Surrogacy Laws and Ethical Debates in India
Surrogacy Laws and Ethical Debates in India
Submitted to: -
Submitted By: -
Aparna Singh
Ankit Diwan
ACKNOWLEDGEMENT
The present project work is the result of extensive research and honest
effort .I would like to thank my teacher Miss Aparna Singh for his guidance at
every step of the project work which proved to be very helpful in the
having an easy reach to the books and the research materials and without
whose cooperation the present would not have been in the present form.
Last but not the least I thank all those who helped me directly or indirectly in
the completion of this project. I all my friends who helped in preparing this
project work
An
kit Diwan
2
TABLE OF CONTENTS
(1) INTRODUTION………………………………………………………………..5
3
(8) LEGAL POSITION OF COMMERCIAL SURROGACY IN SOME
COUNTRIES…………………………………………………………………..12
(12)CONCLUSION………………………………………………………21
BIBLIOGRAPHY………………………………………………………..22
ABSTRACT
The whole world may be facing tough times due to the economic
recession but there is one practice in India which is growing by leaps and
bounds i.e. ‘Surrogacy’. After the success of business process, knowledge
process and legal process outsourcing, the IVF (In-Vitro Fertilization)
genetic pool banks of India are the latest outsourcing Industry where
would be parents from all over the world come for treatment and also
hire the services of the surrogates. Commercial Surrogacy in India is
estimated to be a $500 million business with the country being the
foremost in the world for the practice. But there is no law to govern
surrogacy (except ICMR guidelines) and a plenty of moral, ethical and
legal debate is in progress. The recent case of Baby Manji Yamada has
4
opened a pandora’s box with a floodgate of questions and issues related
to ethics, morality and legality surrounding surrogacy. This paper is an
effort to assess all such issues and problems by analyzing surrogacy laws
of various countries including India. An effort has been done to raise as
many questions as possible related to the legality of this issue. In
conclusion it is hoped that the Indian parliament will soon pass a law on
this subject which will possibly cover all the related issues.
INTRODUTION
The whole world may be facing tough times due to the economic
recession but there is one practice in India which is growing by leaps and
bounds i.e. ‘Surrogacy’.1 India is a leading player in the outsourcing
industry and after the success of business process, knowledge process
and legal process outsourcing, the IVF (In-Vitro Fertilization) genetic pool
banks of India are the latest outsourcing Industry from India. Would be
1
http://www.ndtv.com/convergence/ndtv/story.aspx?id=NEWEN20090078372 .
5
parents from all over the world are taking the services of the sperm
banks and IVF centres in India.
Resultantly, those who cannot by law adopt and can be appointed only as
guardians under personal Indian laws, turn to options of IVF 3 clinics or
rent surrogate wombs. It is in this perspective that India now needs to
2
http://www.delhi-ivf.com/faq.html.
3
IVF means In-Vitro Fertilization; to know more please visit http://en.wikipedia.org/wiki/IVF .
6
adopt another law to turn to actual reality dreams of those who live
abroad rather than turning to unhappy and sometimes unethical
practices like surrogacy.
RIGHT TO REPRODUCTION- A CONSTITUTIONAL RIGHT
Surrogacy has its roots in the ancient history. Throughout the history of
Mankind, many cultures around the world have regarded positively
carrying a baby for an infertile relation. For example in the Great Indian
epic Mahabharata, Karna was believed to be a surrogate child of Kunti.
4
http://timesofindia.indiatimes.com/articleshow/3400842.cms.
7
We can find similar example in the ‘The Holy Bible’, Chapter 16 of
which relates to the story of Sarah‘s servant Hagar bearing a child
to Abraham for Sarah and Abraham to raise.
SURROGACY DEFINED
The woman who is pregnant with the child and intends to relinquish it
after birth is called surrogate mother. Some critics also define
Surrogates as “Baby Farms” or “Rented Wombs”.7
The Supreme Court of India in the case of Baby Manji Yamada v. Union of
India (UOI) and Anr.8 has explained the term Surrogacy in Para 5 of the
said judgement:
5
http://www.answers.com/topic/surrogate .
6
http://en.wikipedia.org/wiki/Surrogacy; Section 2(t) of the Draft Assisted Reproductive Technology
(Regulation) Act, 2008 defines this as follows “surrogacy”, means an arrangement in which a woman agrees to a
pregnancy, achieved through assisted reproductive technology, in which neither of the gametes belong to her or
her husband, with the intention to carry it to term and hand over the child to the person or persons for whom she
is acting as a surrogate.
7
To know about the acronyms used in relation to Surrogacy please visit:
http://www.allaboutsurrogacy.com/acronyms.htm .
