re Baby M, 109 N.J. 396, 537 A.2d 1227 (1988), I have been cautioning health professionals to seriously consider the unanswered ethical and legal questions raised by surrogacy. See, e.g., Rothenberg, , “Surrogacy and the Health Care Professional: Baby M and Beyond,” in Gostin, (ed.), Surrogate Motherhood: Politics and Privacy (Ind. Univ. Press 1990).Google Scholar
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Id. Arizona (1989 Ariz. Sess. Laws 14); Florida (Fla. Stat. Sec. 63.212(1) (1988) although allowing for preplanned adoption arrangements with specific terms); Indiana (Ind. Code Sec. 31-8-2-1– to 31-8-2-3) (1988) sets out rights for the surrogate if an agreement is entered into; Kentucky (Ky. Rev. Stat. Sec. 199.590 (1988); Louisiana (La. Rev. Stat. Ann. Sec. 9:2713 (1987); Michigan (Mich. Comp. Laws, Sec. 722.851–722.863 (1988); Nebraska (Ne. Rev. Stat. 674 (1988); Nevada (Nev. Rev. Stat. 127.303.5 (1987); North Dakota (1989 N.D. Sess. Laws 184); Utah (1989 Utah Laws 140); Washington (1989 Wash. Laws 404).Google Scholar
Louisiana and Kentucky just discuss surrogacy by insemination, with no discussion of gestational services and/or surrogacy by embryo transfer.Google Scholar
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There are at least five other cases pending in lower and appellate courts around the country, according to Sharon DeAngelo, co-founder of the Washington, D.C.-based National Coalition Against Surrogacy. The National Law Journal, Oct. 8, 1990. See also, infra note 59 for discussion of tort actions by Anna Johnson and Mary Beth Whitehead.Google Scholar
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The more we view her as a container, the more we also separate her interests from those of the fetus, rather than seeing them as a union growing together.Google Scholar
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