Teaching card: N°1 SURROGATE MOTHERHOOD I – Short presentation Definitions Other common expressions The term "surrogate motherhood" refers to a set of situations in which a woman, the surrogate mother, agrees to carry and give birth to a child at the request of a couple. Gestational surrogacy; uterus hire; renting a uterus; offshoring pregnancy; farming out pregnancy. To designate the woman concerned, we speak of "surrogate mothers", "gestational mothers", "birth mothers", etc. Why take recourse to this practice ? Two different situations Insemination, usually artificial, of an egg cell of the surrogate mother with the sperm of the man of the requesting couple, or possibly of another man. The woman agrees to carry the child conceived in her womb and to give it at birth to the couple who have requested it.¨ The transfer of an embryo conceived in vitro into the uterus of the surrogate mother. The embryo is usually conceived from the gametes (egg cells and sperm) of the requesting couple. However, a third party may possibly provide either the sperm or the egg cells. Gestational surrogacy allows women who suffer from uterine diseases that prevent them from carrying a pregnancy to term to fulfill their desire to have a child, usually from their own gametes. Moreover, for male homosexual couples, recourse to gestational surrogacy is the only way to give birth to a child. II – What does the law say ? In practice, the rules of parenthood nevertheless require the surrogate mother to give up the child at birth and the requesting couple to follow the procedure for adoption. In Belgium There is no specific law that aims to regulate gestational surrogacy, and there is no specific criminalisation of this practice, which therefore does not constitute a criminal offence as such. Nonetheless, to conclude that there is a "legal void" is to overlook certain rules of civil law that pertain to this matter. For example: In other European countries Gestational surrogacy is tolerated, in the absence of specific legislation, in Denmark, Finland and the Netherlands. It is illegal in France, where the Civil Code has declared contracts for surrogate motherhood to be null (Civil Code, art 16–7). The intermediaries—and possibly the requesting couples (if incitement to abandon a child is proven on their part)—risk imprisonment and fines (Criminal Code, art 227–12 and 227–13). In other countries, the practice of surrogate motherhood is likewise prohibited by specific texts (in Spain, Italy, Portugal, Norway, Sweden, Switzerland, Germany and Austria). Many of these laws impose criminal sanctions on intermediaries and/or on physicians. However, surrogate motherhood is legally authorized and regulated in Great Britain and Greece. the woman who gives birth to the child is legally considered the child’s mother (Civil Code, art 312); the child can only be entered into the civil register under the name of the mother (Criminal Code, art 363); the husband of the woman who gives birth is presumed to be the child's father (Civil Code, art 315 and following); the human body is unavailable, that is to say, it cannot be the object of an agreement (Civil Code, art 1128). Despite these rules, gestational surrogacy is tolerated. 1 II – Critical Assessment Public and private interests What is the legal validity of contracts for surrogate motherhood? The comments and questions listed below show that gestational surrogacy is a practice that is not in the private or the public interest, and so also for this reason cannot be endorsed by Parliament. Through close analysis of the services that constitute the core of these contracts, many legal experts have concluded that the contracts are null, due mainly to the illegality of their purpose, that is to say, the two commitments made entered into by the surrogate mother. The commitment to supply her reproductive function violates the principle of unavailability of the human body in that it concerns an essential element of being a woman: it falls within the scope of what she is, as a person, and not within the scope of things that she possesses and of which she may freely dispose. Declaring surrogate motherhood contracts to be valid would amount indirectly to considering a human being to be a thing, which contradicts the principle stated above. Furthermore, it is easy to see that a commitment whose goal is to give up a child is just as illegal, and indisputably so, since it is an act of disposition whose object is a person, the child. Surrogate motherhood distorts the institution of adoption, whose purpose is to resolve an unfortunate state of affairs in the best possible way, that is, to "give a family to a child", but not to "give a child to a family" after deliberately creating the circumstance of abandonment. Surrogate motherhood inevitably carries a risk of fo- menting the exploitation of certain underprivileged, poor or easily influenced women, whether the surrogacy is for payment or not. Surrogate motherhood implies both a division of motherhood from fatherhood and confused parenthood. Consequently, the child could have up to five parents: a biological mother, a biological father, a surrogate mother, a legal mother and a legal father. Allocating parenthood or parental responsibility in this fashion, by means of a legal transaction between private individuals, violates not only human dignity, but also the bases of social order. Moreover, what should one answer if the child, having attained the age of reason and in search of his or her identity, happens to ask, quite rightly, who his or her parents really are? Dignity and instrumentalisation of a person The principle of human dignity, which underlies the essential distinction between persons (legal subjects) and things (legal objects), opposes any form of instrumentalisation, objectivisation or exploitation of a person, who can never be seen only as a means to serve other people's needs or desires. In more than one way, the practice of surrogate motherhood appears to contradict this fundamental principle. Surrogate motherhood completely ignores the exist- ence of the intrauterine relationship that develops between the surrogate mother and the child. Disregard for the intimate relationship of pregnancy accentuates for both mother and child the feeling of "abandonment", whose adverse immediate and long term psychological consequences are well established. The pregnancy runs its course as if it were not an integral part of motherhood. Thus, although the surrogate mother generously and selflessly offers her services, objectively speaking, she is reduced to playing a purely instrumental role since, on the one hand, she can only experience her pregnancy as purely functional and not as an event involving her whole being, and since, on the other hand, by virtue of her contract and to fulfill the needs of others, she must renounce what she is: the mother of the child she is carrying. As for the child that the surrogate mother contracts to give up at birth, clearly, it is objectively considered to be a thing to be delivered under the contract between the surrogate mother and the requesting couple. What will happen if the child, the object of the con- tract, does not satisfy the requesting couple, for example, because he or she is handicapped? What if the contract is breached or if the requesting couple separate during the pregnancy? Should one grant to a surrogate mother the "right to abort" so that she may withdraw from her engagement? Also, does the husband of the surrogate mother have a right to be heard? This fact sheet, published in 2011, is necessarily concise. For more complete information, please consult the website www.ieb-eib.org. 2
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