8
JT 2008 (11) SC 150; AIR 2009 SC 84.
8
carrier, carry the pregnancy to delivery after having been
implanted with an embryo. In some cases surrogacy is the only
available option for parents who wish to have a child that is
biologically related to them.
This is the first time that the Supreme Court has dealt with a matter on
the subject of Surrogacy and this case has opened way for a debate on
lots of related legal and moral issues. In a way, it has legalised surrogacy
in India.
TYPES OF SURROGACY
The Supreme Court in the case of ‘Baby Manji Yamada v. Union of India
(UOI) and Anr.’ explained the types of Surrogacy prevalent in the society.
The same have been reproduced hereunder:
9
the intended father to be biologically related to the child, but the
intended mother is not biologically related to the child.
9
Siddharth Aneja, “Commercial Surrogacy Agreements:-Concept with special emphasis on the Draft Assisted
Reproductive Technologies (Regulation) bill of 2008” available at http://consumer.indlaw.com/search/articles/?
7128e327-651c-41c9-bf08-7ad9ab353b4c .
10
http://india.merinews.com/catFull.jsp?articleID=136421.
11
http://news.bbc.co.uk/2/hi/business/7935768.stm.
11
Surrogacy costs about $12,000 in India, including all medical expenses
and the surrogate’s fee. In the U.S., the same procedure can cost up to
$70,000.12 And in the UK the whole process would cost over 13,000
pounds.13 Thus India is turning out to be far more cost-effective for
surrogacy. The cost includes the medical procedures; payment to the
surrogate mother, which is often, but not always, done through the clinic;
plus air tickets and hotels for two trips to India (one for the fertilization
and a second to collect the baby). This comes out to be a very cheap deal
as compared to any of the western countries.
Anand in Western Gujarat is said to be the first place in India where a
surrogacy arrangement of any sort happened. The small town with a
population of around 1,50,000 is pioneer in surrogate motherhood.14
There have been reports from all over India about the increasing
surrogacy arrangements. The states of Madhya Pradesh and some other
neighbouring Northern states have reported an increase in the number of
IVF clinics offering surrogacy services.
After the embryo transfer was done, they left for Tokyo. The baby was
delivered on July 25, 2008. But by then, the Japanese couple had
divorced. And after the birth, surrogate mother Pritiben stuck to the
12
http://www.marieclaire.com/world-reports/news/international/surrogate-mothers-india.
13
http://news.bbc.co.uk/2/hi/business/7935768.stm.
14
http://news.bbc.co.uk/2/hi/south_asia/7661127.stm.
12
terms of the contract and left the baby and went home. On the other
hand, the mother disowned the infant upon its birth.
The matter was taken to the Supreme Court of India by an NGO called
Satya and the Honourable Supreme Court made certain observations on
Surrogacy.
15
Baby Manji Yamada v. Union of India & Anr., JT 2008 (11) SC 150; AIR 2009 SC 84.
13
also be made independently. In compensated surrogacies the
amount a surrogate receives varies widely from almost nothing
above expenses to over $ 30,000. Careful screening is needed to
assure their health as the gestational carrier incurs potential
obstetrical risks.”
In a media report, Israeli gay couple Yonatan and Omer Gher became
parents in India on October 12, 2008, when their child was conceived
with the help of a Mumbai based surrogate mother in a fertility clinic in
Bandra.
Reportedly, Yonatan and Omer had been together for the past seven
years and had decided to start a family. But since Israel reportedly does
not allow same sex couples to adopt or have a surrogate child, India
became their choice to find a surrogate mother. Yonatan and Omer
reportedly first came to Mumbai in January 2008 for an IVF cycle when
Yonatan is stated to have donated his sperm. Thereafter, they selected an
anonymous “mother”. Accordingly, the child was conceived with the help
of a Mumbai based surrogate mother in a fertility clinic in Bandra. After
the child was born, the gay couple left for Israel with the child on
November 17, 2008.16
16
http://www.nytimes.com/2008/03/10/world/asia/10surrogate.html?pagewanted=2&_r=1;
http://www.dnaindia.com/report.asp?newsid=1207734; http://www.proudparenting.com/node/2264;
http://timesofindia.indiatimes.com/India/Israeli_gay_couple_gets_a_son/articleshow/3724754.cmss.
14
numerous gay couples coming to India to look for surrogate mothers as
India does not disallow such surrogacy arrangements.
Australia
Canada
UK
17
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Surrogacy_the_issues?OpenDocument .
18
http://en.wikipedia.org/wiki/Surrogacy .
19
http://laws.justice.gc.ca/en/showdoc/cs/A-13.4///en?page=1 .
