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Surrogate mother report re-ignites ethical debate

Vijay Dutt  Hindustan Times   January 30 2004

The report of a 43-year-old woman giving birth this week to her own twin grandchildren after "lending out" her womb to her Ilford (Essex)-based daughter and son-in-law has caused a major ripple among religious groups. It would re-ignite the debate about the booming fertility industry in this country.

Reproductive ethics campaigners reacted with "shock". They questioned how the children would cope with the bizarre circumstance of their birth. A few women questioned by Hindustan Times said they were happy. Ethics be damned said an old lady who is issueless. "What matters is that the young couple have twins and they are happy. Who are we to be judges and moral-keepers." It is a grandmother's gift of life, said an eveninger.

The couple are said to be ecstatic. The grandfather described the birth as a moment of great emotion. He was happy to see tears of joy in his daughter's eyes.

Dr Nayna Patel, the IVF specialist behind the birth said, the couple were happy. "They do not feel there is anything wrong with what has happened," he is quoted saying. The fact is that they tried their best to find an alternative but no one came forward to help them.

Hindustan Times learnt that the couple wanted an Indian-origin surrogate mother and it was clear that no one was willing here. They had tried in vain for four years to find surrogate mother, after being told that although they were able to use IVF treatment to produce the embryo, the woman could not carry the babies because she had Rokitansky syndrome. It is a rare congenital condition that causes uterus to develop abnormally. The couple made the decision to use the grandmother with the backing of Dr Patel, who encouraged them to ask the young woman's own mother. The grandmother, after mulling over what others would say, agreed because she wanted her daughter to be happy. The twin's father is to fly to Gujarat in a few days and the babies are expected to be brought to Britain in about eight weeks.

Surrogacy is legal in the UK as long as it is unpaid, although surrogate mothers can claim reasonable expenses, some time as much as £10,000. An organisation Cots has helped around 470 couples with surrogacy since 1984. Its spokesperson said he did not think there was anything wrong with someone "close to you being the surrogate mother".

There are instances of surrogate mothers recruited from their immediate family. One Edith Jones, aged 51, gave birth in 1991, to a girl, the child of her daughter Suzanne who was born without a womb. A South African grandmother became in 1987 the first woman to give birth to her grandchildren after IVF treatment.

Under law in the UK the woman carrying the child is its mother and her husband is the father. But, once the baby is born, the intended father and surrogate mother can sign a parental responsibility agreement, which gives them equal rights over the child. Six weeks later the intended parents can apply for a parental order that gives them permanent rights over the child.

A study at City University in London has found that most surrogate mothers do not suffer major emotional problems after handing over babies. Josephine Quinavalle, the founder of the group Comment on Reproductive Ethics feels the case like that of the couple from Gujarat have very uncomfortable aspects. She points out to the likely confusion about social role since a grandmother and mother have distinct roles. Children would be confused when they grew up.

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