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REPRODUCTIVE TECHNOLOGY
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Ms. A. Bansal
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Syed Aqib Husain
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REPRODUCTIVE TECHNOLOGY
SUBMITTED TO-
SUBMITTED BY-
B.A.LL.B.(Hons.)
4 Year,8th Semester
th
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INDEX
Acknowledgement
Introduction
Meaning and Reasons of surrogacy
Surrogacy International Scenario
Health Risks Associated with Surrogacy
Indian Scenario
Conclusion
Abortion as a Human Right
The Historic Decision of: Roe Vs. Wades (1973)
The Indian Perspective
Case laws in this regard
Right To Abortion Of The Mother Vs Right To Life Of The Unborn
Paternity testing
Types Of Paternity Testing
Answers To Frequently Asked Questions About Paternity Testing
ACKNOWLEDGEMENT
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The credit for the completion of this assignment goes to Almighty Allah and my Health Law
teacher Ms.A. Bansal who has devoted her precious time in the matter of this assignment.
I would also like to thank my family and friends who have helped me out in the making of this
assignment on REPRODUCTIVE TECHNOLOGY .
Thanking All,
Syed Aqib Husain.
Introduction
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Surrogacy:
In traditional surrogacy the surrogate is pregnant with her own biological child, but this child
was conceived with the intention of relinquishing the child to be raised by others such as the
biological father and possibly his spouse or partner and thus the child that results is genetically
related
to
the
Surrogate
mother.
The
child
may
be
conceived
via
sexual
1 Subhash Mukhopadhyay who created the world's second and India's first child
using in-vitro fertilisation
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intercourse, home artificial insemination using fresh or frozen sperm or impregnated via IUI
(intrauterine insemination), or ICI (intracervical insemination) 2, which is performed at a fertility
clinic. Sperm from the male partner of the 'commissioning couple' may be used, or alternatively,
sperm from a sperm donor can be used.
(c)
Gestational Surrogacy:
Commercial Surrogacy:
Altruistic Surrogacy:
Altruistic surrogacy is a situation where the surrogate receives no financial reward for her
pregnancy or the relinquishment of the child (although usually all expenses related to the
pregnancy and birth are paid by the intended parents such as medical expenses, maternity
clothing, accommodation, diet and other related expenses).
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Surrogacy is a method of assisted reproduction whereby a woman agrees to become pregnant for
giving birth to a child for others to raise. She may be the child's genetic mother
(the more traditional form of surrogacy) or she may be implanted with an unrelated embryo.
Having another woman bear a child for a couple to raises usually with the male half of the couple
as the genetic father is referred to in antiquity. In some cases, surrogacy is the only available
option for parents who wish to have a child that is biologically related to them. The word
"surrogate," is rooted in Latin "Subrogare" (to substitute), which means "appointed to act in the
place of." Altruistic surrogacy is where a surrogate mother agrees to gestate a child for intended
parents without being compensated monetarily in any way. In other words, this is in effect a free
surrogacy. Whereas, commercial surrogacy is an option in which intending parent offers a
financial incentive to secure a willing surrogate. Commercial surrogacy is a controversial method
of conception because people, governments and religious groups have questioned the ethics of
involving money in a child's birth. There can be several reasons behind surrogate pregnancy. For
instance, intended parents may arrange a surrogate pregnancy because a woman who intends to
be parent is infertile or unable to carry a pregnancy to term, e.g., woman with hysterectomy,
uterine malformation or with a history of recurrent abortions or any medical illness making her
pregnancy a risk to her own health. A female intending to be a parent may also be fertile and
healthy, but unwilling to undergo pregnancy. The agencies making arrangement for surrogacy for
the intended parents often help them to manage the complex medical and legal aspects involved
in process.
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Laws differ widely from one country to another. In England, commercial surrogacy
arrangements are not legal and are prohibited by the surrogacy arrangement act 1985. A
surrogate mother still maintains the legal right for the child, even if they are genetically
unrelated. Unless a parental order or adoption order is made the surrogate mother remains the
legal mother of the child.
Status of surrogacy in USA
In USA, the surrogacy and its attendant's legal issues fall under state jurisdiction and it differs
from state to state. Some states facilitate surrogacy and surrogacy contracts, others simply refuse
to enforce them and some penalize commercial surrogacy. In Canada, the Assisted Human
Reproduction Act permits only altruistic surrogacy; surrogate mothers may be reimbursed for
approved expenses, but payment of any other consideration or fee is illegal.
