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Regulating assisted conception practices

Thursday, September 25, 2003 Vanguard

THE birth of a child through surrogate pregnancy in a Lagos-based private hospital has proved, once again, the competence and proficiency of Nigerian scientists and medical professionals. By virtue of this singular achievement — undertaken solely by a group of talented home-based doctors — a Nigerian couple is now proud parents of a baby girl after several years of disappointments and frustrations of coping with the problem of infertility.

As a reproductive alternative, surrogate motherhood enables one woman to bear a child for another. It involves a process through which a married couple in which the husband is fertile but the wife is unable to carry a pregnancy, seeks out the means of fulfilling the strong and understandable desire to become parents through a privately arranged contract with a fertile woman (the surrogate mother).

In the most common arrangement, the surrogate (stand-in) mother agrees to be artificially inseminated with the sperm of the fertile husband. Alternatively, the surrogate mother may be impregnated with an embryo (fertilized egg) produced by the wife’s or another woman’s egg. In either case, what happens is that the surrogate mother carries the pregnancy until delivery, and then, as stated in the contract, relinquishes the infant to the couple initiating the contract along with all her parental rights and responsibilities.

Vanguard recognizes that in a society like ours in which procreation is a culturally and socially treasured quality, every effort towards enabling or assisting infertile couples to become parents, deserves to be encouraged if only to remove the stigma cast over the plight of innumerable couples battling with one problem of infertility or the other.

However, we wish to note that even though the decision to participate in a surrogate motherhood arrangement or other assisted reproductive techniques like IVF or ICSI, ultimately lies with the concerned individual, it is expedient to call on government and related constituted authorities to begin to put in place appropriate regulation procedures through which the moral, ethical and religious views arising from available infertility management methods can be tackled.

Adoption of a regulation policy for assisted conception in Nigeria now and in the foreseeable future, would not only bring about a standardization of the procedures, it would also help maintain the credibility of the medical practitioners and guarantee improvement of services offered while protecting the interest of all participating parties. It would also put the nation at par with countries like the United Kingdom, Australia, France, Germany, the Scandinavian countries and the United States of America, amongst others, where the quality management and assurance systems put in place for assisted reproductive techniques, are as defined by individual statutes or in compliance to international standards organizations.

Currently, no such guidelines exist in Nigeria, either in form of principles to help in educating the public about the causes, detection, treatment, and prevention of infertility, or as recommendations to ensure that interests of parties involved in such procedures are adequately protected.

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