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• W2158476871 abstract "ObjectiveTo bring increased awareness of the inconsistencies in the law. To affect legal reform to enable this valuable medical treatment to be performed safely, consistently and legally, without couples having to seek care remote from where they live.DesignA legal expert (MB) will highlight the legal issues and barriers, making it difficult to deliver these services within the confines of the law.Materials and methodsGestational surrogacy is an effective medical treatment for well defined problems. These include but are not limited to patients who have had hysterectomies for benign or malignant disease, Congenital uterine malformations, Asherman’s syndrome, uterine cavity distortion due to fibroids, severe medical illness (e.g. renal, cardiac, pulmonary, metabolic or auto-immune), breast cancer with estrogen receptor + lesions, post chemotherapy or radiation therapy, severe musculoskeletal abnormalities, and severe Rh isoimmunization. Studies have demonstrated that patients who have these problems can anticipate success using gestational surrogacy comparable to pregnancy rates using conventional IVF methods, corrected for age. Outcomes of offspring born from Gestational Surrogacy are similar to the population at large. Unfortunately, laws vary greatly by state and country, so that in many instances, couples cannot avail themselves of these treatments since in certain states, gestational carriers cannot be compensated. Some states allow the gestational carrier to be compensated while others allow the procedure to be performed in that state however do not allow the compensated gestational carrier to reside and/or deliver in the state where the procedure is performed. The dichotomy in these laws forces patients who desperately need these services to travel great distances for treatment. This increases costs, decreases productivity due to prolonged absences from work and reduces or eliminates market driven forces, allowing exorbitant fees to be charged for these services in states where it is allowed. It is submitted that legal reforms will benefit those who need these services. In all, these legal issues are confusing, inconsistent, troublesome, and create more confusion and potential abuse than is necessary.ResultsFrom 1993-2002, SART reported that 1367/ 3473 (39.3%) of the procedures reported, resulted in live births. This is evidence that the treatments are safe, effective and widely practiced.ConclusionLegal reform would be a progressive step and would benefit those whom we serve. Current legislation in States such as New York, create unnecessary confusion and are based on ill-founded ethical, moral and legal principles. For a procedure that was referenced in the bible and is practiced in many states, legal reform would significantly assist our patients who have suffered from the underlying problems which can be effectively overcome with gestational surrogacy. ObjectiveTo bring increased awareness of the inconsistencies in the law. To affect legal reform to enable this valuable medical treatment to be performed safely, consistently and legally, without couples having to seek care remote from where they live. To bring increased awareness of the inconsistencies in the law. To affect legal reform to enable this valuable medical treatment to be performed safely, consistently and legally, without couples having to seek care remote from where they live. DesignA legal expert (MB) will highlight the legal issues and barriers, making it difficult to deliver these services within the confines of the law. A legal expert (MB) will highlight the legal issues and barriers, making it difficult to deliver these services within the confines of the law. Materials and methodsGestational surrogacy is an effective medical treatment for well defined problems. These include but are not limited to patients who have had hysterectomies for benign or malignant disease, Congenital uterine malformations, Asherman’s syndrome, uterine cavity distortion due to fibroids, severe medical illness (e.g. renal, cardiac, pulmonary, metabolic or auto-immune), breast cancer with estrogen receptor + lesions, post chemotherapy or radiation therapy, severe musculoskeletal abnormalities, and severe Rh isoimmunization. Studies have demonstrated that patients who have these problems can anticipate success using gestational surrogacy comparable to pregnancy rates using conventional IVF methods, corrected for age. Outcomes of offspring born from Gestational Surrogacy are similar to the population at large. Unfortunately, laws vary greatly by state and country, so that in many instances, couples cannot avail themselves of these treatments since in certain states, gestational carriers cannot be compensated. Some states allow the gestational carrier to be compensated while others allow the procedure to be performed in that state however do not allow the compensated gestational carrier to reside and/or deliver in the state where the procedure is performed. The dichotomy in these laws forces patients who desperately need these services to travel great distances for treatment. This increases costs, decreases productivity due to prolonged absences from work and reduces or eliminates market driven forces, allowing exorbitant fees to be charged for these services in states where it is allowed. It is submitted that legal reforms will benefit those who need these services. In all, these legal issues are confusing, inconsistent, troublesome, and create more confusion and potential abuse than is necessary. Gestational surrogacy is an effective medical treatment for well defined problems. These include but are not limited to patients who have had hysterectomies for benign or malignant disease, Congenital uterine malformations, Asherman’s syndrome, uterine cavity distortion due to fibroids, severe medical illness (e.g. renal, cardiac, pulmonary, metabolic or auto-immune), breast cancer with estrogen receptor + lesions, post chemotherapy or radiation therapy, severe musculoskeletal abnormalities, and severe Rh isoimmunization. Studies have demonstrated that patients who have these problems can anticipate success using gestational surrogacy comparable to pregnancy rates using conventional IVF methods, corrected for age. Outcomes of offspring born from Gestational Surrogacy are similar to the population at large. Unfortunately, laws vary greatly by state and country, so that in many instances, couples cannot avail themselves of these treatments since in certain states, gestational carriers cannot be compensated. Some states allow the gestational carrier to be compensated while others allow the procedure to be performed in that state however do not allow the compensated gestational carrier to reside and/or deliver in the state where the procedure is performed. The dichotomy in these laws forces patients who desperately need these services to travel great distances for treatment. This increases costs, decreases productivity due to prolonged absences from work and reduces or eliminates market driven forces, allowing exorbitant fees to be charged for these services in states where it is allowed. It is submitted that legal reforms will benefit those who need these services. In all, these legal issues are confusing, inconsistent, troublesome, and create more confusion and potential abuse than is necessary. ResultsFrom 1993-2002, SART reported that 1367/ 3473 (39.3%) of the procedures reported, resulted in live births. This is evidence that the treatments are safe, effective and widely practiced. From 1993-2002, SART reported that 1367/ 3473 (39.3%) of the procedures reported, resulted in live births. This is evidence that the treatments are safe, effective and widely practiced. ConclusionLegal reform would be a progressive step and would benefit those whom we serve. Current legislation in States such as New York, create unnecessary confusion and are based on ill-founded ethical, moral and legal principles. For a procedure that was referenced in the bible and is practiced in many states, legal reform would significantly assist our patients who have suffered from the underlying problems which can be effectively overcome with gestational surrogacy. Legal reform would be a progressive step and would benefit those whom we serve. Current legislation in States such as New York, create unnecessary confusion and are based on ill-founded ethical, moral and legal principles. For a procedure that was referenced in the bible and is practiced in many states, legal reform would significantly assist our patients who have suffered from the underlying problems which can be effectively overcome with gestational surrogacy." @default.
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• W2158476871 date "2005-09-01" @default.
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• W2158476871 title "Gestational Surrogacy: Consistent Laws are Necessary to Provide Effective Treatment" @default.
• W2158476871 doi "https://doi.org/10.1016/j.fertnstert.2005.07.930" @default.
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