Status of surrogacy in Australia
In Australia, all states (except Tasmania, which bans all surrogacy under the surrogacy Contracts
Act 1993) altruistic surrogacy has been recognized as legal. However, in all states arranging
commercial surrogacy is a criminal offense.
Status of surrogacy in South Africa
The South Africa Children's Act of 2005 enabled the "commissioning parents" and the surrogate
to have their surrogacy agreement validated by the High Court even before fertilization. This
allows the commissioning parents to be recognized as legal parents from the outset of the process
and helps prevent uncertainty.
Status of surrogacy in Asian Countries
In Japan, the Science Council of Japan proposed a ban on surrogacy and doctors, agents and
clients will be punished for commercial surrogacy arrangements. In Saudi, Arabia religious
authorities do not allow the use of surrogate mothers.
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surrogates are implanted with up to five embryos in order to increase the chances of pregnancy.
Using such a large number of embryos increases health risks for babies and the mother. Chances
of post-partum depression of surrogates are more with the child that grew in mother's womb.
Pregnancy, birth and the post-partum period includes complications such as pre-eclampsia3 and
eclampsia, urinary tract infections, stress incontinence, hemorrhoids, gestational diabetes, lifethreatening hemorrhage and pulmonary embolism. Multiple pregnancy increases the likelihood
of requiring an operative delivery. A surrogate host of advanced maternal age has increased risk
of prenatal mortality, prenatal death, intrauterine fetal death, neonatal death. There is a greater
risk to the mother of pregnancy induced hypertension, stroke and placental abruption. When
hormones or drugs the surrogate is instructed to take, all drugs have side-effects. Many women
undergoing Artificial insemination also take fertility treatments, increasing the likelihood of an
adverse reaction and risks involved with the procedure.
Issues such as premature delivery, genetic malformation and infections which lead to increased
hospitalization of newborn are important issues to be considered in surrogacy contract.
Many surrogate mother's breastfeed the newborns during the first few hours following birth.
However, parents find difficulty in initiating the breast feeding and in establishing the bonding
between mother and child in case of surrogacy.
One of the major draw backs of induced lactation in most surrogates or adopting mothers rarely
produced the same quantity of breast milk as a new mother immediately following child birth.
This presents a problem in terms of infant nutrition.
Indian Scenario
The concept of surrogacy in India is not new. Commercial surrogacy or "Womb for rent," is a
growing business in India. In India, English speaking environment and cheaper services attract
3 Pre-eclampsia is a disorder of pregnancy in which there is high blood pressure and
either large AMOUNTS of protein in the urine or other organ dysfunction
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The Ministry of Women and Child Development is examining the issue of surrogate motherhood
in India for bringing up a comprehensive legislation. A draft legislation on surrogacy-prepared by
the Indian Council of Medical Research (ICMR) has recommended strict penalties for offenders
and a tight regulation on Assisted Reproductive Techniques (ART). The draft law restricts the
number of embryo transfers a mother can go through to 3 times for the same couple, if the first
two attempts fail and it also adds that no woman should act as a surrogate for more than three
live births in her life. In fact, these are the only guidelines framed by the ICMR and the Ministry
of Health and Family Welfare in 2005. ICMR guidelines, states, "A relative, a known person as
well as a person unknown to the couple may act as a surrogate mother for couple. In case of a
relative acting as a surrogate, the relative should belong to the same generation as the woman
desiring the surrogate." The experts believe that surrogacy propels childless couples needlessly
toward commercial surrogacy. Section 3.10.5 of the guidelines states that "a surrogate should be
less than 45 years" being the upper age without mentioning the minimum age to be surrogate. So
does that mean an 18 year old or someone even younger, can become surrogate mother? Before
accepting a woman as a possible surrogate for a particular couple, the ART Clinic must ensure
(and put on record) that the woman satisfies all the testable criteria to go through a successful
full term pregnancy." These guidelines are skewed and thoughtless. The bifurcated role of
woman in surrogate arrangements is prompting renewed assessment of the meaning of
motherhood and designation of maternal rights.
CONCLUSION
In India, surrogacy is purely a contractual understanding between the parties so care has to be
taken while drafting agreement so that it does not violate any of the laws like, e.g., points to be
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taken into consideration why does the intended parents opt for surrogacy, particulars of the
surrogate, type of surrogacy, mentioning about paternity in the agreement, the creation of registry
for biological father of children in an adoption cases, rules set forth on how and when genetic
testing can be done to determine paternity, compensation clause, unexpected mishappening to the
surrogate mother, child's custody, regarding the jurisdiction for the disputes arising out of
agreement.
