alexa New Ethical Horizons in Gestational Surrogacy | OMICS International | Abstract
ISSN: 2375-4508

Journal of Fertilization: In Vitro - IVF-Worldwide, Reproductive Medicine, Genetics & Stem Cell Biology
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Review Article

New Ethical Horizons in Gestational Surrogacy

John D Loike1,* and Ruth L Fischbach2
1Department of Physiology and Cellular Biophysics and Center for Bioethics, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA
2Center for Bioethics, Columbia University College of Physicians and Surgeons, 630 W. 168th Street, New York, NY 10032, USA
*Corresponding Author : John D Loike
Department of Physiology and Cellular Biophysics and Center for Bioethics
Columbia University College of Physicians and Surgeons, New York, NY 10032, USA
Tel: 212 305 1510
Fax: 212 305 5775
E-mail: [email protected]
Received June 27, 2013; Accepted August 30, 2013; Published September 02, 2013
Citation: Loike JD, Fischbach RL (2013) New Ethical Horizons in Gestational Surrogacy. J Fertil In Vitro IVF Worldw Reprod Med Genet Stem Cell Biol 1:109. doi:10.4172/2375-4508.1000109
Copyright: © 2013 Loike JD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Gestational surrogacy occurs when a woman allows a 4-7 day embryo that was not generated from her own egg to develop in her uterus. In this paper, we review emerging scientific evidence to show how maternal-fetal cell exchange (microchimerism) may affect the future health of both surrogate and fetus/child. In light of these findings, we propose that four aspects of gestational surrogacy be examined: (1) the medical health and psychological outcomes of maternal-fetal cell exchange in surrogacy, (2) surrogacy laws and contractual agreements between the various parties, (3) provisions of a more comprehensive genetic family history and genetic screening from all parties involved, and (4) appreciation of the ethical and social complexities of surrogacy. We support gestational surrogacy provided that there is comprehensive informed consent. To be comprehensive, consent should include our current understanding of  microchimerism with respect to the medical, legal, genetic, and ethical elements of surrogacy

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