- Fariba Asghari
 - - Medical Ethics & History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
Received: 4/1/2008 Accepted: 4/1/2008 - Publisher : Avicenna Research Institute |
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Abstract
Introduction: Assisted reproductive technology has greatly revolutionized chances of repro-duction offered to infertile couples and it has helped them maintain their family integrity. This technology, like any other new medical technology, has brought up questions regarding its ethical goodness or badness. As its objectives, this article discusses the ethical issues regarding surrogate motherhood according to bioethical principles. Materials & Methods: Autonomy is one of bioethical principles, which its implication in surro-gacy is referred to as refraining from safe life style, prenatal care or refusal of giving the child to its genetic parents. Complete consultation by independent specialists for all the involved parties could maintain the individuals autonomy in giving voluntary informed consent to this technique and increase her commitment toward the desired responsibility in the contract. Other ethical principles, which are brought up in this process, are beneficence and non-malfeasance. To regard these moral principles, all screening procedures and physical examinations should be practiced with utmost care to minimize any risk to the surrogate mother and the baby. Justice is another ethical issue which is observed in this technology. Surrogacy as a means of commercial profit is instrumentalization and exploitation of low-income women for the interest of high-income people. Establishing methods to control payment for surrogacy and making it an altruistic act, instead of a business, could help eliminate this unethical aspect. Conclusion: Surrogacy could be an ethically acceptable and altruistic act for helping infertile couples if all ethical standards are practiced. Supervision of independent ethics committees is essential for assuring the fulfillment of these standards.
Keywords:
Surrogate Mother, Principles, Bioethics, Autonomy, Beneficence, Non-malfeasance, Justice, Ethical issues, Assisted Reproductive Techniques To cite this article:References
- Nosarka S, Kruger TF. Surrogate motherhood. S Afr Med J. 2005;95(12):942-6. [PubMed]
- Shenfield F, Pennings G, Cohen J, Devroey P, de Wert G, Tarlatzis B. ESHRE Task Force on Ethics and Law 10: surrogacy. Hum Reprod. 2005;20(10):2705-7. [PubMed]
- Committee on Ethics. ACOG committee opinion num-ber 397, February 2008: surrogate motherhood. Obstet Gynecol. 2008;111(2 Pt 1):465-70. [PubMed]
- Brinsden PR. Gestational surrogacy. Hum Reprod Update. 2003;9(5):483-91. [PubMed]
- Van ZL, Van NA. Interpretations, perspectives and in-tentions in surrogate motherhood. J Med Ethics. 2000; 26(5):404-9. [PubMed]
- Reilly DR. Surrogate pregnancy: a guide for Canadian prenatal health care providers. CMAJ. 2007;176(4): 483-5. [PubMed]
- Heng BC. Proposed ethical guidelines and legislative framework for permitting gestational surrogacy in Singapore. RBM Online. 2007;15 Suppl 1:7-11. [PubMed]
- Golombok S, Murray C, Jadva V, Lycett E, MacCallum F, Rust J. Non-genetic and non-gestational parenthood: consequences for parent-child relationships and the psychological well-being of mothers, fathers and children at age 3. Hum Reprod. 2006;21(7):1918-24. [PubMed]
- MacCallum F, Lycett E, Murray C, Jadva V, Golombok S. Surrogacy: the experience of commissioning couples Hum Reprod. 2003;18(6):1334-42. [PubMed]
- Jadva V, Murray C, Lycett E, MacCallum F, Golom-bok S. Surrogacy: the experiences of surrogate mothers Hum Reprod. 2003;18(10):2196-204. [PubMed]
- Van den Akker OB. Psychosocial aspects of surrogate motherhood. Hum Reprod Update. 2007;13(1):53-62. [PubMed]
- Van den Akker OB. Psychological trait and state cha-racteristics, social support and attitudes to the surrogate pregnancy and baby. Hum Reprod. 2007;22(8):2287-95. [PubMed]
- Benshushan A, Schenker JG. Legitimizing surrogacy in Israel. Hum Reprod. 1997;12(8):1832-4. [PubMed]
- Ber R. Ethical issues in gestational surrogacy. Theor Med Bioeth. 2000;21(2):153-69. [PubMed]
- Drabiak K, Wegner C, Fredland V, Helft PR. Ethics, law, and commercial surrogacy: a call for uniformity. J Law Med Ethics. 2007;35(2):300-9. [PubMed]
- Steinbock B. Payment for egg donation and surro-gacy. Mt Sinai J Med. 2004;71(4):255-65. [PubMed]