Bio-Law III - donor conception and surrogacy Flashcards
(30 cards)
Donor Conception
use of donated gametes (eggs and sperm) or embryos for insemination. 2023 donor conceived children in UK had access to info about donors for the first time
informal priv arrangements not regulated - treated as natural conception
clinics - screened for HIV and hereditary diseases
Require a licence s. 4(1)(b) 1990 Act
Consent – central – schedule 3 of 1990 Act
Main issues:
- i. Anonymity
- ii. Payment of Donors
- iii. Parentage and Donor Gametes
Donor Anonymity
Before April 2005 – gamete donation was anonymous
- Clinic had to keep a register of information about donors but info would be like ethnicity, height, eye colour etc but nothing identifiable
Donor conceived and born before April 2005:
- Access to non-identifying information
- If they were born following fertility treatment
- Donor’s ethnicity, origin, occupation
Removal of Anonymity
Secretary of health saw at time where couples were told not to tell children about donor conception as there was a stigma and child was deemed illegitimate
R (On the application of Rose) v Secretary of State of Health
donor conceived and denied donor info but arg part of personal identity
whether childs right to genetic info protected by A.8 - court didn’t need to make a decision, gov decided but she couldn’t find out as before anonymity lifted
On 1 April 2005, with the implementation of the Human Fertilisation and Embryology Authority (Disclosure of Donor Information) Regulations 2004, UK law lifted donor anonymity.
Access to donor information
inds born via sperm, egg or embryo donation after 01/04/2005 able to track their donors
age 16 they could find donor
2023 - first year young adults donor conceived could request identifying details about the original donor.
- Name, date and place of birth of donor, appearance and last know address - How many siblings? - Donor may know that enquires are on foot – but not identity of child (s. 31ZC)
If the donation took place in a licenced clinic, donors are not legal parents and will have no legal or financial responsibilities.
Payment of Donors
Uk - criminal offence - s.41 HFE act
Compensation for expenses
- Fixed sum for sperm donors - £35 can only donate 10 times - Egg Donors - £750 er cycle for travel costs, for money you lose not a gift
Egg Sharing Schemes: A woman who needs IVF may agree to donate the half of her harvested eggs in return of free or reduced fees for her IVF treatment.
Establishing parentage
in 2008 the act was revised to consider different family forms e.g. same sex couples so 1990 act needed to be amended
The new parenthood provisions apply only to children whose mothers treated with donated sperm after April 2009, and they have not been incorporated into the 1990 Act, like the other 2008 amendments.
Instead, they are to be found in the free-standing HFE Act 2008!
Establishing maternity
ommon law and under both the 1990 Act and the 2008 Act,
- woman who gives birth to child is the legal mother (common law, 1990 Act (s. 27), 2008 Act (s.33(1)) no exception, whoever gives birth = legal mother e.g. surrogate = legal mother - gestational - Regardless of genetic connection - Cannot be regarded as mother merely because of egg donation - 2008 Act (s. 47) - Irrelevant if egg donation took place abroad
Establishing Paternity
married couples - presumption of paternity within marriage - s. 38(2) (2008 Act) – s. 28(5) 1990 Act - Can be rebutted by genetic evidence – sperm donor
and S. 35(1) of 2008 Act (s. 28(2) 1990 Act) : Consent to treatment - went to clinic with husband/partner and now giving birth that man is father as he consented to treatment
f not married need to both consent to treatment in order to be father
not married or in CP, lesbian couple, if did not consent to treatment she will not be mother
Agreed Fatherhood
Before April 2009-the man who she was treated together is the father
After April 2009 (the couple unmarried/not in a civil partnership but the man will be the legal father) – ‘agreed fatherhood conditions’ - s. 37 HFEA 2008 may be with friend and he says he is consenting he will be father - can take any man unless in prohib rel e.g. your father or brother - helps mother use a male model for child she is conceiving
- Man gives notice as to his consent to being treated as father of any resulting child - Woman also given consent for man to be treated as father - No withdrawal of consent or variation - Parties are not in the prohibited degrees of relationship with each other!
Same sex couples
Parentage (Same sex couples) 1990 Act:
- no provision for female partner to acquire parenthood
- Even if she provided the eggs she would still be treated as a legal stranger to the child
2008 Act – change in law
- Equalizes the civil partnership – same position as married couple S. 42 HEFA 2008 - Agreed Female Parenthood – s. 44 HFEA 2008 - The difference is terminology: the partner is not an agreed ‘mother’ but a ‘second legal parent’ maybe to not confuse motherhood as mother who gives birth = legal mother
Single mothers
Single women or women who do not wish anyone to be the child’s second parent, or women whose husbands or civil partners did not consent to the treatment:
- If a woman receives treatment on her own and does not want anyone to be her child’s second parent (or if her partner does not consent to her treatment), she will be the only legal parent. Can be only legal parent - does not require a second parent for child to be conceived - Transgender parents: The statutory scheme does not specifically address this. - If their gametes were stored before the gender re-assignment surgery their sperm or eggs (or embryos) might be treated as a third party (donated) material. - own sperm/egg may be considered as donated sperm/egg
Anonymity used to be the norm when donated gametes (sperm and egg) were used in treatment. But since 2005, donors have had to be identifiable.
