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Non-commercial surrogacy: an account of patient management in the first Dutch Centre for IVF Surrogacy, from 1997 to 2004.

Dermout S, van de Wiel H, Heintz P, Jansen K, Ankum W - Hum. Reprod. (2009)

Bottom Line: More than 200 couples applied for surrogacy in the Centre, of which, after extensive screening, 35 couples actually entered the IVF programme and 24 completed the treatment, resulting in 16 children being born to 13 women.Our study has shown that non-commercial IVF surrogacy is feasible, with good results in terms of pregnancy outcome and psychological outcome for all parents, and with no legal problems relating to the adoption procedures arising.The extensive screening of medical, psychological and legal aspects was a key element in helping to ensure the safety and success of the procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynaecology, Zaans Medisch Centrum, PO Box 210, 1500 EE Zaandam, The Netherlands. sylvia@dermout.nl

ABSTRACT

Background: Surrogacy was prohibited in the Netherlands until 1994, at which time the Dutch law was changed from the general prohibition of surrogacy to the prohibition of commercial surrogacy. This paper describes the results from the first and only Dutch Centre for Non-commercial IVF Surrogacy between 1997 and 2004.

Methods: A prospective study was conducted of all intended parents, and surrogate mothers and their partners (if present), in which medical, psychological and legal aspects of patient selection were assessed by questionnaires and interviews developed for this study.

Results: More than 500 couples enquired about surrogacy by telephone or e-mail. More than 200 couples applied for surrogacy in the Centre, of which, after extensive screening, 35 couples actually entered the IVF programme and 24 completed the treatment, resulting in 16 children being born to 13 women. Recommendations for non-commercial surrogacy are given, including abandoning the 1-year waiting period before adoption, currently dictated by law, avoiding a period of unnecessary psychological distress.

Conclusions: Our study has shown that non-commercial IVF surrogacy is feasible, with good results in terms of pregnancy outcome and psychological outcome for all parents, and with no legal problems relating to the adoption procedures arising. The extensive screening of medical, psychological and legal aspects was a key element in helping to ensure the safety and success of the procedure.

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Patient flow in Dutch study of IVF surrogacy with reasons for refusal or withdrawal.
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DEP410F1: Patient flow in Dutch study of IVF surrogacy with reasons for refusal or withdrawal.

Mentions: Between 1997 and 2004, 105 sets of intended parents, together with 105 surrogate mothers and 83 partners (408 candidates in total) visited the Centre with a request for surrogacy, having passed the initial screening (Fig. 1). Of these 105 couples, 58 withdrew or were not accepted after the medical intake for various reasons (summarized in Table I), leaving 47 couples for the second appointment for the psychological intake and counselling procedure.


Non-commercial surrogacy: an account of patient management in the first Dutch Centre for IVF Surrogacy, from 1997 to 2004.

Dermout S, van de Wiel H, Heintz P, Jansen K, Ankum W - Hum. Reprod. (2009)

Patient flow in Dutch study of IVF surrogacy with reasons for refusal or withdrawal.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC2806181&req=5

DEP410F1: Patient flow in Dutch study of IVF surrogacy with reasons for refusal or withdrawal.
Mentions: Between 1997 and 2004, 105 sets of intended parents, together with 105 surrogate mothers and 83 partners (408 candidates in total) visited the Centre with a request for surrogacy, having passed the initial screening (Fig. 1). Of these 105 couples, 58 withdrew or were not accepted after the medical intake for various reasons (summarized in Table I), leaving 47 couples for the second appointment for the psychological intake and counselling procedure.

Bottom Line: More than 200 couples applied for surrogacy in the Centre, of which, after extensive screening, 35 couples actually entered the IVF programme and 24 completed the treatment, resulting in 16 children being born to 13 women.Our study has shown that non-commercial IVF surrogacy is feasible, with good results in terms of pregnancy outcome and psychological outcome for all parents, and with no legal problems relating to the adoption procedures arising.The extensive screening of medical, psychological and legal aspects was a key element in helping to ensure the safety and success of the procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynaecology, Zaans Medisch Centrum, PO Box 210, 1500 EE Zaandam, The Netherlands. sylvia@dermout.nl

ABSTRACT

Background: Surrogacy was prohibited in the Netherlands until 1994, at which time the Dutch law was changed from the general prohibition of surrogacy to the prohibition of commercial surrogacy. This paper describes the results from the first and only Dutch Centre for Non-commercial IVF Surrogacy between 1997 and 2004.

Methods: A prospective study was conducted of all intended parents, and surrogate mothers and their partners (if present), in which medical, psychological and legal aspects of patient selection were assessed by questionnaires and interviews developed for this study.

Results: More than 500 couples enquired about surrogacy by telephone or e-mail. More than 200 couples applied for surrogacy in the Centre, of which, after extensive screening, 35 couples actually entered the IVF programme and 24 completed the treatment, resulting in 16 children being born to 13 women. Recommendations for non-commercial surrogacy are given, including abandoning the 1-year waiting period before adoption, currently dictated by law, avoiding a period of unnecessary psychological distress.

Conclusions: Our study has shown that non-commercial IVF surrogacy is feasible, with good results in terms of pregnancy outcome and psychological outcome for all parents, and with no legal problems relating to the adoption procedures arising. The extensive screening of medical, psychological and legal aspects was a key element in helping to ensure the safety and success of the procedure.

Show MeSH
Related in: MedlinePlus