Informed consent in medical decision‐making in commercial gestational surrogacy: a mixed methods study in New Delhi, India

Tanderup, Malene; Reddy, Sunita; Patel, Tulsi; Nielsen, Birgitte Bruun

doi:10.1111/aogs.12576

Cited by 38 publications

(31 citation statements)

References 20 publications

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“…The question is if the surrogate mother has given valid consent to participate in the surrogacy process. In addition to their decision likely being grounded in poverty, surrogate mothers are rarely fully informed about what can be expected from the surrogacy procedure (Munjal-Shankar, 2015;Pande, 2009;Tanderup, Reddy, Patel, & Nielsen, 2015). Even though the surrogate mothers' actual consent to engage in surrogacy can be questioned, acting as a surrogate mother may also give 'self-worth' and be perceived as more meaningful than their previous job as for instance garment workers, as shown in a study by Rudrappa (2016).…”

Section: Discussionmentioning

confidence: 99%

“…In a social constructionist perspective, we can see that social workers -facing situations in which legal guiding is insufficient -have to deal with constructions of these categories that are inconsistent and contradictory. The birth mother may have relinquished her rights to the child, but may have done so in a situation of exploitation (Qadeer, 2009;Saravanan, 2013;Tanderup et al, 2015). The commissioning parents may have partaken in exploitation of a vulnerable woman, but are on the other hand the ones who are in a position to safeguard the well-being of the child.…”

Section: Discussionmentioning

confidence: 99%

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Gauging the interests of birth mother and child: a qualitative study of Swedish social workers’ experiences of transnational gestational surrogacy

Arvidsson

Johnsdotter

Emmelin

et al. 2016

European Journal of Social Work

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Gauging the interests of birth mother and child: a qualitative study of Swedish social workers' experiences of transnational gestational surrogacy Avvägningar mellan den biologiska moderns och barnets intressen: En kvalitativ studie av svenska familjerättsekreterares erfarenheter av transnationellt surrogatmoderskap ABSTRACTThere are few studies on how social workers deal with cases regarding transnational surrogacy. Our study intends to contribute to filling this gap. In Sweden, surrogacy as an assisted reproductive technology method is not permitted. As a result, many prospective parents have turned abroad, mainly to India, for surrogacy. There are no laws regulating surrogacy in Sweden, and difficulties have arisen in establishing legal parenthood when the parents return with the child. This qualitative interview study with social workers found that legal uncertainty and ethical issues surrounded their handling. With no guidelines, the constructions of parenthood will continue to depend on individual social workers' conflicting views on how to best meet the surrogate mother's interest and the best interest of the child. Regulation is thus needed to better protect those involved and minimize the contingent aspects of legal handling by individual officials. ABSTRAKTDet finns få studier om hur socialarbetare handlägger ärenden som berör transnationellt surrogatmoderskap. Vår studie har för avsikt att bidra till att fylla detta tomrum. I Sverige är det inte tillåtet för sjukvården att utföra assisterad befruktning vid surrogatmoderskap. Detta har gjort att människor vänt sig utomlands för denna reproduktionsmetod, främst till Indien. Det finns inga lagar som reglerar surrogatmoderskap i Sverige, vilket har lett till svårigheter vid fastställande av rättsligt föräldraskap när föräldrarna återvänt med barnet. Denna kvalitativa intervjustudie med familjerättssekreterare har funnit att det finns rättslig osäkerhet och etiska frågeställningar som påverkar deras hantering av ärendet. Hur föräldraskap konstrueras i nuläget beror till stor del på enskilda familjerättssekreterares uppfattning om hur man bäst väger surrogatmammans intressen mot vad som är bäst för barnet. Avsaknad av riktlinjer och de etiska frågeställningarna har lett till osäker och olika hantering av ärendena, och en reglering behövs för att bättre skydda de inblandade och öka rättsäkerheten i handläggningen.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gauging the interests of birth mother and child: a qualitative study of Swedish social workers’ experiences of transnational gestational surrogacy

Arvidsson

Johnsdotter

Emmelin

et al. 2016

European Journal of Social Work

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show abstract

“…Son dönemde fetal kromozomal anomalileri saptamada kullanılması önerilen maternal kanda fetal DNA bakılması gibi yöntemler geliştirilse de bu cellfree DNA testi (NIPT) yalnızca tarama testi olarak kullanılmaktadır (25) , çıkan sonucun doğrulanması için mutlaka invaziv testlere gereksinim vardır (26)(27)(28) .…”

Section: Discussionunclassified

Results And Experience Of In Our Clinic: Three Year Analysis

Öztaş¹,

Özler²,

Bakir³

et al. 2016

IKSST

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“…In the study of Tanderup et al published in this issue, original and interesting results from interviews with gynecologists, surrogacy mothers and surrogacy agency workers -all from India and related to reproductive rights -are presented (1). We believe that the results will be highly appreciated and considered as useful by several readers.…”

mentioning

confidence: 84%

Transnational surrogacy – reproductive rights for whom?

Essén

Johnsdotter

2015

Acta Obstet Gynecol Scand

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Informed consent in medical decision‐making in commercial gestational surrogacy: a mixed methods study in New Delhi, India

Abstract: Clinical procedural decisions were primarily made by the doctors. Surrogate mothers were not adequately informed. There is a need for regulation on decision-making procedures to safeguard the interests of surrogate mothers.

Cited by 38 publications

References 20 publications

Gauging the interests of birth mother and child: a qualitative study of Swedish social workers’ experiences of transnational gestational surrogacy

Gauging the interests of birth mother and child: a qualitative study of Swedish social workers’ experiences of transnational gestational surrogacy

Results And Experience Of In Our Clinic: Three Year Analysis

Transnational surrogacy – reproductive rights for whom?

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