Reproductive Tech2

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Moral issues in IUI, GIFT & IVF Whilst the use of rep. tech. might be permissible - not all uses of it will be acceptable. IUI (articial insemination by husband AIH) - looks like it should be ok - but now hormone therapy is used by the woman to produce an average of 8-10 eggs and cause multiple pregnancies - the woman then has to choose which ones to allow to remain in the uterus, terminating the others. Wednesday 7 September 2011

Transcript of Reproductive Tech2

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Moral issues in IUI, GIFT & IVF

Whilst the use of rep. tech.

might be permissible - not alluses of it will be acceptable.

IUI (artificial insemination by

husband AIH) - looks like it

should be ok - but now hormone

therapy is used by the woman to

produce an average of 8-10 eggs

and cause multiple pregnancies- the woman then has to choose

which ones to allow to remain in

the uterus, terminating the

others.Wednesday 7 September 2011

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GIFT (gamete intrafallopian

transfer) - again initially this

looks ok - but unused eggs areusually fertilised and then held in

storage in case the process fails -

then if not required these will be

destroyed.

Wednesday 7 September 2011

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IVF - literal meaning in glass - very

expensive so all eggs harvested are

fertilised and stored by freezing in case

of failure so a repeat can take place -

they can be kept for an average of 5years, and success has been seen with

one stored for 13. Additionally the

woman may be pregnant with more

children than the family want/cancope with, or her body can manage

without endangering her own health.

Wednesday 7 September 2011

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IVF - literal meaning in glass - very

expensive so all eggs harvested are

fertilised and stored by freezing in case

of failure so a repeat can take place -

they can be kept for an average of 5years, and success has been seen with

one stored for 13. Additionally the

woman may be pregnant with more

children than the family want/cancope with, or her body can manage

without endangering her own health.

Wednesday 7 September 2011

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What of the unused / unwanted embryos? (There are

advances on freezing the woman’s eggs which might mean

embryos do not have to be created - and hence destroyed if 

not used)Assuming we agree that life begins at conception then

disposing of unused / unwanted embryos is the equivalent

of abortion.

Could they be used for stem cell research?

They could be donated to another childless couple -

preimplantation adoption - overcoming the need to remove a

child from mother soon after birth.

Wednesday 7 September 2011

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What of the unused / unwanted embryos? (There are

advances on freezing the woman’s eggs which might mean

embryos do not have to be created - and hence destroyed if 

not used)Assuming we agree that life begins at conception then

disposing of unused / unwanted embryos is the equivalent

of abortion.

Could they be used for stem cell research?They could be donated to another childless couple -

preimplantation adoption - overcoming the need to remove a

child from mother soon after birth.

Wednesday 7 September 2011

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We mentioned the possibility to have a high number of 

embryos successfully in the womb (4 or more can cause

problems) - this can endanger the woman’s health (or the

child). Selective termination can take place of embryos -like abortion to save a woman’s life. Considering this

might happen could affect the way prolife proponents

view IVF before starting the procedure.

For Christians what happens to the embryos should be amajor factor in deciding what treatment and how to

progress and plan using rep. tech.

In the USA there are now embryo adoption agencies.

Wednesday 7 September 2011

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Moral issues with surrogate motherhood

The woman bears the child, gives

 birth and willingly gives it up to acouple - the couple are happy to

have the child and the woman

 believes she has done something

“good”.

Occasionally the surrogate mother

decides she wants to keep the

child.Gen 16:1-6, Gen 30:1-13 - twice we

see surrogacy in the OT.

Modern practice involves much

legal discussion and agreement.

In India: Karen Kim, 34,

center, from California, holdsher son Brady, born on Feb.

2, 2006 by a surrogatemother, unseen, as she poses

with Dr. Nayna Patel.

Wednesday 7 September 2011

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Is surrogacy morallyacceptable?

Is it selling babies, havethey become commercialitems?

In this is this like slavery? Does howwe view human life affect the way we

think here?

Is any payment for gestational

services - not for the child - after all itrequires much time, energy, sacrifice

etc.? Of note is the fact that the child

is possbly genetically half of the

surrogate and half of the man.

SAO PAULO — A 51-year-old surrogate

mother for her daughter has given birth to her 

own twin grandchildrenin northeastern Brazil,the delivery hospital

said.

Wednesday 7 September 2011

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Rae suggests that there appears to be

potential for exploitation within this

- a low income surrogate, high

income potential parents (and somelawyers or brokers too) - this has not

yet happened in the USA as

surrogates are usually of averageincome though the money is a

motivating factor.

