Up to now, medical insurance have covered the costs of the surrogate mother's pregnancy. But one of the leading health funds in the US, Kaiser Permanente, is thinking of demanding that clients who are compensated for surrogate pregnancies reimburse the cost of their obstetric care. After all, their pregnancy is a medical condition for which they are being paid.
There is always the risk that the surrogate mother will refuse to hand over the baby when it is born, contracts notwithstanding. Screening candidates for surrogacy is more rigorous than it used to be. Agencies like married mothers who have easy pregnancies and who are financially solvent and emotionally stable. But sometimes there are problems on the other side of the contract, says Cori Borjan, a 43-year-old who has had six surrogate children -- as well as children and grandchildren of her own. Sometimes the stress of the process causes couples to split up and reject the baby. She cites cases in which the intended parents rejected children because they were multiples or the wrong gender. ~ Oregonian, July 9
This has been a bumper week for stories about the unintended effects of artificial reproduction -- mostly from the UK, where, because of a high degree of government regulation, exceptional cases surface more often in the media.
Louise Brown a mother: The world's test-tube baby, Louise Brown, is expecting a child of her own, according to reports in the UK media. Ms Brown was born in 1978 and since then more than 3 million babies have been born around the world with artificial reproductive technologies. ~ Scotsman, July 10
Quality control: A London clinic has introduced a system for labelling everything involved in IVF procedures with microchips to prevent mishaps. The chief embryologist at the Essex Fertility Centre says that "looking at this system, I am confident that it is impossible to unknowingly mix samples." Confidence in existing procedures has been shaken after several high-profile mistakes. One of them resulted in Asian twins born to a white couple after the clinic used the wrong vial of sperm at a clinic in Leeds. The mother, who cannot be named for legal reasons, told the media, "My greatest sadness is that my husband is not the biological father of our children. All we wanted was a family. Instead, we were landed with a nightmare that will last forever." ~ London Telegraph, July 9
Older mothers: The UK is again debating the ethics of using IVF to allow women in their 60s to bear children. A leading fertility doctor, Sam Abdalla, said that he hoped that the boy born to 62- year-old Patti Rashbrook would remain an exception. He says that elderly mothers may not live long enough to see their child grow up. Selfish" and "irresponsible" were the words used by Josephine Quintavalle, of Comment on Reproductive Ethics. "I am sure the reaction from most of the population to this is one of revulsion and distaste," she said.
Ms Quintavalle also pointed out that a poor Eastern European woman may have been exploited in the process of supplying a donor egg for Ms Rashbrook. "I find it highly unlikely that full consent of the donating woman has been obtained in the sense that she knew that a 62-year-old woman would receive the egg," said Quintavalle. "Even if she had been told of its destination, it makes you wonder what kind of financial straits she would have been in to agree to it." Ms Rashbrook, who already has three adult children, and John Farrant, her second husband, who has none from his previous marriage, said that being a successful parent was not a matter of age. The world record is currently held by a retired Romanian university lecturer who became a single mum at the age of 66. ~ London Sunday Times, July 9
More blunders: In another instance of maladministration by an IVF clinic, a UK sperm donor has unwittingly fathered three children for lesbians even though he gave specific instructions that this was not to happen. The staff at the London Women's Clinic, alleges the Daily Mail, breached the terms of his consent by giving his sperm to four lesbian couples. The blunder was uncovered during an official inspection by the UK's fertility watchdog, the Human Fertility and Embryology Authority. The donor is unaware of his offspring because the clinic has lost contact with him. The lesbian couples have not been informed of the error. ~ Daily Mail, July 2
IN BRIEF: creating sperm; Vatican comment
Artificial sperm: Researchers in the UK have produced functional sperm from mouse embryonic stem cells. Seven mice were born as a result, of which six survived to adulthood. Three had serious abnormalities. The lead researcher, Professor Karim Nayernia, says that the development will help scientists to understand how sperm develop and to explore what causes male infertility. Theoretically the procedure could be used to create a baby without a male. ~ Independent (UK), July 11
Scientists outraged: A top Vatican official has called for the excommunication of people involved in destructive embryo research. Cardinal Alfonso Lopez Trujillo, head of the Pontifical Council for the Family, recently declared that "destroying an embryo is equivalent to abortion". Although he was expressing a personal opinion, not laying down the law for Catholics, his remarks jolted the scientific world. Oxford bioethicist Julian Savulescu warned "This amounts to religious persecution of scientists which has no place in modern liberal societies." And stem cell scientist Dr Stephen Minger, of King's College London, commented: "Having been raised a Catholic I find this stance outrageous... I would argue that it is more ethical to use embryos that are going to be destroyed anyway for the benefit of mankind." ~ BBC, July 8; news@nature.com, July 6
BIOEDGE IN THE MEDIA
"Give us the whole truth on stem cells"
By Michael Cook, The Age (Melbourne), July 11