Uncertain Laws on Surrogates Leave Custody at Issue

December 13, 2009
21st-Century Babies

Unable to have a baby of her own, Amy Kehoe became her own general contractor to manufacture one. For Ms. Kehoe and her husband, Scott, the idea seemed like their best hope after years of infertility.

Working mostly over the Internet, Ms. Kehoe handpicked the egg donor, a pre-med student at the University of Michigan. From the Web site of California Cryobank, she chose the anonymous sperm donor, an athletic man with a 4.0 high school grade-point average.

On another Web site, surromomsonline.com, Ms. Kehoe found a gestational carrier who would deliver her baby.

Finally, she hired the fertility clinic, IVF Michigan, which put together her creation last December.

“We paid for the egg, the sperm, the in vitro fertilization,” Ms. Kehoe said as she showed off baby pictures at her home near Grand Rapids, Mich. “They wouldn’t be here if it weren’t for us.”

On July 28, the Kehoes announced the arrival of twins, Ethan and Bridget, at University Hospital in Ann Arbor. Overjoyed, they took the babies home on Aug. 3 and prepared for a welcoming by their large extended family.

A month later, a police officer supervised as the Kehoes relinquished the swaddled infants in the driveway.

Bridget and Ethan are now in the custody of the surrogate who gave birth to them, Laschell Baker of Ypsilanti, Mich. Ms. Baker had obtained a court order to retrieve them after learning that Ms. Kehoe was being treated for mental illness.

“I couldn’t see living the rest of my life worrying and wondering what had happened, or what if she hadn’t taken her medicine, or what if she relapsed,” said Ms. Baker, who has four children of her own.

Now, she and her husband, Paul, plan to raise the twins.

The creation of Ethan and Bridget tested the boundaries of the field known as third-party reproduction, in which more than two people collaborate to have a baby. Five parties were involved: the egg donor, the sperm donor, Ms. Baker and the Kehoes. And two separate middlemen brokered the egg and sperm.

About 750 babies are born each year in this country through gestational surrogacy, and twice that many surrogacies are attempted. Most are less complicated than the arrangement that resulted in the birth of Ethan and Bridget.

But as the dispute over the Michigan twins reveals, surrogacy arrangements that go badly can have profound implications, particularly for the children. Surrogacy is largely without regulation, with no authority deciding who may obtain babies through surrogacy or who may serve as a surrogate, according to interviews and court records.

Instead, surrogacy is controlled mainly by fertility doctors, who determine which arrangements are carried out and also earn money by performing the procedures. And while some agencies that coordinate surrogacies and some clinics that carry them out strictly adhere to guidelines, others do not, the interviews and records show.

The lax atmosphere means that it is now essentially possible to order up a baby, creating an emerging commercial market for surrogate babies that raises vexing ethical questions.

In some cases, parents must go through adoption proceedings to gain legal custody of the children. But even in those situations, the normal adoption review process is upended. In surrogacy, prospective parents with no genetic link often create their own baby first, then ask for legal approval, potentially leaving judges with little alternative. Some states allow prebirth orders that place the parents’ names on the birth certificates without any screening.

When disputes arise after the babies are born, the outcome can vary from state to state. In California, considered a friendly state for surrogacy, courts have upheld the validity of surrogacy contracts, meaning that the people who hire surrogates are very likely to keep the babies if a dispute arises.

But a statute in Michigan, where Ethan and Bridget were born, holds that surrogacy is contrary to public policy and that surrogacy agreements are unenforceable, giving the woman who gives birth a strong case if she decides to keep the babies.

A handful of other states have similar laws, according to an analysis by the Center for American Progress, a liberal research group.

About 10 states have laws that allow for surrogacy but impose restrictions; several of those states require at least one parent to have a genetic relationship to the baby. But the majority of states are silent on surrogacy, according to the analysis. Legal uncertainty in some states means that babies are sometimes left in limbo, their parentage left up to courts.

“When they go bad, it’s so sad,” said Mitzi Heineman, the Michigan broker who supplied Ms. Kehoe’s donor eggs. “You feel sorry for the baby. Who are the baby’s parents?”

Four-year-old twin girls in Union City, N.J., have lived under such uncertainty. Their short lives have included two tours in the foster care system.

New Jersey child welfare officials alleged earlier this year that the girls were neglected by Stephen Melinger, 62, who arranged their birth almost five years ago. In July, a New Jersey judge exonerated Mr. Melinger of those accusations. But the Supreme Court in Indiana, where the girls were born, recently ruled that his adoption of the twins was improperly executed and must be redone.

Fewer problems arise when the prospective parents have a genetic link to the offspring, lawyers who have handled such cases say. Gestational surrogacy frequently involves couples who can produce their own eggs and sperm, but in which the female partner cannot carry a baby.

Doctors say that when surrogacy arrangements go smoothly, they are very rewarding.

“It’s been unbelievably satisfying seeing these families grow that otherwise wouldn’t have,” said Dr. James Goldfarb, director of fertility services at the Cleveland Clinic and president of the Society for Assisted Reproductive Technology. Dr. Goldfarb was involved in one of the world’s first gestational surrogacies in 1986. Today, the Cleveland Clinic takes part in 8 to 10 such arrangements a year, he said.

But even less complex arrangements can lead to legal challenges. In another case in New Jersey, a woman agreed to be a surrogate for her brother and his male partner, who donated sperm. But the three are now playing tug of war over 3-year-old twin girls. The woman is seeking custody and a declaration that she is the mother, even though she did not supply the eggs. Lawyers in both New Jersey cases asked that the children’s names be withheld for reasons of privacy.

The New Jersey physician who performed the procedure, Dr. Susan Treiser, did not require psychological screening and waived what is commonly a prerequisite for being a surrogate — that she must have given birth to her own child.

Ms. Baker, the surrogate in Michigan, says the fertility clinic where she was impregnated failed to perform psychological screening of the Kehoes, which is recommended by professional societies. Such screening, she believes, might have prevented her from going through with the pregnancy.

Partly in hopes of standardizing the disparate laws governing surrogacy, the American Bar Association has developed a model act for state legislatures. Judges across the country have said they need guidance to sort out complex legal issues posed by reproductive technology. One section of the proposal says that when prospective parents have no genetic link to the babies, surrogacies would require preapproval by a court in a process that would include a home study.

Lawyers who handle surrogacy arrangements say those cases represent only 5 percent of surrogacy cases, but they are the riskiest.

George J. Annas, a bioethicist who is chairman of the health law program at Boston University, said, “This is the main problem with commercialization, seeing children as a consumer product.”

“This is especially true when there is no genetic connection with the child,” he said. “It really does treat children like commodities. Like pets.”

Brokers and Fees

It was a pet — a pet bird — that transformed the birth of the Melinger twins from a private transaction into a public controversy.

Employees at Methodist Hospital in Indianapolis became alarmed when the man who had commissioned their creation, Stephen Melinger, took his pet bird to the neonatal intensive care unit where they were hospitalized. It was among several things that raised concerns about Mr. Melinger’s ability to care for the two girls, according to court documents.

When Mr. Melinger, a single man who taught elementary school in Union City, decided he wanted a child, he enlisted the help of an agency called Surrogate Mothers in Monrovia, Ind.

The American College of Obstetricians and Gynecologists has adopted a set of guidelines for surrogacy arrangements. Among its recommendations are that surrogacy be handled by nonprofit agencies. Currently it is largely for-profit and can be very lucrative.

Between brokers, legal and medical expenses and surrogate fees, a successful surrogacy can cost prospective parents $80,000 to $120,000. About an estimated 100 agencies advertise themselves as surrogacy brokers.

“People can get into this business easily,” said Charles P. Kindregan Jr., a professor at Suffolk University Law School who was co-chairman of the American Bar Association committee that drafted the model legislation.