Indian government has drafted legislation in 2008 and finally framed an ART regulation draft bill
2010. The bill is still pending and not presented in the parliament. The proposed law needs
proper discussion and debate in the context of legal, social and medical aspects.
The Indian system only recognizes the birth mother. There is no concept of DNA testing for
establishing paternity as far as the Indian legal system is concerned, i.e., the name on the child's
birth certificate has to be that of the birth mother and her husband. In 2008 the Supreme Court of
India in the Manji's case (Japanese Baby) has held that commercial surrogacy is permitted in
India and it has again increased the international confidence in going for surrogacy in India.
According to Kimbrell (1988) most women who get involved as surrogates do so because they
are in need of money. The surrogate mothers are often unaware of their legal rights and due to
their financial situation they cannot afford the services of lawyers.
Horsburgh (1993) believes surrogates are physically exploited once they have signed contracts
agreeing to give birth to babies for clients. To make matters worse, if the pregnancy is indeed
aborted, the surrogates often receive just a fraction of the original payment. The contracts can
also place liability on the mother for risks including pregnancy-induced diseases, death and postpartum complications.
Foster (1987) states that many surrogate mothers face emotional problems after having to
relinquish the child. However, a study by Jadva et al. (2003) showed that surrogate mothers do
not appear to experience psychological problems as a result of the surrogacy arrangements.
Although it is acknowledged that some women experience emotional problems in handing over
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the baby or as a result of the reactions around them, these feelings appeared to lessen during the
weeks following the birth.
We conclude that the government must seriously consider enacting a law to regulate surrogacy in
India in order to protect and guide couples seeking such options. Without a foolproof legal
framework implementation couples will invariably be misled and the surrogates exploited
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legitimate authority.
It is a woman's individual rights, right to her life, to her liberty, and to the pursuit of her happiness, that
sanctions her right to have an abortion. A women's reproductive and sexual health and shape her
reproductive choices. Reproductive rights are internationally recognized as critical both to advancing
women's human rights and to promoting development. In recent years, governments from all over the
world have acknowledged and pledged to advance reproductive rights to an unprecedented degree.
Formal laws and policies are crucial indicators of government commitment to promoting reproductive
rights. Each and every women has an absolute right to have control over her body, most often known as
bodily rights.
A woman has a right to abortion if:
# The continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if
the pregnancy were terminated
# The termination is necessary to prevent grave permanent injury to the physical or mental health of the
pregnant woman
# The continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of
injury to the physical or mental health of the pregnant woman
# The continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, or
injury to the physical or mental health of any existing child of the family of the pregnant woman
# There is substantial risk that if the child were born it would suffer from such physical or mental
abnormalities as to be seriously handicapped.
# Or in emergency, certified by the operating practitioner as immediately necessary:
to save the life of the pregnant woman or to prevent grave permanent injury to the physical or mental
health of the pregnant woman.
REPRODUCTIVE TECHNOLOGY
abortion violate a constitutional right to privacy, thus overturning all state laws outlawing or restricting
abortion that were inconsistent with the decision. Jone Roe, the plaintiff wanted to terminate her
pregnancy because she contended that it was a result of rape. Relying on the current state of medical
knowledge, the decision established a system of trimesters that attempted to balance the state's legitimate
interests with the individual's constitutional rights. The Court ruled that the state cannot restrict a woman's
right to an abortion during the first trimester, the state can regulate the abortion procedure during the
second trimester "in ways that are reasonably related to maternal health," and in the third trimester,
demarcating the viability of the fetus, a state can choose to restrict or even to proscribe abortion as it sees
fit.
In response to Roe v. Wade, several states enacted laws limiting abortion, including laws requiring
parental consent for minors to obtain abortions, parental notification laws, spousal consent laws, spousal
notification laws, laws requiring abortions to be performed in hospitals but not clinics, laws barring state
funding for abortions, laws banning most very late term abortions. The Supreme Court struck down
several state restrictions on abortions in a long series of cases stretching from the mid-1970s to the late
1980s.