15
In UK, surrogacy arrangements, not agreements, are legal. But they must
be shorn of commercial element. However, agreements between a
surrogate mother and intended parents is not legally enforceable, which
means the agreeing parties must rely on each other’s promise to honour
the word.
USA
The laws governing surrogacy agreements vary from state to state. State
laws sometimes depend on the type of surrogacy agreement, such as
gestational or traditional surrogacy.21
20
http://www.nytimes.com/1991/06/02/world/french-supreme-court-rules-surrogate-mother-agreements-
illegal.html?sec=health.
21
For more information please visit: http://www.allaboutsurrogacy.com/surrogacylaws.htm.
16
The very famous ‘Baby M’22 decision spurred most US states to enact
legislation on surrogacy. By 1995, as many as 19 states had laws
designed to prevent or discourage surrogacy, 13 barred enforcement of
paid surrogacy contracts and 10 prohibited a third party, such as a
lawyer or physician, from collecting compensation for arranging
surrogacy agreements.23
The application of the Indian Laws for the Intended Parents from abroad
is their most worrying element. The applicability of the Indian Laws is
the same irrespective of the nationality of the intended parents. Laws of
the respective countries play a role only at the stage when the intended
parents attempt to take the child to their nations. But in most cases, for
the purpose of determining of the nationality of child, Indian Laws are of
prime importance. The consulate of the country of Intended Parent has to
be consulted before arriving at a decision to take up the procedures in
India. For this purpose, effective communication and representation at
the Embassy gains prime importance.24
22
‘Baby M’, 109 NJ 396, 537 A.2d 1227. The brief facts of the case are: In the US, the first formal agreement
between a couple and a surrogate mother was signed in 1976. Probably, it was voluntary. Soon, brokers entered
the scene and commercial exploitation followed. In 1984, a New Jersey couple - William Stern and Elizabeth
Stern - contracted to pay Mary Beth Whitehead $10,000 to bear a child using artificial insemination of William’s
sperm. The baby was born, but Whitehead decided to keep the child and refused the money. In 1987, New
Jersey Superior Court held the surrogate contract valid, tore the baby away from Whitehead and allowed the
Sterns to adopt it. Stripped of parental and visitation rights, Whitehead appealed in New Jersey Supreme Court,
which in 1988, except allowing the Sterns to keep the baby, reversed much of the decision. It termed surrogacy
contracts unenforceable, voided the adoption by Sterns and allowed parental and visitation rights to Whitehead.
23
Compensated surrogacy arrangements are illegal in Washington, Michigan, Utah, Arizona, New Mexico and
New York. Additionally, four states in the US have held that such contracts, while not illegal, are unenforceable.
California is widely recognized as one of the friendliest jurisdictions for parties desiring to enter into a
surrogacy arrangement.
24
http://blog.indiansurrogacylaw.com/2009/03/taking-the-surrogate-child-to-the-country-of-the-intended-
parents/ .
25
Guidelines for ART clinics in India, available at icmr.nic.in/art/art_clinics.htm.
17
In the absence of any law to govern surrogacy, the Indian Council of
Medical Research (ICMR) issued Guidelines in 2005 to check the
malpractices of Assisted Reproductive Technology (ART). These national
guidelines for Accreditation, Supervision and Regulation of ART Clinics in
India, 2005 are non statutory, have no legal sanctity and are not binding.
Silent on major issues, they lack teeth and are often violated.
Under guidelines issued by the Indian Council of Medical Research,
surrogate mothers sign away their rights to any children. A surrogate’s
name is not even on the birth certificate. This has triggered a moral
debate in the Indian ethical society.
The new Bill proposes to legalize commercial surrogacy and its salient
points are stated as hereunder:
The authorities are still taking the help of the non-binding and non-
statutory guidelines given by the Indian Council of Medical Research
(ICMR) 2005 to check the malpractices of Assisted Reproductive
Technology (ART). The same have been evaluated below for better
understanding of the regulatory system in India governing surrogacy
arrangements.
19
Para 3.5.428 of the said Guidelines provides that in cases where the
surrogate mother is biologically unrelated to the child, the birth
certificate shall have the name of the genetic parents. Therefore, if the
genetic parents are the Commissioning parents, who have contributed
their genetic material for the unborn child, they shall be automatically
recorded as the legal parents, if DNA tests prove the same. No adoption
procedure needs to be followed by the genetic parents under such
circumstances.
Hence, the law relating to surrogacy in India is in its prenatal stage and
unfortunately at the moment there is no legislation in existence
prescribing a code of practice governing the moral, ethical and legal
aspects of such surrogate arrangements. Hence, the said Guidelines only
have persuasive value at this moment of time.
