martes, 10 de mayo de 2011

La ética de fuentes externas para maternidad substituta en la India


La ética de fuentes externas para maternidad substituta en la India
The ethics of outsourcing surrogate motherhood to India.
Johnston J.
Medscape J Med. 2008 Mar 3;10(3):52.
Western couples are now using Indian surrogate mothers to bear their genetically related children. The benefits are: Indian women earn more than they otherwise could in 15 years, and infertile couples get a genetically related child. Given the limited earning potential of many Indian women and the enormous cost of fertility treatments, this can look like a win-win arrangement. But 2 tragedies embedded in this story help explain why it doesn't sit well with many people: Women in India are so poor that as little as $6000 is equivalent to 15 years' wages, and wannabe parents would rather have a genetically related child than an adopted one, even if it means years of fertility treatment costing tens of thousands of dollars. 

La actitud de la mujeres Británicas sobre el alquiler de vientres
British women's attitudes to surrogacy.
Poote AE, van den Akker OB.
Source
Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Hum Reprod. 2009 Jan;24(1):139-45. Epub 2008 Sep 14.
Abstract
BACKGROUND:
There has been little interest in the research literature on public opinions regarding assisted conception and surrogacy, particularly in European countries, despite the growing evidence showing that problems in adaptation and coping may be related to perceived normative values. This study investigated British women's attitudes to surrogacy using components of the theory of planned behaviour (TPB). METHODS:  Questionnaires on attitudes to surrogacy and reasons for parenthood were completed by 187 women from the general public. RESULTS: Significant socio-demographic differences were found between women who were possibly willing (n = 76) and those who were unwilling (n = 111) to become surrogate mothers. General attitudes to surrogacy also differed between groups (P = 0.000). This study supported the predictive utility of components of the TPB, and differentiated adequately between groups on attitudes to recruitment for surrogacy (P = 0.000), the consequences of surrogacy (P = 0.000), factors that induce people to become surrogates (P = 0.000), social support (P = 0.000), having personal control (P = 0.002) and reasons for parenthood (P = 0.000). Age (P = 0.000), attitudes to advertising (P = 0.02) and the consequences of surrogacy (P = 0.05) predicted (un)willingness to become a potential surrogate mother. CONCLUSIONS: Further research is needed with larger sample sizes of potential surrogates to determine whether the predictive attitudes reported here translate to actual behaviours. The larger group which was not interested in considering becoming a surrogate scored significantly more negatively on all attitudes towards surrogacy. The negative attitudes reported by the 'unwilling to consider being a surrogate' group may reflect attitudes held by the majority of the population and are likely to be influenced by reports of stigma associated with surrogacy

http://humrep.oxfordjournals.org/content/24/1/139.full.pdf+html  
¿Cómo debe responder el obstetra con el embarazo sustituto?
How should the obstetrician respond to surrogate pregnancy?
Chervenak FA, McCullough LB
Ultrasound Obstet Gynecol. 2009 Feb;33(2):131-2.
Introduction
Obstetricians are sometimes asked by patients to assist them with surrogate pregnancy. Such patients may be unable to have children of their own and considering contracting with another woman to have a surrogate pregnancy. Sometimes, patients themselves have been asked by friends or others to consider initiating a surrogate pregnancy. Both circumstances raise an ethical issue: how should the obstetrician respond to a request to become involved in a surrogate pregnancy

http://onlinelibrary.wiley.com/doi/10.1002/uog.6306/pdf  
Embarazo sustituto: una guía para los proveedores Canadienses de salud prenatal
Surrogate pregnancy: a guide for Canadian prenatal health care providers.
Reilly DR.
Source
Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ont.dreilly@mcmaster.ca
CMAJ. 2007 Feb 13;176(4):483-5.
Abstract
Providing health care for a woman with a surrogate pregnancy involves unique challenges. Although the ethical debate surrounding surrogacy continues, Canada has banned commercial, but not altruistic, surrogacy. In the event of a custody dispute between a surrogate mother and the individual(s) intending to parent the child, it is unclear how Canadian courts would rule. The prenatal health care provider must take extra care to protect the autonomy and privacy rights of the surrogate. There is limited evidence about the medical and psychological risks of surrogacy. Whether theoretical concerns about these risks are clinically relevant remains unknown. In the face of these uncertainties, the prenatal health care provider should have a low threshold for seeking obstetrical, social work, ethical and legal support.

 Información adicional en Español con aspectos filosóficos y legales sobre las madres subrogadas



Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org                                                   

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