Surrogate Mothers, one of the older agencies, advertises on its Web site that it can arrange surrogacies for under $50,000.

On April 8, 2005, the twins intended for Mr. Melinger were born in Indianapolis to a surrogate mother from South Carolina. The girls were 9 weeks premature and weighed only 3 pounds each.

Steve Litz, a lawyer who runs Surrogate Mothers, filed a petition on behalf of Mr. Melinger seeking to adopt the twins, identified in court papers as the “infants H.” According to court documents, the petition identified Mr. Melinger as an Indiana resident, born in Indiana and employed as a teacher.

The woman who carried the children was giving up her rights to them. She had listed Mr. Melinger as “father” on the birth certificate.

The private adoption was on track to be granted, almost as a perfunctory matter. But hospital employees became concerned by Mr. Melinger’s eccentric behavior.

On one day, he arrived at the intensive care unit carrying his pet bird, which posed a risk of infection. Mr. Melinger testified that his bird was not near the babies because he had stayed in the office area. Yet on a separate visit, hospital workers said he had gone into the intensive care unit with bird feces on his clothing.

The hospital staff was also worried about what they considered Mr. Melinger’s unrealistic plan for taking the babies home. He hoped to make the 12-hour drive from Indianapolis to Union City in his car, alone, with the two premature infants strapped in car seats.

Hospital workers asked Indiana’s child welfare agency to investigate.

After learning of the investigation and the possibilities that there would be difficulties in getting Mr. Melinger’s adoption approved, Mr. Litz filed another motion on his client’s behalf, calling the children “hard to place” because their mother was African-American, he said, making the girls biracial.

It is easier for out-of-state residents, like Mr. Melinger, to adopt “hard to place” children. But it was not true that the girls were biracial. The surrogate mother was African-American, but the babies she had carried grew from eggs from a white donor. The twins were white.

It was merely one of the assertions in papers filed on Mr. Melinger’s behalf by Mr. Litz that turned out to be false, according to the Indiana Supreme Court.

“An earlier representation that Mr. Melinger was a sperm donor likewise turned out not to be true,” the court said, so the children were not his biological offspring.

In addition, Mr. Melinger was not born in Indiana, but New York. The Indiana residence he claimed was a hotel room.

A lower court had criticized the submissions for “lack of candor.”

In an e-mail message, Mr. Litz denied that he had misled the courts. “I have never knowingly made a misrepresentation to a judge in my life,” he said. Mr. Melinger declined to be interviewed.

As the case moved forward amid a swirl of Indiana news reports, the girls were placed in foster care. Mr. Melinger continued his fight to adopt the girls, finally prevailing in 2006. Mr. Melinger returned to New Jersey with the girls, but the Indiana Department of Child Services appealed the adoption to the Indiana Supreme Court.

The appeal was still pending in January when the girls had another encounter with the child welfare system, according to records disclosed by Mr. Melinger’s lawyer, Anthony Carbone of Jersey City.

It began as a simple family outing to a park in January.

A woman who saw Mr. Melinger with his children complained to the police that the girls were dirty and inappropriately dressed for cold weather, the records show.

One was wearing a pink coat, a skirt, ankle socks and black shoes. The other was wearing pajamas, a yellow coat and sneakers with no socks. Mr. Melinger later said that it had been a particularly warm winter day and that he had taken extra clothes for the girls.

The complaint prompted a review by the New Jersey Department of Youth and Family Services, which sent a worker the next day to Mr. Melinger’s apartment in Union City.

When a caseworker arrived “she noticed a strong smell of urine in the apartment,” according to a court document. Mr. Melinger later said that the girls were not completely toilet trained and had accidents, and that he tried to clean up after them as best he could.

The home was “particularly dirty,” the caseworker said, with inadequate clean clothes for the twins. Department workers also said the children’s pediatrician, Dr. Pearl Cenon, had concerns about their care and had considered contacting the agency. The girls were removed from Mr. Melinger’s custody.

But in a hearing last summer, a parade of witnesses came to Mr. Melinger’s defense. They included Dr. Cenon, who denied being concerned about the girls and testified that Mr. Melinger was an excellent father.

In July, Judge Bernadette N. DeCastro of New Jersey Superior Court ruled that the Department of Youth and Family Services had failed to prove its claim against Mr. Melinger. The girls had already been returned to his custody in April.

Meanwhile, the Indiana Supreme Court had also ruled.

In a decision issued in April and reaffirmed in October, the court said the adoption of the 4-year-old twins must be repeated. Among missing elements in the original adoption, the Supreme Court said, was a letter from New Jersey authorities stating that the placement was in the twins’ best interest.

The Indiana court said that as the case continued, the girls would be allowed to remain with Mr. Melinger. Frances Watson, a professor at the Indiana University School of Law in Indianapolis who briefly served as the appointed legal representative of the children, said the case provided a stark example of what the state’s adoption laws attempted to prevent.

“You should not be able to come from out of state on some contract and order up some babies and then go about your business,” Ms. Watson said.

Barriers to Adoption

On July 11, 2004, Donald W. Robinson, a Manhattan accountant, boarded the Norwegian Dawn cruise ship with his partner, Sean Hollingsworth.

The departure from New York was the maiden voyage of the “Rosie” cruises, named after the entertainer Rosie O’Donnell, which cater to gay men and lesbians and their families.

The cruise was also the genesis of a major surrogacy dispute.

As the 1,600 passengers sailed from New York to Florida and the Bahamas, one of the speakers was Dr. Treiser, the fertility specialist.

The weeklong cruise was an excellent way to promote her clinic, IVF New Jersey, to an important surrogacy niche market: gay partners who might want to become parents.

The shift from traditional surrogacy, in which women carry their own biological children after artificial insemination, to gestational surrogacy, as well as the wide availability of donor eggs, has opened the possibility of parenthood to a variety of people who cannot have children of their own.

In Manhattan, the Lesbian, Gay Bisexual & Transgender Community Centersponsors monthly seminars on having families through surrogacy. The well-attended sessions often feature speakers with children born through surrogacy arrangements.

In many of those cases, one of the male partners donates sperm that is used, along with a donor egg, to impregnate a surrogate.

Many of the people who have children through surrogates would have had difficulty adopting because of sexual orientation, marital status or age. Some foreign countries place upper age limits on adoptive parents. And birth mothers giving up their children in the United States often hand-pick the adoptive parents of their children.

“The default position for young birth moms tends to be a mother and a father in a stable relationship and a white picket fence around the yard,” said David C. Cole, a Dallas lawyer with Little Flower Adoptions, which also handles surrogacy arrangements.

After Dr. Treiser’s speech, Mr. Robinson and Mr. Hollingsworth approached her to discuss their plans for having a child through surrogacy.

As Dr. Treiser remembered during a deposition, they wanted to use Mr. Hollingsworth’s sperm and an egg from Mr. Robinson’s sister, Angelia Gail Robinson, a resident of Texas. That way, both Mr. Robinson and Mr. Hollingsworth would have genetic ties to the child.

But testing later revealed that Ms. Robinson, already in her 40s, could not produce viable eggs. Instead, the couple decided to use another egg donor. Ms. Robinson agreed to serve as the gestational carrier and intended to play a role in the life of the baby.

“She was going to be the doting aunt and live close by,” Dr. Treiser testified in a deposition.

Ms. Robinson sold her home in Texas and went to work in her brother’s Manhattan accounting office.

As the agreement proceeded, there were several things that should have waved cautionary flags. Foremost among them was that Ms. Robinson did not have her own children.

A previous birth provides proof that a surrogate can deliver a baby without medical complications, fertility doctors said. And it gives assurance that the surrogate understands the biological and emotional implications of pregnancy and childbirth.

“If a surrogate has not had a baby before, we won’t use her,” said Dr. Goldfarb of the Cleveland Clinic.

In an interview, Dr. Treiser said she made an exception because Ms. Robinson was carrying a child for her sibling and expressed no interest in children of her own.