22
ISSUES: RAISING A MORAL AND LEGAL DEBATE
The legal, moral and ethical questions raised are numerous and include:
The first question which needs to be addressed is that whether the
agreement entered into between the intended parents and the
surrogate is an enforceable contract? This question has been mooted
since last three four years, but there has been no proper answer to it.
Is it legal in India to become surrogate mothers?
Will the child born to an Indian surrogate mother be a citizen of this
country?
Who arranges for the birth certificate and passport that will be
required by the foreign couple at the time of immigration?
Ethically, should women be paid for being surrogates?
Can the rights of women and children be bartered?
If the arrangements fall foul, will it amount to adultery?
23
What happens if the surrogate mother or commissioning couple
change their mind?
The critics say the couples are exploiting poor women in India a country
with an alarmingly high maternal death rate by hiring them at a cut-rate
cost to undergo the hardship, pain and risks of labour.
The questions which have not been given proper attention while
imposing the concerned Act are:
These are some of the mind boggling questions which need to be looked
into as soon as possible.
CONCLUSION
To conclude we can say that the case of Baby Manji Yamada has opened a
pandora’s box with a floodgate of questions and issues related to ethics
and legality surrounding surrogacy. If commercial surrogacy keeps
growing, some fear it could change from a medical necessity for infertile
women to a convenience for the rich. Or competition among clinics could
lead to compromised safety measures. The industry is not regulated by
the government.30
A new trend shows that even in the time of recession, there are many
young and educated women who have turned to surrogacy as their side
30
http://economictimes.indiatimes.com/articleshow/2661740.cms?prtpage=1.
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profession.31 An article published in The Times of India questioned how
such a law would be enforced: “In a country crippled by abject poverty,”
it asked, “how will the government body guarantee that women will not
agree to surrogacy just to be able to eat two square meals a day?”
The Indian legal system today only recognises the birth mother. There is
no concept of DNA testing for establishing paternity as far as the Indian
legal system goes, which means that the name on the child’s birth
certificate has to be that of the birth mother and her husband. Many
couples naively plan to adopt the child and then take it back with them.
What they fail to realise is that adoption in India is a long and an
intricate process which can only be performed by a recognized adoption
agency.
Hopefully, the Indian parliament will soon pass a law which regulates IVF
and related assisted reproductive technologies which may provide some
legal protection for infertile couples when they go in for surrogacy
treatment.
BIBILIOGRAPHY
http://economictimes.indiatimes.com/articleshow/2661740.cms?
prtpage=1.
31
http://www.ndtv.com/convergence/ndtv/story.aspx?id=NEWEN20090078372 .
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http://www.ndtv.com/convergence/ndtv/story.aspx?
id=NEWEN20090078372
http://icmr.nic.in/abouticmr.htm
http://blog.indiansurrogacylaw.com/2009/03/taking-the-surrogate-child-
to-the-country-of-the-intended-parents/ .
icmr.nic.in/art/art_clinics.htm
www.icmr.nic.in/art/Draft%20ART%20(Regulation)%20Bill%20&
%20Rules%20
http://www.nytimes.com/1991/06/02/world/french-supreme-court-rules-
surrogate-mother-agreements-illegal.html?sec=health
http://www.allaboutsurrogacy.com/surrogacylaws.htm
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Surrogacy
_the_issues?OpenDocument last visited on 7 April, 2009.
http://www.nytimes.com/2008/03/10/world/asia/10surrogate.html?
pagewanted=2&_r=1; http://www.dnaindia.com/report.asp?
newsid=1207734; http://www.proudparenting.com/node/2264;
http://timesofindia.indiatimes.com/India/Israeli_gay_couple_gets_a_son/ar
ticleshow/3724754.cmss
http://consumer.indlaw.com/search/articles/?7128e327-651c-41c9-bf08-
7ad9ab353b4c .
http://india.merinews.com/catFull.jsp?articleID=136421.
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http://news.bbc.co.uk/2/hi/business/7935768.stm.
http://www.marieclaire.com/world-reports/news/international/surrogate-
mothers-india.
http://news.bbc.co.uk/2/hi/business/7935768.stm.
http://news.bbc.co.uk/2/hi/south_asia/7661127.stm
http://www.allaboutsurrogacy.com/acronyms.htm
http://en.wikipedia.org/wiki/IVF
http://timesofindia.indiatimes.com/articleshow/3400842.cms
http://www.answers.com/topic/surrogate
http://www.ndtv.com/convergence/ndtv/story.aspx?
id=NEWEN20090078372 .
http://www.delhi-ivf.com/faq.html.
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