In the Supreme Court of Canada, interpreting Article 7 of the Canadian Charter which guarantees an
individual's right to life, liberty and freedom and security of a person. In the leading case of Morgentalor
Smoling and Scott vs. R5 , the Court focused on the bodily security of the pregnant women. The Criminal
Code of the country required a pregnant woman who wanted an abortion to submit an application to a
therapeutic committee, which resulted in delays. The Supreme Court found that this procedure infringed
the guarantee of security of a person. This subjected the pregnant woman to psychological stress.
Also, it is was also held in 1992 by the Supreme Court that a women has the same exclusive right to
abortion as to any to any other medical treatment. The prospective fathers have no right to be consulted
for the same.
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Indian law allows abortion, if the continuance of pregnancy would involve a risk to the life of the
pregnant woman or grave injury to her physical or mental health.
Abortion is severely condemned in Vedic, Upanishadic, the laterpuranic(old) and smriti literature.
Paragraph 3 of the Code of Ethics of the Medical Council of India says: I will maintain the utmost respect
for human life from the time of conception.
The Supreme Court has said that the right to privacy is implicit in Article 21 of the Constitution and a
right to abortion can be read from this right.
The Medical Termination of Pregnancy Bill was passed by both the Houses of the Parliament and
received the assent of the President of India on 10th August, 1971. It came on the Statute Book as the
"The MTP Act, 1971". This law guarantees the Right of Women in India to terminate an unintended
pregnancy by a registered medical practitioner in a hospital established or maintained by the Government
or a place being approved for the purpose of this Act by the Government. Not all pregnancies could be
terminated.
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may virtually be on the verge of collapse and she may prefer not to have a child from him, for it
may possibly affect a future marriage. All these factors are quite relevant and the Indian statute on
abortion does not pay any respect to them. The law thus is unreasonable and could well be found
to be violative of the principles of equality provided under Article 14 of the Constitution. Is it
desirable to pay compensation to woman for all her physical and mental inconveniences and
liabilities, which arises in that context. Finally it may be noted that the M.T.P. Act does not
protect the unborn child. Any indirect protection it gains under the Act is only a by-product
resulting from the protection of the woman.
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Many countries in which abortion is legal require that certain criteria be met in order for an abortion to be
obtained, often, but not always, using a trimester-based system to regulate the window in which abortion
is still legal to perform. In this debate, arguments presented in favor of or against abortion focus on either
the moral permissibility of an induced abortion, or justification of laws permitting or restricting abortion.
Arguments on morality and legality tend to collide and combine, complicating the issue at hand. Abortion
debates, especially pertaining to abortion laws, are often spearheaded by advocacy groups belonging to
one of two camps. Most often those in favor of legal prohibition of abortion describe themselves as prolife while those against legal restrictions on abortion describe themselves as pro-choice. Both are used to
indicate the central principles in arguments for and against abortion: "Is the fetus a human being with a
fundamental right to life" for pro-life advocates, and, for those who are pro-choice, "Does a woman have
the right to choose whether or not to have an abortion"
Arguments Against Abortion
Following are the arguments which favour prohibition of abortion by the pro-life activists
: The issue of the fetus' life, which raises the question of whether one person's desire for autonomy can
extend to ending another's existence.
The killing of innocent is a crime and the fetus is also an innocent life.
Many women suffer significant emotional trauma after having an abortion.
There is also some evidence that having an abortion may increase a woman's risk of breast cancer in
later life. Some other complications include damage and/or infection to the uterus and the Fallopian tubes
making a woman infertile. Menstrual disturbances can also occur.
Aborting fetuses because they may be disabled sends an implicit message of rejection to people with
disabilities.
Another argument is that an embryo (or, in later stages of development, a fetus) is a human being,
entitled to protection, from
the moment of conception and therefore has a right to life that must be respected. According to this
argument, abortion is homicide.
Arguments In Favour
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The first argument is of Bodily Sovereignty. Each woman has the sole right to make decisions about
what happens to her body - no one should force her either to carry or terminate a pregnancy against her
will. Most abortions are carried out on the grounds of safeguarding the woman's mental health.
Other are situations where abortions is done to safeguard the life of a fetus, as it would involve risk if
pregnancy is carried, it might damage the fetus resulting in danger to the life of the mother.
If abortion is banned, or just more restricted, we would return to the days of 'back-street abortions'. In
the past this has been accompanied by wild claims of the risk to women's health from these procedures.
The women resort to some unhygienic measures to abort the fetus.
Act of performing an abortion to save the mother's life when occurs, however, the rationale is not that the
fetus is seen to have less value than the mother, but that if no action is taken both will die. Aborting the
fetus at least saves the mother's life.