In a deposition, Dr. Treiser said that she offered Ms. Robinson psychological screening, but that it was declined.

As her pregnancy progressed, Ms. Robinson now says, fissures developed in her relationship with her brother. At the same time, she says in court papers, she began to bond with the twins she was carrying.

It turned out to be an extremely difficult pregnancy that ended on Oct. 4, 2006, when Ms. Robinson was rushed to the hospital suffering from pre-eclampsia, a pregnancy-induced condition that includes extremely high blood pressure.

In March 2007, after Mr. Robinson and Mr. Hollingsworth had custody of the children for five months, she filed papers for custody of the children in family court in Jersey City, where the men live. The two were married in California in September 2008, and Mr. Robinson has taken his spouse’s name.

Ms. Robinson has also asked to be declared the legal mother of the children. Her lawyer, Harold J. Cassidy of Shrewsbury, N.J., has cited the Baby M decision two decades ago, in which the New Jersey Supreme Court upheld the maternal rights of Mary Beth Whitehead, who delivered her own biological child for another couple after artificial insemination with the man’s sperm. Mr. Cassidy also represented Ms. Whitehead.

The court ruled that even though Ms. Whitehead had agreed to a payment of $10,000 for the service, “There are, in a civilized society, some things that money cannot buy.”

Unlike Ms. Whitehead, Ms. Robinson has no genetic relationship to the girls. But as the case continues, the family court has temporarily awarded Ms. Robinson three days a week of parenting time, according to records. The girls are shuttled back and forth between Ms. Robinson’s frame house in Keansburg, N.J., and the home of their father.

Their fate may be determined by a trial as early as April.

Charges of Betrayal

Ethan and Bridget, the babies born in Michigan, are propped in their car seats in a booth at Stoney Creek Koney Island, a diner in a strip mall in Ypsilanti. They are out for breakfast with the woman who gave birth to them, Laschell Baker, and her husband, Paul.

The Bakers have picked out new names for them. They are calling the boy Peyton and the girl Dani. As soon as they can spare $320, they will file papers for legal name changes. It is a way to leave the past behind.

Someday, though, the twins will know all about what happened. “I’ll tell them the truth,” Ms. Baker said.

For Ms. Baker, 35, they are babies No. 8 and 9. In addition to her four children, she has delivered three other surrogate babies, including another set of twins. Her previous surrogacy arrangements went smoothly, and the children are with the family who requested them.

Ms. Baker said she had been vilified by the national community of professional surrogates, who chat regularly online. The Internet community is mad at her, siding mostly with the Kehoes. They even collected money for legal funds for the Kehoes, who say they were betrayed by Ms. Baker.

“They don’t want anything to do with me,” Ms. Baker said. “I’m the bad apple that ruins the name of surrogacy.”

But, she says, this is not a story about a surrogate who changed her mind.

“My husband and I would not do something like this unless we thought it was given to us to do,” Ms Baker said. “My belief is that God placed this on my heart for a reason.”

In the fall of 2007, Ms. Baker advertised in surromomsonline.com saying she would carry a baby for a Christian couple.

Amy Kehoe saw it and was delighted to find that Ms. Baker lived only two hours away.

Ms. Baker said she chose the Kehoes for the same reason. “I picked them because I wanted a couple that was local so they could enjoy the whole pregnancy with me,” she said.

They traded e-mail messages and phone calls and met for dinner before agreeing to go forward with the surrogacy.

Under Michigan’s law, commercial surrogacy is punishable by five years in prison and a $50,000 fine. Ms. Baker said she did not carry the children for money and was reimbursed only for actual expenses like doctor’s appointments. Neither she nor the Kehoes have disclosed exactly how much that was.

Ms. Baker said she was the one who recommended Dr. Jonathan Ayers of IVF Michigan for fertility services. Dr. Ayers was involved in her two previous surrogate pregnancies.

She has generally praised Dr. Ayers, but says the failed arrangement might have been avoided if IVF Michigan had required psychological screening.

A nurse at IVF Michigan said Dr. Ayers would not comment on his clinic’s policies because of patient privacy laws.

On Tuesday, July 28, the babies were born by Caesarean section. The following Monday, in court in Ann Arbor, Ms. Baker said she first learned of Ms. Kehoe’s psychiatric history.

During a hearing to transfer guardianship to the Kehoes, Scott Kehoe said his wife had paranoid schizophrenia. Ms. Kehoe’s psychiatrist listed the diagnosis as a “psychotic disorder not otherwise specified.” Ms. Kehoe takes an antipsychotic to control her symptoms.

Before her diagnosis in 2001, Ms. Kehoe told the judge, she had self-medicated, and that was the reason for her arrest on charges of cocaine use and driving under the influence.

Adoption experts said that mental illness was not a bar to adoption if the illness was under control and the patient went to doctor’s appointments and took medications. And Ms. Kehoe’s psychiatrist wrote a letter saying she would be a good mother because her disease had been fully controlled for eight years and she currently had no symptoms.

Ms. Baker, however, said she was stunned at the disclosure of Ms. Kehoe’s mental illness, which she believes she should have known in advance. And she became concerned that Ms. Kehoe might relapse and be unable to take care of the twins.

“I’m not going to be the one that’s going to feel guilty if something happens,” Ms. Baker said.

Ms. Kehoe said Ms. Baker’s decision made no sense in light of her doctor’s statement and other letters of strong support. “Does she really think she knows better than a psychiatrist who has known me for nine years?” Ms. Kehoe said.

Instead, she says, Ms. Baker “legally stole our babies from us.”

Because Michigan law states that surrogacy contracts are void and unenforceable, it was an easy matter for Ms. Baker to go to court and have the Kehoes’ guardianship rescinded.

Last month, Amy and Scott Kehoe made a decision.

“We are stopping the fight to get our babies back,” Ms. Kehoe wrote in an e-mail message. “The reason is because of the slow court system, and because of the terrible Michigan laws. JUSTICE DOES NOT PREVAIL in this case due to Michigan laws.”

Ms. Kehoe still has hope, though. It is stored in a tank of liquid nitrogen at IVF Michigan. The tank contains 20 frozen embryos made from the eggs and sperm she bought.

Virginia Appeals Court Gives Full Faith and Credit to North Carolina Custody Order for Gay Dads

 

 

Arthur Leonard – Lesbian and gay Lawnotes, December 2009

 

A three-judge panel of the Court of Appeals of Virginia ruled on November 24 that the Fairfax Juvenile and DomesticRelations District Court had properly accorded full faith and credit, as required by the U.S. Constitution, to a North Carolina judicial decision awarding primary legal and residential custody of a child to two gay men (who are registered California domestic partners). Prashad v. Copeland & Spivey, 2009 WL 4030852. Still pending before the Deomstic Relations Court is a demand by the woman who served as surrogate mother for the child that the North Carolina custody ruling be modified to give her sole custody. One of the judges on the Court of Appeals argued in dissent that the case was not properly before the court for review on the merits.

 

In September 2003, Roberto-Luis Copeland and Philip Spivey contracted in Minnesota with Tanya Prashad, a married woman, for her to be a surrogate mother of their child. Copeland and Spivey both donated sperm that was mixed together to inseminate Prashad, and their child, identified by the court as A.C.C., was born in Minnesota in August 2004. No DNA test was done to determinate who was the father, and Copeland was named on the birth certificate. A few days after A.C.C. was born, the two men moved with A.C.C. to North Carolina. Prashad visited the child in North Carolina with the consent of the fathers, but the relationship deteriorated and after February 2005 the fathers refused to allow further contact.

 

Prashad and her husband traveled to NorthCarolina in April 2005, intending to take A.C.C. away from the fathers and bring the child back to Minnesota. A confrontation ensued in which the fathers refused to let Prashad see the child, and the fathers left with the child for California, where Copeland and Spivey registered as domestic partners. After staying in California for a time, they returned to North Carolina with A.C.C.

