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MRKH & IVF SURROGACY. National Centre for Congenital Abnormalities of the Genital Tract Queen Charlotte’s and Chelsea Hospital Gillian Rose Keith Edmonds Julie Quek. SURROGACY DEFINITIONS. FULL/HOST SURROGACY:
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MRKH & IVF SURROGACY National Centre for Congenital Abnormalities of the Genital Tract Queen Charlotte’s and Chelsea Hospital Gillian Rose Keith Edmonds Julie Quek
SURROGACY DEFINITIONS • FULL/HOST SURROGACY: Commissioning couple use IVF to create embryos of own sperm/egg to replace in uterus of surrogate – commissioning parents are genetic parents • PARTIAL/STRAIGHT SURROGACY: Surrogate woman becomes pregnant by self-insemination of intended father. Commissioning father and surrogate mother are genetic parents
QCCH/Hammersmith IVF Unit • Lead Consultants: Mr Geoff Trew and Mr Stuart Lavery • Infertility Counsellors arranged for all those involved to ensure full information and opportunity to talk through all aspects • No charge for counselling – 0208 383 8184
SCREENING TESTS • Blood Group, Rhesus typing • Hepatitis B, C • HIV, TPHA, CMV • Chromosomes • Cystic Fibrosis screening • Ultrasound scan of uterus – surrogate • Laparoscopy – commissioning mother for ovarian accessibility • ALL WITHIN 3 MONTHS OF TREATMENT
SCREENING & QUARANTINE • Embryos (like gametes –eggs and sperm) need to be frozen for 180 days before replacement into uterus for rescreening for viral infections
THE LEGAL ISSUES • 2 Acts of Parliament regulate surrogacy: • Surrogacy Arrangements Act 1985 • Section 30 of Human Fertilistion and Embryology Act 1990
THE LEGAL ISSUES • Illegal to advertise to find or be a surrogate • Illegal to receive payment for involvement in surrogacy • Only reasonable expenses paid to surrogate (suggested up to max £12,000 & 2 year life insurance policy) • Agencies can assist so long as no payment for services • Woman who gives birth to baby is legal mother when born • Legal father at birth is surrogate’s husband, surrogate’s partner if consented, commissioning father if surrogate has no partner
THE LEGAL ISSUES • Not possible to enforce a surrogacy arrangement • The surrogate has the right to keep the baby • The commissioning couple can decide not to take the baby • Surrogate parents are legal parents until legal parentage is transferred to the commissioning couple
PARENTAL ORDERS • In order for commissioning parents to become legal parents, need Parental Order • Forms available from Family Proceedings Court/Magistrate’s Court or County Court in local area • If comply with HEFA, legal advice not necessary. Help from Parental Order Reporter
Legal Conditions for Parental Order • Child carried by woman other than commissioning mother and genetically related to at least 1 of the couple • Surrogate and husband/father must freely and unconditionally give consent • Consent > 6weeks < 6 months • Commissioning couple must be married and both >18 years old • No money other than reasonable expenses to surrogate • Couple must be domiciled in UK and child living with commissioning couple
Registration via Parental Order • Entry in separate PO Register to re-register child. • Cross-referenced with original entry in Register of Births • Public cannot access link • Child > 18 years can have copy of original birth certificate after offered counselling • Intended parents receive new birth certificate stating they are legal mother and father of child • Until PO granted, surrogate can apply for Residence Order to seek return of child
FURTHER INFORMATION • COTS (Childlessness Overcome Through Surrogacy) Lairg, Sutherland IU27 4EF Tel: 0844 414 0181 AP/FAX: 01549 402777 www.surrogacy.org.uk • SURROGACY UK PO Box 24, Newent GL 18 1YS Tel: 01531 821889 (10am-2pm) E-mail: admin@surrogacyuk.org www.surrogacyuk.org