If suppose abortion is banned, a woman does not want to carry her pregnancy, she would carry it and
then abandon the new born child. This would be more dangerous to the life of the baby. Thus, it is better
to terminate the pregnancy at an earlier stage.
Although in ancient and primitive times there were widespread practices of abortion and infanticide
among savage, semi-civilized and even sophisticated races, the later period provided a better status to the
unborn children. This is evident from the punishment and compensation provided in Old Testament for
hurting a pregnant woman. The unborn was treated as equal to human being at least for the purposes of its
protection. But as times have brought about revolutionary changes, each person has a right to bodily
sovereignty and Human rights instruments protect such rights internationally. Thus it becomes important
to secure the right to abortion to every woman.
Paternity testing
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Paternity testing can determine whether or not a particular man is the biological father of a
child. This procedure involves collecting and examining the DNA of a small sample of bodily
fluid or tissue from a child and the potential father.
.
Determining a biological relationship is important for several reasons:
To establish legal and social benefits, including social security, veterans, and inheritance
benefits.
Provides an accurate medical history for the child, giving the healthcare provider
additional insight during diagnosis and in managing the childs health.
Strengthens the bond between biological individuals, such as father and child.
If you are pregnant, most states have laws that require an Acknowledgment of Paternity
form to be completed at the hospital to legally establish who the father is. After the
AOP is signed, couples have a limited amount of time, depending on the state, to
request DNA paternity test and amend the AOP. This form is filed with the Bureau of
Vital Statistics and is a legally binding document. If the time allowed for amending this
form expires, the father listed as the AOP and birth certificate could be held legally
responsible for the child, even if he later proves he is not the biological father.
Some states require an unmarried couple to have a paternity test to list a fathers name
on the birth certificate. If the mother is married to someone other than the father of the
child, the husband can be presumed to be the father and listed on the birth certificate as
the legal father, unless otherwise disputed by a paternity test.
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Postnatal testing, after a childs birth, is done through an umbilical cord collection at
the time of delivery or a sample collected at a lab after the baby is released from the
hospital. Either a buccal (cheek swab) or a blood collection can be performed.
For prenatal testing, or testing done during pregnancy, there are several options to
choose from:
Amniocentesis: This test is performed in the second trimester, anywhere from the 14th20th weeks of pregnancy. During this procedure, the doctor uses ultrasound to guide a
thin needle into your uterus, through your abdomen. The needle draws out a small
amount of amniotic fluid, which is tested. Risks include a small chance of harming the
baby and miscarriage. Other side effects may include cramping, leaking of amniotic fluid,
and vaginal bleeding. A doctors consent is needed to do this procedure for paternity
testing.
Chorionic Villus Sampling (CVS): This test consists of a thin needle or tube which a
doctor inserts from the vagina, through the cervix, guided by an ultrasound, to obtain
chorionic villi. Chorionic villi are little finger-like pieces of tissue attached to the wall of
the uterus. The chorionic villi and the fetus come from the same fertilized egg, and have
the same genetic makeup. This testing can be done earlier in pregnancy from the 10th13th weeks. A doctors consent is needed to do this procedure for paternity testing.
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conception really is. Most people do not realize that ultrasounds can be off up to 5-7
days in early pregnancy and up to a couple weeks off if the first ultrasounds are done
farther into the second trimester or beyond.
Due dates are not an accurate tool for determining conception since they also are only
an estimation date (only 5% of women give birth on their due dates). If you are seeking
the estimated date of conception for paternity reasons, and intercourse with two
different partners took place within 10 days of each other, we strongly encourage that
paternity testing be done; this testing can be done during pregnancy or after the baby is
born. This is the only way to accurately know who the father is.
How much does it cost to establish paternity?
Costs will vary dependent on which types of procedures are performed. Prices can range
from $400.00 to $2,000.00. Prenatal testing is often more costly than testing done after
a baby is born because of the additional doctor and hospital-related fees. Some testing
sites offer lower cost testing that is non-court-approved, or curiosity testing. Most
centers offer payment plans and will require full payment before they release the results
to you. The new SNP microarray procedure will cost approximately $1,600.
Can DNA test results be used in court?
Many centers now offer court-approved tests, but also lower cost curiosity testing. If
you arent sure if you will need the results for a court case, it is probably worth the
extra cost to go ahead and have a court-approved test done.
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