 

While they were living in North Carolina, Prashad filed an action against Copeland in the North Carolina Justice Court in Gaston County, seeking an award of custody and an order compelling the men to submit to DNA testing to determine A.C.C.’s biological father. The court ordered the test, and Spivey was determined to be the biological father. Spivey then moved to intervene as a party in the custody proceeding.  The North Carolina court determined that it had jurisdiction over the case because the two men and A.C.C. were legal residents of the state.

Sorting out the situation, the North Carolina trial court decided that both Spivey and Copeland should be parties to the case, Spivey as biological father, and Copeland as the person who was listed on the birth certificate and had actually served as A.C.C.‘s father since her birth. The court did not use the term “de facto father,” but that is essentially how it treated Copeland in allowing him to be a party. The court then approved a written agreement signed by Spivey, Copeland and Prashad, under which Copeland and Spivey were awarded primary legal and physical custody of A.C.C., and Prashad was awarded secondary legal and physical custody.

Copeland and Spivey then moved with A.C.C. to Fairfax County,Virginia. Seizing upon Virginia’s legal hostility to same-sex couples (evidence by having adopted both a statute and a constitutional amendment banning recognition of same-sex marriages, civil unions and domestic partnerships), Prashad filed petitions in the Fairfax Juvenile Court, seeking to have the North Carolina custody judgment registered with the court but with Copeland omitted as a parent, and also seeking custody of A.C.C.  She specifically asked the court to exclude Copeland from having any parental rights, arguing that any acknowledgment of Copeland as a parent was an implicit recognition of the relationship between Copeland and Spivey in violation of Virginia law. Prashad also filed a petition to modify the North Carolina judgment so as to give her sole legal and physical custody of A.C.C.

On March 12, 2008, the Fairfax court registered the North Carolina court orders in their totality, declining Prashad‘s demand to exclude Copeland. Prashad appealed this decision to the Fairfax County Circuit Court, which affirmed, and then she took her appeal to the Virginia Court of Appeals, which also affirmed.  The majority of the Court of Appeals panel ruled in an opinion by Judge Cleo E. Powell that under the Full Faith and Credit Clause of the U.S. Constitution, Virginia courts are obligated to recognize and enforce judicial orders concerning custody and jurisdiction of children that are issued by courts of other states that had proper jurisdiction over the parties and the subject matter of the case. Since Copeland, Spivey and the child were residents of North Carolina at the time the custody agreement was embodied in a court order there, the Juvenile Court properly registered it without any modification.  The Court of Appeals made clear that its decision only concerned the registration of the North Carolina custody and visitation orders, pointing out that all the discussion in the appeal raised by Prashad about “homosexual marriage” and “same-sex relationships,” was irrelevant in the court‘s eyes to the specific issue that was being appealed.

The court also discussed the federal Parental Kidnapping Prevention Act, which was intended to avoid “jurisdictional competition and conflict between State courts” by making clear that courts must respect custody decrees by “sister states.” The court also noted that Virginia had adopted the Uniform Child Custody Jurisdiction and Enforcement Act, which requires Virginia courts to “recognize and enforce” child custody determinations by the courts of other states. The court found that all the requirements of this statute were met by the North Carolina custody order.

Finally, the court found that the Virginia Marriage Amendment and the anti-same-sex marriage statute were essentially irrelevant to the issue of registering the North Carolina custody order because, as Judge Powell pointed out, “neither party is asking the Court to recognize Copeland and Spivey‘s relationship.” Furthermore, the North Carolina court, in determining that Copeland should be part of the custody proceeding there, had based this determination on Copeland’s long-standing relationship with the child, and not in any way on Copeland‘ s relationship with Spivey. As such, the Virginia amendment and statute were not implicated.  This ruling does not end the matter, of course, because still pending before the Fairfax Juvenile Court is Prashad‘s separate petition to modify the custody award to give her sole legal and physical custody. In a long and technical dissent, one member of the court held that the appeal was not properly before the court because the Juvenile Court‘s order to register the North Carolina custody order was not a final order on the merits of the dispute between the parties, but merely a preliminary step that had to be accomplished before the Juvenile Court would address the merits of the modification petition. The dissenter did not state disagreement with the majority‘s analysis of the substantive legal issues concerning recognition of the North Carolina custody orders, but merely that the court should have denied the appeal without discussing those issues at this stage of the case.

Gregory R. Nevins, an attorney in Lambda Legal’s Atlanta Regional Office, represented Copeland and Spivey on the appeal, with participation of theACLUofVirginia and localVirginia counsel, Laurie Forbes. A.S.L.

Top ten questions to ask before signing up with an IVF clinic, law office, or agency as a surrogate

issue1Attorney Theresa M. Erickson recommends:

1. Contact a Reproductive Lawyer or IVF Clinic for recommendations – the lawyers and the doctors are the licensed professionals in this field, as are the psychologists, and they can often give good advice on where to begin your journey. You might also find a lawyer you want to work with when it becomes time to sign and review agreements with Intended Parents.

2. What if the lawyer or clinic has their own agency for matching surrogates with parents? Well, I myself own an agency, so I can speak clearly to the potential conflicts of interest that can arise between you and the agency or the clinic; however, here are a few things to remember:

a. Doctors and lawyers are licensed professionals who have licenses that they have worked hard to obtain and maintain. At least in my office, surrogates always get their own attorneys, their own psychologist, and their own support separate from me. But remember, doctors are not lawyers just as lawyers are not doctors – it is that simple.

b. If an IVF physician has an agency, how is their money held for their surrogates? It is unlikely that they are licensed and bonded escrow holders, and they are not attorneys whose clients are protected by the state bar’s client security fund, so ask that question. Physicians do not have the same protections as the attorney’s trust account does.

c. With an IVF Physician, what happens at 12 weeks when you are released to your OB physician? Do they have the staff to do that, and who is that? How does the clinic still handle and facilitate your arrangement, if at all? Make sure you are being supported all the way to the end, not just until the pregnancy reaches the first trimester.

d. Now, as for your health and physical well being, the other issue that some have is the conflict of interest that a doctor has with his patient, the surrogate, and his patient, the Intended Parents. Again, as it has to do with your health and well-being, make certain that you get independent legal representation and ask questions. It is your body and your health, so you must be diligent in making certain that you are being protected too. Many, many IVF Physicians are wonderful, caring doctors, but you must ask questions to ensure you are being protected. Also, ask what their success rates are and how long they have been practicing IVF?

3. Agencies – yes, they are unregulated, unlicensed, etc. – but, speak with them too – better yet, meet with them in their office and meet the staff. Some are very reputable. Ask a reproductive lawyer or IVF clinic for recommendations. Then, call and interview them. Ask them the following:

a. Are they a match making service only, or do they provide support throughout the entire process through delivery and beyond?

b. How are their surrogates and donors funds held? Make certain that they are held by an escrow company or by an attorney.

c. What type of support do they provide? Get specifics. What type of staff do they have and how many people are there for you in the office?

d. Do they have parents waiting? If not, how long will you have to wait? Remember, promises of being matched immediately are empty, as each case if different. Also, ask how many matches they do per year and per month.

e. How long have they been in business? Can you speak with other surrogates?

f. Agencies are not medical providers, but the reputable ones know what they are doing and are instrumental in helping you select a physician, psychologist, etc., as well as helping you get answers when the medical aspect is unclear. Don’t think that you will be left with inadequate medical care if you go through an agency.

g. Reputable agencies are insured against Errors & Omissions Insurance. Ask if they carry it.

h. Does the agency have surrogate support group meetings and/or annual parties? These are always alot of fun, and there are usually prizes for the winners of contests. This is also a great way to meet other women like yourself who are going through many of the same things.

