澳大利亚意向父母的决策以及在澳大利亚和海外完成的代孕安排的特点和结果。

IF 2.1 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Human Fertility Pub Date : 2023-12-01 Epub Date: 2024-01-24 DOI:10.1080/14647273.2023.2270157
Ezra Kneebone, Karin Hammarberg, Sam Everingham, Kiri Beilby
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引用次数: 0

摘要

国际代孕市场往往出现在对辅助生殖技术监管有限的司法管辖区。在一些国家,如澳大利亚,受监管的国内代孕服务往往被国际提供者所回避。这项研究描述了澳大利亚意向父母如何决定在哪里进行代孕,并比较了澳大利亚国内外安排的特点和结果。研究结果表明,尽管意向父母更喜欢在澳大利亚进行代孕,但认为代孕过程太长、太复杂是寻求国际安排的常见原因。多胚胎移植、匿名配子捐赠和缺乏咨询在国际代孕安排中很常见。与澳大利亚完成的代孕安排相比,国际代孕中的多胞胎、早产和新生儿重症监护率更高。澳大利亚的代孕周期必须进行单胚胎移植。这些发现引发了人们对国际代孕参与者,特别是代孕者和儿童的健康和福利的担忧。与任何规范代孕的国际文书不同,改善国内代孕的机会将减少参与国际安排的人数,进而减少伤害的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Australian intended parents' decision-making and characteristics and outcomes of surrogacy arrangements completed in Australia and overseas.

Markets for international surrogacy often arise in jurisdictions with limited regulations regarding assisted reproductive technologies. In some countries, like Australia, regulated domestic surrogacy services are often sidestepped for international providers. This study describes how Australian intended parents decide where to pursue surrogacy and compares the characteristics and outcomes of arrangements completed within and outside of Australia. The findings show that, although intended parents preferred undergoing surrogacy in Australia, perceiving the process as too long and complicated was a common reason to pursue an international arrangement. Multiple embryo transfer, anonymous gamete donation, and a lack of counselling were common in international surrogacy arrangements. When compared to surrogacy arrangements completed in Australia, where single embryo transfer is mandatory for surrogacy cycles, the rates of multiple birth, preterm birth and neonatal intensive care in international surrogacy were higher. These findings raise concerns about the health and welfare of international surrogacy participants, particularly the surrogates and children. In lieu of any international instrument regulating surrogacy, improving access to surrogacy at a domestic level would reduce the number of people engaging with international arrangements and in turn, reduce the potential for harm.

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来源期刊
Human Fertility
Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY
CiteScore
3.30
自引率
5.30%
发文量
50
期刊介绍: Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.
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