Surrogacy in India: ethics versus incentive
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20212633Keywords:
Ethics, Political economy, Commodification, Surrogate mother, SurrogacyAbstract
The word surrogacy has its origin among the Latin term “surrogatus” which suggests a lady acts as a substitute for a pregnant woman. Surrogacy has been in practice form last thirty years. The surrogacy regulated by business can be classified as then, altruistic surrogacy and commercial surrogacy. The paper aim to conduct systematic review on surrogacy. The literature review was conducted using PubMed and alternative search engines. Further, additional information concerning the constitutional articles was collected from search engines like legal service of India, prsinndia.org, icmr.nic.in, Press Information Bureau, Wikipedia, IJCM and Indiankanoon. In India, surrogacy is legally recognised since 2002. This paper looks into various aspects of surrogacy. Factors faced by the surrogate mother such as exploitation, psychological conditions, human rights, dignity and respect, feminism and religious issues are explored. The paper discuss the economic benefit is mostly enjoyed by the medical practitioners. The Indian government tried to curb the problems by updating the law to overcome the challenges but with time government introduce the surrogacy bill in 2016 which addressed many issues and still in 2020 it address various aspects of surrogacy to prevent the exploitation.
References
Patel NH , Jadeja Y, Bhadarka HK, Patel MN, Patel NH, Sodagar NR. Insight into Different Aspects of Surrogacy Practices. J Hum Reprod Sci. 2018;11(3):212-8.
Lindenman E, Shepard MK, Pescovitz OH. Müllerian agenesis: An update. Obstet Gynecol. 1997;90(2):307-12.
Smietana M, Rudrappa S, Weis C. Moral frameworks of commercial surrogacy within the US, India and Russia. Sex Reprod Health Matters. 2021;29(1):1-17.
Mitra S, Schicktanz S. Failed surrogate conceptions: social and ethical aspects of preconception disruptions during commercial surrogacy in India Philos Ethics Humanit Med. 2016;11(1):9.
Saravanan S. Global justice, capabilities approach and commercial surrogacy in India. Med Health Care Philos. 2015;18(3):295-307.
Saxena P, Mishra A, Malik S. India's Surrogacy: Ethical and Legal Issues. Indian J Comm Med. 2012;37(4):211-3.
Shetty P. India unregulated surrogacy industry. Lancet. 2012;380(9854):1633-4.
Blazier J, Janssens R. Regulating the international surrogacy market:the ethics of commercial surrogacy in the Netherlands and India. Med Health Care Philos. 2020;23(4):621-30.
Arneson RJ. Commodification and commercial surrogacy. Philos Public Aff. 1992;21(2):132-64.
Patel A, Kumar P, Sharma PSVN. "The Miracle Mothers and Marvelous Babies": Psychosocial Aspects of Surrogacy - A Narrative Review. J Hum Reprod Sci. 2020;13(2):89-99.
Tanderup M, Reddy S, Patel T, Nielsen BB. Informed consent in medical decision-making in commercial gestational surrogacy: a mixed methods study in New Delhi, India. Acta Obstet Gynecol Scand. 2015 ;94(5):465-72.
Anu, Kumar P, Inder D, Sharma N. Surrogacy and women's right to health in India: issues and perspective. Indian J Public Health. 2013;57(2):65-70.
Parry B. Surrogate labour: exceptional for whom? Econ Soc. 2018;47(2):214-33.
Saravanan S. Global justice, capabilities approach and commercial surrogacy in India. Med Health Care Philos. 2015;18(3):295-307.
Africawala AN, Kapadia S. Women’s Control Over Decision to Participate in Surrogacy Experiences of Surrogate Mothers in Gujarat. J Bioeth Inq. 2019;16(4):501-14.
González NI. Legal and ethical issues in cross-border gestational surrogacy. Fertil Steril. 2020;113(5):916-9.
Adam A, Akhaladze V. Parents and children: "surrogate" paradigm of modernity. Georgian Med News. 2011;195:7-10.
Pande A. Transnational commercial surrogacy in India: gifts for global sisters? Reprod Biomed Online. 2011;23(5):618-25.