Must Know Facts for Intended Parents Using Surrogates

issue2My husband and I have learned SO MUCH through the process of our surrogacy experience and I hope that you can benefit from our lessons/mistakes/education.  First, every surrogacy agency, ibncluding our’s – Circle Surrogacy, will play down the costs.  There are numerous hidden costs that are not on their cost lists, such as personal travel, car rental, hotel, gifts…  We are due in September and we have spent over $145,000.00!

Second, make sure you know whether your surrogate has her own health insurance.  Ours does not and it has cost us almost $25,000.00 in extra fees.  Our agency said that we might have to wait “a verry long time” if we did not choose the surrogate that we currently have.  She is great and I love her, but if I had known then what I know now, we would have chosen someone else.

Make sure that your agency tells you EXACTLY what the legal situation is in the state where your child will be born in regards to the amendment of the birth certificate after the non-bio parent goes through the second parent adoption process.  Our agency found us a local attorney in North Carolina who did not know exactly how this would work.  He finally discovered that in North Carolina, there is no gender nuetral birth certificate document, so I will be listed as my son’s mother.  We also has to sue our donor, our carrier and our carrier’s husband AND WE ALL HAD TO APPEAR IN COURT IN NORTH CAROLINA.  Our donor and carrier were served with a summons without being forewarned and, as the intended parents, we are footing the bill for all of this.

I have tried to have a positive outlook, keeping my eye on the prize, so to speak.  I know that when we meet our son, all of the worries will diminish; however, I wish that someone had shared with me the details of what would be required, both financially and legally.

TNG4EVR in NY

Much Has Changed in Surrogate Pregnancies

New York Times,  July 21, 2009
Personal Health

With the birth last month of twin girls for Sarah Jessica Parker and Matthew Broderick, surrogate pregnancy once again assumed center stage. After years of infertility following the birth of their son in 2002, the couple chose to have another woman gestate the embryos they created.

Much has changed in surrogacy in the two decades since the high-profile Baby M case, in which the surrogate was the baby’s biological mother and unsuccessfully sought custody after the birth.

The legal proceedings in that case helped affirm the validity of surrogacy contracts, which are now standard. Some states have laws that protect the commissioning parents in surrogate pregnancies. And in a vast majority of surrogate pregnancies today, the surrogate has no genetic link to the baby.

Still, surrogate pregnancy is illegal in some states, including New York, and it remains fraught with controversy despite the fact that thousands of American couples — most of them not celebrities or especially wealthy — are happily bringing up children they could not produce on their own.

Emotional Strain

Joan Fleischer Thamen and her husband, Frank, of Miami Beach are among them. They married when she was 38 and immediately began trying to start a family, “but nothing happened,” Ms. Thamen said in an interview. They nearly exhausted their savings with fertility treatments and seven attempts at pregnancy through in vitro fertilization.

“After the seventh failure I was emotionally worn out,” Ms. Thamen said. “Then someone told me a friend had found a surrogate through the Internet. That’s how we found Cathy, who said ‘I really want to do this for you.’ We offered her what we thought was a fair amount — $12,000 — and said we’d hire an attorney to draw up a contract and we’d pay for her medical insurance.”

Three embryos left from the Thamens’ attempts at in vitro were implanted in Cathy’s womb. Ten days later they learned that one was viable. When Cathy was in her fourth month, Ms. Thamen discovered to her amazement that she, too, was pregnant and that their due dates were identical.

The Thamens are now the delighted parents of 5-year-old boys, David and Jonathan, born 23 days apart and “being raised as twins cooked in different ovens,” as Ms. Thamen says she explained to the boys. Cathy and her husband and son remain good friends with the Thamens; the families visit often and the Thamen boys consider Cathy an aunt.

Altruistic Motives

Surrogate pregnancies don’t always blossom into lasting friendships, of course, and many people consider the process repugnant. It has been called a violation of natural law, a form of prostitution or baby selling, an exploitation of poor women, and a privilege of the rich and famous who may not want to disrupt their careers or their figures by giving birth to their own children.

Reputable agencies and lawyers who specialize in surrogacy guard against the exploitation of women who serve as surrogates and against spurious reasons for seeking a surrogate pregnancy. In virtually every case they process, the intended parents, like the Thamens, cannot produce their own children, yet want children biologically related to them or choose not to wait the years it can take to adopt.

People may choose to have a gestational carrier bear their children if the woman lacks a uterus or has a malformed uterus; must take medication incompatible with pregnancy; or has had repeated miscarriages or failures at in vitro pregnancies. Or, in the case of a male couple or single male, if there is no woman involved.

As for charges of exploitation and baby selling, Pamela MacPhee, who was a surrogate for her cousin and his wife, says most surrogates do it for altruistic reasons. In her new book about her experience with surrogacy, “Delivering Hope” (HeartSet Inc.), she says the payment most women receive — typically $15,000 to $20,000 — “is for the services, time and sacrifice of the surrogate, not for the child directly.” And the amount paid is well below minimum wage when factored over nine months of pregnancy and the hormonal preparations that usually precede implantation of viable embryos.

Mrs. MacPhee, a married mother of three, volunteered to be a surrogate when cancer treatments left her cousin’s wife infertile.

“I couldn’t imagine my cousin and his wife not being able to have a family, and I wanted to help them,” Mrs. MacPhee said in an interview. She received no payments beyond a life insurance policy and medical expenses, as well as some luxurious gifts from the grateful parents-to-be, like a weekend at a spa.

But the two families were anything but casual about the matter. A psychologist evaluated the women and their husbands to make sure everyone was emotionally healthy, realistic and in agreement with the arrangement. A lawyer drew up a contract that guaranteed the baby would belong to the intended parents. Mrs. MacPhee said that Hope, now an 8-year-old with her parents’ genes, is thrilled about the special circumstances of her birth.

A Cautionary Tale

Arrangements for surrogate pregnancies don’t always go smoothly or have happy endings, especially if they are undertaken without psychological screening and legal guidance. Care must be taken to protect both the surrogate and the intended parents and to ensure that the parents’ names — and not the surrogate’s — will appear on the child’s birth certificate.

Melissa B. Brisman, a lawyer in Park Ridge, N.J., whose three children were birthed by surrogates, specializes in such arrangements, helping to secure about 300 surrogates a year for people who cannot conceive or carry a child. The intended parents may provide their own eggs and sperm or those of a donor. In addition to heterosexual couples, her clients include gay male couples, single men and single women.

Surrogate qualifications differ slightly by agency, but Ms. Brisman’s criteria are typical: The carrier must be between the ages of 21 and 44, must be a nonsmoker, must live in the United States and must have given birth to at least one child. She said that laws prohibit acceptance of surrogates from Michigan, New Hampshire, New Jersey, New York, Washington and the District of Columbia.

Ohio, where the Parker-Broderick twins were born, is “a very popular state for gestational carriers,” Ms. Brisman said in an interview. “In Ohio, you can get the commissioning couple on the birth certificate even if a donor egg was used.

“People don’t become gestational carriers as a way of making money,” she continued. “Rather, their motives are altruistic.” Furthermore, she has written, “most carriers enjoy being pregnant and are emotionally rewarded by the experience of helping an infertile couple realize their dreams of becoming parents.”

Mrs. MacPhee said that for her, surrogacy was a transformative and fulfilling experience that “has had a profound effect on how I view myself as a person and has resulted in a closer relationship with my children and my husband as well. It has helped me realize what is most meaningful in life.”

No Stork Involved, but Mom and Dad Had Help

July 12, 2009, New York times

Melissa Brisman and her daughter, Simmie, age 6, were catching a matinee of “Marley and Me” in Tenafly, N.J.

It was supposed to be a movie about a dog named Marley. But up on the big screen, Marley’s owner, a glowing Jennifer Aniston, kept getting pregnant — serenely, effortlessly pregnant (after one miscarriage).