Noticeably one broker suggested

that women from developing nationsmight need less than those from the

USA - they are content with less and

might get 10% of the “normal” fee. Is

this the outsourcing of surrogacy?Wednesday 7 September 2011

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Doctors in Chennai believe that surrogacy in India is preferred

 because Indian women, especially from poor and middle class

families are less exposed to drugs, alcohol, smoking as that is

one of the most important criteria’s for commissioned parentsseeking surrogate mother’s profiles. “The women who we opt

for surrogacy are between 19-35 years of age. And should have 

 been married and need to have given birth to a healthy baby at

least. We opt for surrogacy as our last option after IUI, IVF fail.”said Dr.Chandralekha, founder of Iswarya Fertility Clinic, who

has helped 30 commissioned parents have surrogate babies.http://ip.acjnewsline.org/groupB/leslie%20fathima%20madhu/production/surrogacy.html

Wednesday 7 September 2011

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Doctors in Chennai believe that surrogacy in India is preferred

 because Indian women, especially from poor and middle class

families are less exposed to drugs, alcohol, smoking as that is

one of the most important criteria’s for commissioned parentsseeking surrogate mother’s profiles. “The women who we opt

for surrogacy are between 19-35 years of age. And should have 

 been married and need to have given birth to a healthy baby at

least. We opt for surrogacy as our last option after IUI, IVF fail.”said Dr.Chandralekha, founder of Iswarya Fertility Clinic, who

has helped 30 commissioned parents have surrogate babies.http://ip.acjnewsline.org/groupB/leslie%20fathima%20madhu/production/surrogacy.html

Wednesday 7 September 2011

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In Indian surrogates usually cost

$6-10,000, in the USA - $40-50,000

France has made illegal surrogacy -other countries have no regulations

at all - it has been called

reproductive tourism.

Rae also notes that surrogacy looks

for women who will readily give up

the newborn child they would have

little attachment to the baby theycarried - a trait normally which

would be thought undesirable in a

mother.Wednesday 7 September 2011

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SURROGACY FEES & COSTShttp://www.indiansurrogates.in/surrogacy-fees.htm

Our fees are very cost effective because of our high success

rates !

-- cost of hormonal stimulation and egg retrieval cost US $

10000-- cost of hormonal stimulation for the surrogate US $ 2000

-- cost of hospital birth US $ 5000

-- fee to surrogate US $ 5000

Legal costs - US $ 3000

Egg donor costs ( if applicable) - US $ 5000

You need to pay a non-refundable fee of US $ 2000 so we

can reserve your surrogate for you.Wednesday 7 September 2011

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What happens if the surrogate refuses

to hand over the child? Assuming she

has given half of the genetic material

then she has normal parental rights -and the father has shared custody

rights too. Of course this depends on

how you define motherhood.

In the USA a surrogate has been

decided to be the mother on the basis

of providing the gestational

environment and also geneticmaterial - genetic surrogacy. If the

case is of  gestational surrogacy then

the woman has no right to the child -

she is simply a human incubator.Wednesday 7 September 2011

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Legally things might be defined (in

the USA) - but the arguments

continue:

Some claim even in gestationalsurrogacy the “incubator” has rights,

others suggest a deal is a deal and no

change of mind is allowed. There is

also the question of when the

gestational surrogate could become

the actual mother - at what point as

she has given none of the geneticmaterial? A US legal precedent has

 been established saying gestational

surrogates have no right to the baby

or even visitation rights.Wednesday 7 September 2011

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But is it right to think of the womb as simply a

place of feeding and

shelter - in effect prenatal

 babysitting. However in

the womb not only

physical but emotional

and psychological bondsare formed.

Wednesday 7 September 2011

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Further and future considerations

The development of artificial wombs

is taking place - a pregnancy devoid

of relationship with the mother!

Gender selection through IVF andscreening prior to implantation, or

sperm sorting for intrauterine

insemination.A brain dead man “donated” his

sperm to his estranged wife.

Wednesday 7 September 2011

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An Israeli soldier died - his

family wanted to continue his

line - his sperm was harvestedand after a legal battle given to

the family who hired a 25 year

old surrogate he had never met,

who became mother to his

child.

It is also possible for a

pregnancy to be completedafter a woman is brain dead -

and sperm can be harvested

after a man is brain dead.

Wednesday 7 September 2011

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Post menopausal women are nowhaving babies through egg donation

- it is more complicated and usually

needs a C section delivery and has

higher levels of pregnancy induced

diabetes - Rae says the oldest is a 62

year old Rosanna Della Corte who

gave birth in 1994 - India now hasdifferent claims!.

Wednesday 7 September 2011

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A 70-year-old Indian woman has

 become the world's oldest mother

giving birth to twins. "If I am the

world's oldest mother it means nothingto me," Omkari Panwar said after the

arrival of the babies, a boy and girl

 born a month premature and weighing

 just two pounds each. "I just want tosee my new babies and care for them

while I am still able."The babies' father

is 77 years old retired farmer Charan

Singh Panwar, who sold off his buffalo

and burned through his life savings

 just to pay for the IVF treatment.http://articles.nydailynews.com/2008-07-04/news/

17902805_1_birth-babies-oldest

Wednesday 7 September 2011

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Rajo Devi Lohan gave birth to her

daughter at age 70. Now, 18 months

later, she is dying of old age.

Rajo, a poor villager in northern India,gave birth to daughter Naveen a year

and a half ago after undergoing in-

vitro fertilization, reports FOX News.

She and her husband Balla took out

$3,000 in loans for the procedure.

Rajo's womb ruptured during the

Caesarean birth, however. And now,her child barely walking, she is

 bedridden.http://www.popsci.com/technology/article/2010-06/

reproductive-tech-outpaces-longevity-tech-oldest-woman-

ever-give-birth-now-dying-old-age