Johnson L, Blyth E, Hammarberg K. Barriers for domestic surrogacy and challenges of transnational surrogacy. J Law Med. 2014;22(1):136-54.
Qadeer I. The ART of marketing babies. Indian J Med Ethics. 2010;7(4):209-15.
Piersanti V, Consalvo F, Rio AD, Zaami S, Signore F. Surrogacy and "Procreative Tourism". What Does the Future Hold from the Ethical and Legal Perspectives? Medicina (Kaunas). 2021;57(1):47.
Kirby J. Transnational gestational surrogacy: does it have to be exploitative? Am J Bioeth. 2014;14(5):24-32.
Tanderup M, Reddy S, Patel T, Nielsen BB. Reproductive Ethics in Commercial Surrogacy: Decision-Making in IVF Clinics in New Delhi, India. J Bioeth Inq. 2015;12(3):491-501.
Stuvøy I. Accounting for the money-made parenthood of transnational surrogacy. Anthropol Med. 2018;25(3):280-95.
Saxena P, Mishra A, Malik S. Surrogacy: Ethical and Legal Issues. Available at: https://www.ijcm.org.in/ article.asp?issn=0970-0218;year=2012;volume=37; issue=4;spage=211;epage=213;aulast=Saxena. Accessed on 20 February 2021.
Government of India. Article 21 of the Constitution of India, 1949: Protection of life and personal liberty. IndianKanoon.org. Available at: https://indian kanoon.org/doc/1199182/ . Accessed on 11 March 2021.
Government of India. Article 23 of the Constitution of India, 1949: Prohibition of traffic in human beings and forced labour. IndianKanoon.org. Available at: https://Indiankanoon.org/doc/1199182/. Accessed on 11 March 2021.
Pashkov V, Lyfar A .Assisted reproductive technologies: the problems of legal enforcement. Wiad Lek. 2018;71(5):1066-70.
Timms O. Ending commercial surrogacy in India: significance of the Surrogacy (Regulation) Bill, 2016. Indian J Med Ethics. 2018;3(2):99-102.
Surrogacy Its Legal Implications. Available at: http://www.legalservicesindia.com/article/1817/Surrogacy-Its-Legal-Implications.html. Accessed on 20 February 2021.
Mahardani NPT, Putra BA, Syahdan P, Ismail S, Burhanuddin A. Process and problems of the international adoption in surrogacy cross-border practices in India. Enferm Clin. 2020;2:115-8.
Parks JA. Care ethics and the global practice of commercial surrogacy. Bioethics. 2010;24(7):333-40.
National Guidelines for Accreditation, Supervision & Regulation of ART Clinics in India Available at: https://main.icmr.nic.in/sites/default/files/art/ART_Pdf.pdf Accessed on 16 March 2021.
The Assisted Reproductive Technology (Regulation) Bill. 2008. Available at: https://www.prsindia.org/ uploads/media/vikas_doc/docs/1241500084~~DraftARTBill.pdf. Accessed on 16 March 2021.
Surrogacy in India. Available at: https://en.wikipedia. org/wiki/Surrogacy_in_India. Accessed on 16 March 2021.
Saran J, Padubidri JR. New laws ban commercial surrogacy in India. Med Leg J. 2020;88(3):148-50.
The Surrogacy (Regulation) Bill. 2016. Available at: https://prsindia.org/billtrack/the-surrogacy-regulation-bill-2016 . Accessed on 16 March 2021.
Timms O. Report of the Parliamentary Standing Committee on the Surrogacy (Regulation) Bill, 2016: A commentary. Indian J Med Ethics. 2018;3(2):102-7.
Mitra P. Invisible women in reproductive technologies: Critical reflections. Indian J Med Ethics. 2018;3(2):113-9.
Surrogacy Regulation Bill 2019. Available at: https://prsindia.org/billtrack/the-surrogacy-regulation-bill-2019. Accessed on 16 March 2021.
Surrogacy Regulation Bill 2020 Available at: https://pib.gov.in/PressReleseDetail.aspx?PRID=1603649. Accessed on 16 March 2021.