Jumping up on her seat, Simmie loudly asked her mother, “How come you’re the only mommy who can’t get pregnant?”

“Sit down,” whispered Mrs. Brisman, who is a lawyer specializing in surrogacy. “We’ll talk about this later.”

Every child has a birth story. The story of Simmie, who was born to a surrogate, is different from the stories of the three children in the movie. But her story, which is also the story of her 11-year-old twin brothers, Andrew and Benjamin, is less unusual than it used to be.

While there is no widely agreed upon number for surrogate births, the American Society for Reproductive Medicine estimates 400 to 600 births a year from 2003 to 2007 in which a surrogate was implanted with a fertilized egg. Advocacy groups put the count much higher — including most recently to the actors Sarah Jessica Parker and Matthew Broderick — and say the numbers will increase as more people, including gay men, turn to surrogacy to become parents.

So despite the substantial costs (at least $30,000), there is now a group of young children whose parents are wrestling with this modern twist on the eternal question: Where did I come from?

These parents have to take the often excruciating saga of all they went through to have a baby and turn it into a child-friendly, reassuring and true Your Birth Story.

So many parents are trying to figure out how to tell this new story that Judith Kottick, a licensed social worker in Montclair, N.J., provides counseling in just that area. “What kids want to know is that they’re in the family they were meant to be in — that they belong to their mom and dad,” she said.

She advises parents to start telling their children’s birth story early. “You want them to grow up with the information so it’s not a news flash,” Ms. Kottick said. She also recommends some of the new children’s books that are tailored to the story of birth through surrogacy, like “Hope & Will Have a Baby: The Gift of Surrogacy” by Irene Celcer.

Marla Culliton and her husband, Steven, of Swampscott, Mass., have 7-year-old twins, Jacob and Naomi. “When they were 4, I told them, ‘First you have to get married, then you have to have a nice house, then you can go to a doctor, and he can help you,’ ” said Mrs. Culliton, a dental hygienist. “At 5, they said, ‘How is the baby made?’ I said: ‘They come from a sperm and an egg. The doctor made you in a dish.’ ”

If anyone has been preparing for The Talk, it is these parents, who have often spent years trying to have children. “You know how you sit down at night, talking to them, telling them stories?” said Jan Zoretich, who has two children, Sarah Elizabeth, 5, and Rachel, 3, born through surrogacy. “From Day 1,” she said, referring to Sarah Elizabeth, “I said: ‘Mommy’s so happy. You’re such a blessing. We’re so grateful Jessica was a surrogate for us.’ ”

In Sarah Elizabeth’s birth story, Jessica, whom the family prefers to identify only by her first name and who lives in the same Maryland town, is a central character. “She comes to the door, and I’ll say, ‘Sarah, your surro’s here,’ ” said Mrs. Zoretich, a former chief financial officer for a group of nursing homes who now stays home with her children.

Mrs. Brisman, the lawyer, who also runs an agency that connects prospective parents with surrogates, began telling Simmie her birth story when she was about 3. (“The doctor took a piece of Daddy and took a piece of Mommy and put it inside someone else because my tummy was broken.”)

Mrs. Brisman, who contends that the estimates from the American Society for Reproductive Medicine on the numbers of surrogate births are far too low, said her clients alone had 300 babies through surrogacy last year, with gay men becoming parents in 20 percent of the cases.

Jeffrey T. Parsons, a Manhattan psychologist and his partner, Chris Hietikko, have a 3-year-old son, Henry, who sees his surrogate, Jessica, at least once a year.

When their son starts asking questions at, say age 5, said Dr. Parsons, a psychology professor at Hunter College, “I would probably relate it to one of his friends. I’d say, ‘You’ve met your friend Michael’s dad and mom. You have two dads, right? Well, it takes a mom to make a baby because they grow them in their tummy. That’s Jessica.”

The television host Joan Lunden, 58, has become a celebrity spokeswoman for surrogacy since she and her second husband, Jeff, became parents of two sets of twins, now 4 and 6. Their surrogate, Deborah Bolig, has become a part of their large, extended family. This is how Ms. Lunden has described their surrogate to her twins: “She’s a woman in our lives we greatly respect, she helped us have Kate and Max and Kim and Jack.”

Although she considers her children too young for a talk about embryos and uteruses, Ms. Lunden already has a metaphor ready for when the time comes: cupcakes. “It’s almost like we can’t cook the cupcakes in our oven because the oven is broken,” she said. “We’re going to use the neighbor’s oven.”

Fay Johnson, whose two children, Lily and Chase, now 19 and 15, were born through traditional surrogacy — the surrogate was also the egg donor, with the sperm from Mrs. Johnson’s husband — said she started telling them their stories when they were babies. “I was like Seinfeld,” said Mrs. Johnson, who is a program coordinator for the Center for Surrogate Parenting in California. “I needed to practice my material.”

As the children got older and had more questions, Mrs. Johnson had more explaining to do about their surrogate. “Lily would say to me, ‘Why don’t I look like you?’ ” Mrs. Johnson said. “She was maybe 3 at the time. I would say, ‘Because you look just like Daddy, and you have Natalie’s gorgeous hair and skin.’ ” Lily knew all about her surrogate, Natalie, because her mother had been talking about Natalie since Lily was a baby.

“So when Lily was 9 years old, she said: ‘Mom, I have figured out that I’m not from your eggs. And I think Dad and Natalie make a pretty cute couple,’ ” recalled Mrs. Johnson, whose husband died several years ago.

“I said: ‘Lily, well, Natalie and Dad were never a couple. You were only created in the doctor’s office because I was going to be your mother. Would you like to see your birth certificate — because I’m going to be your mother forever.’ ”

UK’s First Surrogate Gay Dads Expecting Fourth Child

By On Top Magazine Staff

Published: June 20, 2009

The gay couple that caused an uproar when they became the UK’s first surrogate gay dads say they are expecting a fourth child, the UK’s Mail Online reported.

Barrie and Tony Drewitt-Barlow received international attention in 1999 when they traveled to the United States and participated in the IVF procedure that produced twins Aspen and Saffron.

The couple became fathers for the third time four years later with the birth of Orlando.

“I am really looking forward to Father’s Day this year,” Barrie, 40, said.

“We had the pregnancy confirmed and we are going to find out today whether it’s a singleton or whether it’s a twin pregnancy. We know we are pregnant but we don’t know how many yet. The baby is due on Valentine’s Day.”

The Chelmsford, Essex couple drew controversy when they became the first gay couple to be jointly named fathers on their children’s birth certificates after a lengthy legal battle decided by the U.S. Supreme Court. The pair, who became millionaires in 1998 when they sold their clinical research company, entered into a civil partnership in 2006, soon after returning to Britain from living in Spain.

The gay dads attempted to adopt a child before they investigated surrogacy, but despite glowing references by their social workers they were denied twice.

Barrie told the paper that the new baby’s egg donor was a Japanese woman from San Francisco, and they were using the same surrogate mother who gave birth to Orlando.

The Drewitt-Barlows, who have been accused of designing babies with past pregnancies, said they left the sex of the baby to chance.

Egg Donor Anonymity & Privacy & the Reality of the Google World

I spent the evening last night finally spending some time reviewing some fertility blogs and websites. I was actually surprised by some of the “promises” that were being made to egg donors in relation to their donation of their eggs to recipient parents.  In fact, some claim that the information is shredded once a donation is over and/or their information is not released to other agencies or clinics. I am not really certain how that protects the privacy of the donors in all situations.

I think it is important that those in this industry make certain that we advise egg donors that we cannot ever completely guarantee privacy and anonymity. Yes, the clinics follow the HIPPA rules for the most part, and my office falls under attorney-client privilege rules; however, no one can absolutely be guarantee any privacy.