There are different rules apply to parentage: birth mother is always the legal mother, whereas establishing parenthood is more complicated.
Donors whose sperm, eggs and embryos are used in a licensed clinic cannot claim legal parenthood. - if donors go through clinic then protected by law of parenthood claims, no financial resp etc
In establishing fatherhood intention to parenthood (formalised by CONSENT) is a key principle in AHR regulation. Ppl can agree to be parents
Surrogacy
warnock report - woman (the surrogate mother) becomes pregnant with the intention that the child should be handed over to the commissioning couple after the birth.
can be surrogate inseminating herself with intended fathers sperm or IVF
Partial surrogacy: the surrogate mother’s eggs are used, so she is both genetic and gestational mother - norm not in licensed clinic
Full (gestational) surrogacy: The eggs of the commissioning mother or of donor’s is fertilised and implanted into the surrogate - 100% carrying other ppls material - HFEA clinic
gestational mother (surrogate) is always the legal mother of the child.
birth of the child, legal parenthood needs to be transferred to the commissioning couple (or intended parents) through parental orders or adoption. - once baby = born you have 2 methods to get baby - PO = main route
350% growth in UK and international surrogacy over the last 12 years -67 to 280*
Surrogacy is not illegal in the UK, but it is not possible to enter into a legally-binding surrogacy agreement. The surrogacy agreement is unenforceable. - surrogate can always change their mind or couple can change their mind
Arguments for and against surrogacy
- The situation if potentially harmful for children, in that it is liable to produce litigation over them.
- It is also harmful to the gestational mother who gets attached to the baby (but the UK studies show that the dispute rates are very low)
- Surrogacy exploits surrogates. It is seen as a form of reproductive slavery. It is seen inconsistent with human dignity and demeaning to women. (This view assumes that woman have natural bond with the babies they carry, given up a baby is unnatural, and one would do so only if they were desperate for money.) You may agree or disagree! - women treated as baby vessels/incubators
- Paying of surrogates is close to ‘baby selling’ (one may say that payment to surrogate is not buying children but recompense for a risky, time consuming and uncomfortable process).
- Reproductive autonomy: If a woman wishes to become a surrogate mother why should she not allowed to be? Some ppl really like being pregnant but not have baby
- Surrogacy is inevitable and an old practice. If it was outlawed, this would lead to a black market.
- It widens the variety of family forms (eg gay couples, single man) - could never have genetic babies and helps infertile women as well
- Although some people argue that surrogacy is always ethically problematic, it is now more commonly argued that surrogacy has the potential to be exploitative.
- Rather than banning the practice altogether we can focus on ensuring that the interests of the parties involved are protected. Can be exploitive but with regulation can be prevented
- Concerns over the potential exploitation have often crystalised around cross border surrogacy arrangements.
Surrogacy overseas
india = most popular destination - surrogates = little or no control over contracts and made to live in hostels due to stigma and desire to control bodys - now banned in india, nepal and thailand
now in cambodia - The US is popular for those who can afford ($130,000). In Georgia and Ukraine this might cost between £30-50 K. - US law are very careful about surrogacy contracts and women get paid - very well regulated
inevitable and ban unlikely to be effective - concern should be informed consent and not subject to oppressive and exploitative contractual terms.
Is surrogacy legal?
regulated under Surrogacy Arrangements Act 1985 and certain provisions of HFE Act 2008.
It is not illegal to enter into surrogacy arrangement, but there are a series of criminal offences connected with surrogacy:
- It is unlawful to negotiate or arrange surrogacy arrangement on a commercial basis - It is unlawful for anyone to advertise surrogacy services - It is unlawful to make an offer that constitutes a reward or profit for the gestational mother although she can be offered payment of expenses. - cannot be offered money but can pay for maternity clothes etc
Non- Enforceability
surrogacy arrangements is organised by an individual or a non-commercial body and there is no payment, surrogacy is legally permitted even though not enforceable.
If the parties wish to use a licensed clinic to assist the conception, the HFEA Code of
Practice requires clinics to take into account the possibility of a breakdown in the surrogacy arrangements and whether this is likely to cause a risk of significant harm to the resulting child or existing children in the surrogate’s family. Clinic must make a judgement and whether surrogate is fit e.g. if have triplets under 2 years old probably not the best surrogacy candidate
Child’s welfare is paramount.
