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Commercialization, Altruism, Clinical Practice: What Explains Similarities and Differences in Californian and Canadian Gestational Surrogacy Outcomes?

White, Pamela (2018) Commercialization, Altruism, Clinical Practice: What Explains Similarities and Differences in Californian and Canadian Gestational Surrogacy Outcomes? Women's Health Issues, 28 (3). pp. 239-250. ISSN 1049-3867. E-ISSN 1878-4321. (doi:10.1016/j.whi.2018.01.004) (KAR id:65811)

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https://dx.doi.org/10.1016/j.whi.2018.01.004

Abstract

Background: Surrogacy is growing world-wide. While recently some countries have sought to ban it, between 2010 and 2014 the number of babies born to gestational surrogates having IVF treatment in California doubled and in Canada, it grew by 35%. This paper seeks to fill identified knowledge gaps about the similarities and differences in the practices and outcomes of gestational surrogacy which in California operates on a commercial basis though in Canada, it is illegal to pay a surrogate. The paper focusses on the period 2010 to 2014 for which comparable American and Canadian national assisted reproduction technology information exist.

Findings: Among gestational surrogates, when donor ova embryos obtained from women aged less than 35 were used, embryo transfer guideline adherence was 42% in California and 48% in Canada.

Lessons for Practice and Policy: Third-party reproductive decision-making is complex and nuanced. If recent trends hold, surrogacy in both California and Canada will experience sustained growth. Given this dynamic situation, it is extremely important that IVF practices and guidelines build in provisions for surrogate patients.

Item Type: Article
DOI/Identification number: 10.1016/j.whi.2018.01.004
Subjects: K Law
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > Kent Law School
Depositing User: Sian Robertson
Date Deposited: 29 Jan 2018 16:28 UTC
Last Modified: 16 Feb 2021 13:52 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/65811 (The current URI for this page, for reference purposes)
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