Why, you may ask? Because when an egg donor fills out her profile, she wants to make certain that some of her accomplishments, etc. are highlighted. By doing so, she makes herself searchable via Google or now Bing. Even when a donor places limited information on her profile, the advent of Facebook, Twitter, My Space, and Google make it very hard for any of us to stay hidden for long.

Well, with this in mind, what is my advice? Just be prudent with your information and understand that you can be found – BUT, and this is a big BUT, is unlikely to happen in the near future. Specifically, it is unlikely that the Intended Parents will try and locate you, although it is always a possibility.

Now, what about the resulting child? What if their parent shares the information with them as they get older to satisfy their curiosity or they find the profile in a safe? Disclosure is becoming more common, as we all know in this industry, and donors need to be aware that this can occur.

Should you as a donor be concerned? Well, I can tell you from personal experience that it is not such a bad thing. I was located, and I am fine with it, as the family did not expect anything from me, except that they were happy that I am there if there is a medical need. No relationship beyond that, and I have no legal responsibility to these children. But, as a donor, I do believe that I have a personal ethical responsibility to be available for information in the future. I am not afraid of the choices that I made, even though I was not advised of this when I donated, although this was in the advent of this entire industry.

In summary, the purpose of this article is not meant to scare away egg donors, as they are desperately needed by families who cannot have families without them; but as a donor, be aware, be prepared and go into this with your eyes wide open to the future. Educate yourself and know what you are agreeing to while knowing the wonderful gift that you are providing a family.

Womb For Hire

ABC News, By Raissa Robles, Newsbreak, 06/16/2009, 06/23/2009

The story almost reads like a fairy tale: no sooner had the child been born than it was taken from its mother and whisked to a land far, far away.

Except that in this case, the infant was flown as hand-carried baggage from Manila to Bangkok, swaddled in the arms of a Danish man who had bought and prepaid for the baby boy.

Far from being a tale of enchantment, what took place  seven months ago in October was the first ever commercially transacted case of surrogacy in the Philippines. It was arranged by a foreign company between a Filipino married woman and a male gay couple from Malaysia and Denmark.

“The egg is actually her own,” Michael Ho, owner of Singapore-based Asian Surrogates, told Newsbreak. He said the woman, whom he declined to name, became pregnant in a “pretty straight forward” manner – through intrauterine insemination or IUI.

“The sperm is inserted into the womb of the surrogate and she gets pregnant, (with) no physical contact” with the male client, he assured.

Because the client “donated” his own sperm, he is the baby boy’s legitimate father and therefore has the legal right to take the infant out of the country, he said. The mother’s prior consent is part of the transaction, he added.

“The father took him back to Thailand because even though he’s Danish, he was working in Thailand,” he said.

He said the gay couple paid Asian Surrogates at least 45,000 Singapore dollars or P1.4 million pesos for the service. Of this amount, roughly P715,074 or 22,000 Singapore dollars went to the Filipina for renting out her womb and providing her eggs. The sum would roughly take   her 5.4 years to earn on minimum wage.

Eight other Filipino women are eagerly waiting in line to provide a similar service, Ho said, expressing his satisfaction.

“I have to say, the Filipinas, they are all very helpful, very enthusiastic. I find the Filipina excellent as a surrogate mother.”

However, they all appeared to be media shy since all refused to be interviewed for this article.

The transaction went unnoticed in the Philippines. Social welfare Secretary Esperanza Cabral said in an interview that she was not aware that commercial surrogacy was being practiced in the country. Even if it was, she said there was no law to ban it.

Womb Service-Provider

Ho’s company has been operating for four years now as a womb-service provider and claims to have clients in 15 countries including the Philippines, Canada, US, France, Belgium and Germany.

As a womb service-provider, Asian Surrogates is pretty up front with its array of services and fees.

It claims to handpick surrogates. They have to be non-smokers, non-drinkers, bright, healthy and attractive, below 30 but married or with a partner, and a tested baby-maker with at least one child born the natural way.

Unlike similar companies in India which advertise their surrogates are at least five foot three inches tall, Ho’s company imposes no height requirement.

However, he stresses that his girls “do not change their minds, (are) reliable, caring and ethical,” meaning, they “do not keep a couple’s baby for their own gain.”

The straightforward transaction discards any notion of romantic love or lust between the surrogate and her male client. Still, Ho believes love motivates his handpicked girls: They “want to help their own families with the fees they earned” and their husbands, partners or families understand and support this.

His company arranges both the “traditional” and “gestational” forms of surrogacy. The first method is illustrated by the Danish national’s case, where his sperm was mixed with the surrogate’s own eggs through artificial insemination.

The “gestational” method is harder, riskier and costlier. Here, the surrogate merely acts as the host. Eggs from another woman are mixed with sperm in a laboratory using a process called in vitro fertilization. The resulting embryo – popularly known as a “test tube baby” – is then planted inside the surrogate’s womb.

The traditional or natural surrogacy, if done in Manila, costs at least 45,000 Singapore dollars (US$30,380.80). This is easily thrice more expensive than in India, but far cheaper than in the United States.

Der Spiegel magazine, in a September 25, 2008 piece called  “The Life Factory”, estimated that commercial surrogacy in India costs US$10,000, and between US$50,000 to US$80,000 in the US.  (See http://www.spiegel.de/international/world/0,1518,580209-3,00.html [5])

Costs in Manila could go up, though, in case of medical complications such as the “loss of reproductive organ.”

Ho’s company justifies its price. This includes the surrogate’s fee, her clothing allowance, food, housing, travel, insurance, medical bills and loss of wages. It also includes chauffeuring the client parents around and housing them.

Looking at the lengthy menu of its services, the firm is in effect practicing medical tourism in the Philippines.

The fee is paid in six gives, with an initial down payment of 5,000 Singapore dollars upon signing the surrogacy agreement. By the third month of pregnancy, two-thirds would have been paid up.

The company makes no mention what would happen to the baby in case the client fails to pay all.

Ho has a separate company, Ivimed, that buys from egg donors at 6,000 Singapore dollars per retrieval. The fee is higher if the donor has a doctorate or a special talent like in music or math.

A client pays 13,500 Singapore dollars for the egg harvesting and other expenses such as egg donor screening, travel, housing and food. Ivimed claims the harvesting won’t hurt, “though some pelvic heaviness, soreness or cramps are common.” Interestingly, the company provides a 250,000 Singapore dollars insurance “in case of medical emergency.”

Ho told Newsbreak that the harvested unused eggs “are frozen in a doctor’s clinic, either here (in Singapore) or in Malaysia.”

“The eggs belong to the girls,” not to his firm. “We take care of our girls, don’t worry,” he said.

Rent-a-womb & egg harvesting may be next RP sunrise industry

Ho’s company, Asian Surrogates, has targeted the Philippines as its area of operations because its “laws are pro-family and show the way in this part of the world by helping infertile couples to start a family without hassles.”

Among Manila’s major attractions is the absence of a specific law banning surrogacy.

“Yes, that’s right, in the Philippines the law is very hazy so there’s no law,” he said.

He acknowledged that surrogacy is banned in Singapore: ”Actually, it’s illegal in Singapore. But you see I’m not breaking any Singapore law because I’m doing this in the Philippines, in India or anywhere else.”

Justice Secretary Raul Gonzalez agreed with Ho. He told Newsbreak, “I don’t think we have a law on that” but he added that perhaps it was time the Philippines enacted legislation on the matter.

Ho’s company is not the only one eying Manila.

Fox Family Services Adoption Centre, a Singapore firm which was established “primarily to find good families for unwanted and abandoned infants and toddlers in the Philippines and elsewhere,” has expanded its services beyond mere adoption. It also offers to find for its clients “egg donors” and “surrogate mums”.

Last December, Fox Family owner Irene Low Ai lian was arrested in Jala Jala, Rizal when nine babies were found in the same house she was renting (see Parts 1 [5], 2 [6] and 3 [7], The Baby Merchants).