Legal Framework for Surrogacy
Warnock Report 1984 – para.8.17
surrogacy = always harmful than benefits - not best arrangement and shouldn’t be encouraged
Commercialisation
Surrogacy Arrangements Act 1985, as amended - HFEA 2008 consider same sex couples and other families
Not unlawful but unenforceable
- S. 1A Surrogacy Arrangements Act 1985: “No surrogacy arrangement is enforceable by or against any of the persons making it”
Aim of the 1985 Act – prevents commercial involvement
- S.2 and 3 Surrogacy Act, 1985, as amended - 2008 Act – non profit making bodies can charge a fee ppl can get poor advice from non profit orgs compared to well paid lawyers
In practice – commercial involvement may be authorised subsequently by courts (retrospective authorisation of illegal payments have been allowed)
Restrictions on Access to Surrogacy
Welfare Principle – s. 13(5) HFEA 1990
- Before treatment services provided– account of welfare of any child born/existing children - Clinics may impose specific standards e.g. surrogacy shouldn’t have young children, surrogate must have had a child before
Gaps in Framework:
- Private Arrangements - Overseas Surrogacy both of these are not regulated
Difficulties with ban on commercial involvement
- Limited professional advice not many medical lawyers giving advice - Misinformation
H v United Kingdom
- The girl (H) born in 2016 argued that UK laws breached her right to respect for her private life under article 8 of the ECHR.
- H lives with her biological father, and his same-sex partner, and is in regular contact with the surrogate and her husband.
- Her birth certificate states the surrogate mother, and the surrogate mother’s husband, are her “mother” and “father”. Father = presumed father as married
- By 2016 a judge in family court ordered both couples have parental responsibility.
- The girl argued that automatic registration of the husband of the surrogate mother as her “father” on her birth certificate were outdated and violated her right to her identity, specifically her right to have an accurate birth certificate. ECHR ruled that the case was “manifestly unfounded”. Vio her right to have an accurate birth certificate
- How come this happened? - mother did not want to give up legal motherhood and gay couple didn’t apply for PO
Surrogacy and parenthood Mothers
legal mum can be the gestational mum who gave birth (surrogate mother)
-legal mother could be the genetic mother whose eggs were used (in full surrogacy)
-legal mother could be the one who intends to raise the child (either mums)
When a child is born as a result of a surrogacy agreement who is the mother?
- The mother is ALWAYS the gestational mother (SURROGATE -who carried the child) law assumes this gestational period is creating a link but not always case - The commissioning mother (CM) is NOT the mother, even if her eggs were used. - Legal mother could be the one who intends to raise the child (either mums).
Surrogacy and Parenthood
Legally, in the UK the surrogate is the legal mother
◦ S. 33 HFEA 2008
◦ “The woman who is carrying or has carried a child as a result of the placing in her of an embryo or of sperm and eggs, and no other woman, is to be treated as the mother of the child”
◦ S. 47 HFEA, 2008
◦ Woman not to be treated as mother merely because of egg donation
Any treatments that baby needs after birth - surrogate must decide as she is legal mother
Paternity: The application of rules is confusing
ommon Law:
- Position of surrogate’s husband man presumed to be father unless no consent - Man registered on the birth certificate - s. 111 Adoption and Children Act 2002 - Rebuttable presumption DNA evidence HFEA rules trump common law.
Because the provisions governing the ascription of legal fatherhood in HFE Act 1990 and 2008 were designed to apply to sperm donation they lead to some odd results when applied to surrogacy:
◦ Surrogate’s husband - s. 28 of 1990 Act, s. 38 2008 Act is the father of the child
◦ Unless he can show he did not consent to treatment
◦ If surrogate is married to another woman or in a civil partnership there will be an assumption that her spouse or civil partner is the child’s second parent.
◦ If surrogate is single, and if commissioning father’s sperm was used, he will be the father of the child under the common law.
◦ Commissioning parent whose gametes were not used in the child’s conception could become the child’s father or second legal father, along with the surrogate through agreed parenthood conditions.
◦ Surrogate’s partner – agreed fatherhood – unlikely to apply
Parental Orders
Parental Order Conditions: s. 54 of HFE Act 2008
◦ One party must be genetically related to child (either sperm, eggs or both should come from the CC)
◦ Applicants must be a couple (married, civil partnership, or living as partners)– surrogacy was not available to a single applicants (this has changed)
◦ Child must be living with the CC commissioning couple
◦ The surrogate must consent to the order (it is extremely rare granting PO without her consent)
Re D And L
Twins were born in India. The (anonymous) Indian surrogate could not be found to give consent and the High Court ultimately waived the need for consent after significant effort to find her failed. Also retrospective authorisation given for the making of payments for the surrogacy: ‘the twin’s welfare unquestionably will be enhanced by the making of parental orders”.
Parental Order Conditions: s. 54 of HFE Act 2008
◦ No money or benefit other than expenses have been exchanged
◦ CC should be over 18
◦ The applicants must have applied within the first 6 months of the birth
◦ The order will be in the welfare of the child. This to be the paramount consideration of the court.