Meanwhile, the Philippines is apparently acquiring a reputation for its surrogacy services. An American of Taiwanese descent named Tim recently wrote in the web blog 8asians.com : “I was surprised to find out there’s a lack of Asian surrogates in the US (although no lack of them in India or the Philippines apparently.)”

Tim said he and his partner had obtained their daughter through the services of a Latino surrogate.

Commercial surrogacy is legally allowed, but with restrictions, in Tim’s home country the United States, in France, Germany and United Kingdom. It is banned in China, Spain, Australia and Italy.

Considering the skewed growth of the global population, the business caters to a growing niche market. World population is estimated to reach seven billion in two years but with a dramatic decline in fertility levels in the wealthiest regions, according to Joseph Chamie, former director of the United Nations population division and now research director of the UN Center for Migration Studies.

“The average (fertility) level for Europe, for example, is well below replacement, at 1.5 births per woman,” he said.

Fast-growing India is the acknowledged surrogate capital of the world, according to The New York Times newspaper and  Der Spiegel magazine. While no estimates are available on how much India earns from “baby outsourcing”, it is now being billed as the subcontinent’s next sunrise industry after business process outsourcing (BPO).

Surrogacy in RP

In the Philippines, surrogacy has sometimes been practiced but always informally and never by an organized and registered business like Asian Surrogates.

In fact The Family Code, signed into law on July 6, 1987 by the revolutionary government of President Corazon Aquino, acknowledged this informal practice but placed it firmly within the marital context. It was primarily intended to give the resulting offspring legitimacy when claiming inheritance.

Article 164 states that “children conceived as a result of artificial insemination of the wife with the sperm of the husband or that of a donor or both are likewise legitimate children of the husband and his wife,” provided both spouses agreed in writing before the child’s birth and submitted this agreement to the civil registry, along with the birth certificate.

The Family Code never contemplated that a married couple might opt to hire another woman to grow an embryo from their egg and sperm, like what Sex and the City actress Sarah Jessica Parker and her husband Matthew Broderick are now doing.

Philippine law is silent on commercial surrogacy and egg harvesting, perhaps because it did not anticipate this, said lawyer Sally Escutin, legal services chief of the Department of Social Welfare and Development (DSWD).

She said that in the absence of a law banning either, “technically, it’s allowed. But ethically, shouldn’t this be outside the commerce of man?”

“The law never envisioned that a parent would be part of such trade,” she also said.

A section of the Anti-Child Abuse Law (Republic Act 7610) would appear to classify commercial surrogacy as “an attempt to commit child trafficking.” Article IV Section 8 states that trafficking is committed “when a person, agency, establishment or child-caring institution recruits women or couples to bear children for the purpose of child trafficking.”

RA 7610 defines a child trafficker for the first time in statute books as “any person who shall engage in trading and dealing with children including, but not limited to, the act of buying and selling of a child for money.” It becomes a capital crime when the victim is below 12 years old.

But Atty. Escutin pointed out to Newsbreak that the law  does not extend its mantle of protection to the human egg and sperm. “Technically, when you are still egg and sperm you are not a person yet. You have to be born for you to be a person under the Civil Code,” she said.

Surrogacy and egg harvesting both take place before a child is born, so Section 8 of RA 7610 would not apply since it involves trafficking a child, she said.

Amihan Abueva, national coordinator of Asia Acts, an advocacy group against child trafficking, said she was unaware that the surrogacy business had arrived in the country. “It’s more prevalent in India. Here, it’s easier to have simulated births” or the registration of a birth naming fake parents to facilitate illegal adoptions.

Asked to comment on the successful surrogacy involving a Danish national and a Filipina mother, she said: “This is getting more and more bizarre.”

Offhand, she said that while “this really smacks of commercialism” she could not give her opinion on the matter because of the complexity of the issue.

“I guess the problem is, technology is moving so fast ahead of ethics and the law,” she said.

A local fertility doctor said that medically, artificial insemination or the method used in traditional surrogacy is easy to do but Filipino specialists don’t do this outside of  marriage. Insemination is also cheap in Manila, with prices ranging from P5,000 to P10,000.

The Philippine Society of Reproductive Endocrinology and Infertility has taken a strong position against commercial surrogacy, said its president, Dr. Eileen Malapaya Manalo. “In 2005, we came up with our own ethical guidelines. One of the principles is, there should be no third party surrogacy and no cloning,” she said.

“Basically, we are still influenced by the Catholic upbringing. Most members are Catholic.”  But she conceded that not all fertility specialists, including some who claim to be one, are society members.

Still, she took strong exception to Ho’s claim that “between you and me, all the IVF (in vitro fertilization) doctors in Manila they say they all don’t do it because of the Catholic faith. But in reality they do.”

“Let him face us,” she challenged Ho.

Some Filipinos are eager donors

Even if the country is reputedly deeply Catholic, some Filipinos would eagerly go out of their way and fly anywhere to perform this “humanitarian” deed.

Five Filipinos have offered to be egg donors and surrogates in the website surrogatefinder.com, which charges a hefty 99.99 British pounds just to trawl its site for six months.

One of them is Erika Obias, single, brown-eyed black-haired, part-time model from Malate, Manila who sent photos of herself in a college graduation gown, a schoolgirl uniform and a skimpy bikini.

On February 22, 2009, she posted this message to gay couples: “Hello, I am Erika, 22 years old and I am currently studying law and I have always dreamed of help[ing] people. If giving eggs is one way, I wouldn’t miss out on that kind of experience, even though it’s scary. But I would give it a try.”

Another is Jelo De Leon, a non-smoker. Offering his sperm to a lesbian couple he posted this message on February 17, 2009: “I’m 24, working in a hospital, friendly, caring and love helping others, and haven’t sleep (sic) with someone.”

Even in a macho society like the Philippines, some men would apparently agree to their female partners becoming surrogates. “Why not?,” taxi driver Nolan Lopez told Newsbreak when he learned how much it pays. “Anyway there’s no sex involved,” he said.

He was surprised when his partner, Jannylyn Macalincag, objected saying: “If even a mere cellphone becomes precious to me over time, what more a baby that I would carry inside me.”

Couple back home with twins after months of legal battles

Shekhar Bhatia
08.06.09

A couple from London who spent £25,000 in a deal with an Indian surrogate mother are back home in East Ham with their three-month-old twins after a lengthy legal fight.

Chris and Susan Morrison saw their children, Louis and Freya, born seven weeks early on 1 March and spend their first weeks in intensive care while a dispute between Britain and India blew up over their nationality.

The family were forced to sit it out in hotels in the intense summer heat until the Indian government granted them exit visas.

Mr Morrison, 40, a marketing analyst, said: “It is so wonderful to be at home with our children. We have waited years for this.”

Mrs Morrison, 37, said: “I sometimes have to pinch myself to believe that I am holding my own children in my arms. We have been to hell and back, but it has been well worth it.”

The couple were forced into using surrogacy because Mrs Morrison, a former teacher, suffers from a rare blood disorder which caused her to miscarry. Britain does not allow commercial surrogacy and there is a shortage of volunteers.

Louis and Freya were born to Vimla, a 24-year-old Gujarati housewife who was paid £8,000 by the Morrisons in a deal arranged by a clinic in the city of Anand.

They spent another £17,000 in their efforts, including hospital fees. But the UK regarded the twins as Vimla’s children, while India recognised them as the Morrisons’.

The couple had to apply for British passports then Indian exit visas and it took weeks to sort out details while they were stuck in Jaipur and Mumbai.

Mrs Morrison said: “I am just so glad we are home in London as a family. Our prayers have been answered. The twins have caused a great deal of excitement among family and friends.”

The Morrisons are advising childless couples on what can be and emotional and legal rollercoaster.

Mr Morrison said: “We are happy to help because we know how terrible it is to not have any real prospects of becoming parents. There are many people desperate for a baby of their own.”