The Motif of Sacrifice in Surrogacy

Roman Globokar

The Faculty of Theology of the University of Ljubljana
https://orcid.org/0000-0003-0045-497X

Résumé

The regulation of surrogacy varies between different countries. There is a trend towards greater liberalization on the global level. Ethical evaluation creates a basic dilemma: Is surrogacy a superior form of solidarity between people or the instrumentalization of a woman’s body, being contrary to the fundamental dignity of every human person? How does surrogacy affect people involved in the process and what do decades of experience with surrogacy tell us about its effect on human beings? Is there an ideal form of surrogacy where reproductive parties themselves describe the relationship as satisfactory, fair, and just, and where the well-being of all involved parties is equally considered?
In this article, we will look at the unsuccessful initiative to regulate at least the issue of altruistic surrogacy in the Council of Europe countries in 2016. The aspect of sacrifice of the surrogate mother for the well-being of the couple who wants a child is often raised. However, the mere altruistic intention to help another does not make an act ethically acceptable. The paper also draws attention to several ethical reservations regarding surrogacy. The most controversial issue is the instrumentalization of a woman’s body. Especially in poor countries, the victims of surrogacy are very badly informed about the procedure, while their freedom and autonomy are significantly infringed. A child born to a surrogate mother can also be a victim of various interests of intended parents, different corporations and the woman who gave birth to him/her. The paper outlines the vulnerability of the intended parents, the surrogate mother, and above all the child, who is often forgotten in the debates. Additionally, it also touches upon the frequently neglected ethical perspective of personal desire, sacrifice, and victimization. When is it ethically acceptable, from the point of the altruistic action recipient, to expect and accept altruistic actions? When do subjective expectations and desires cross the boundary that divides means of overcoming health limitations from mere selfishness? Last but not least, it also questions when the intent of helping others transforms from an ethically acceptable sacrifice to ethically unacceptable victimization.

Mots-clés :

surrogacy, altruism, sacrifice, human dignity, instrumentalization

Bagan-Kurluta K., 2017. “Wombs for Rent, Outsoursed Pregnancies, Baby Farms – Ethics and Surrogate Motherhood”. Progress in Health Sciences 7 (1): 193–198.
DOI: https://doi.org/10.5604/01.3001.0010.1883   Google Scholar

Barba-Müller Erika, Craddock Sinéad, Carmona Susanna, Hoekzema Elseline. 2018. “Brain plasticity in pregnancy and the postpartum period: links to maternal caregiving and mental health”. Archives of Women’s Mental Health 22 (2): 289–299.
DOI: https://doi.org/10.1007/s00737-018-0889-z   Google Scholar

Büchler Andrea, Bleisch Barbara. 2014. “Leihmutterschaft – ein respektables Unterfangen?” Neue Züricher Zeitung 21–22.
  Google Scholar

De Sutter Petra. 2016. Children’s rights related to surrogacy. Report of the Committee on Social Affairs, Health and Sustainable Development, Council of Europe. https://pace.coe.int/pdf/a78e4d8b4e90762e7126957315e97dd7d2c62b19306e6092dfeecc78570f00bf/doc.%2014140.pdf (23.09.2016).
  Google Scholar

Edelmann Robert J. 2004. “Surrogacy: the psychological issues”. Journal of Reproductive and Infant Psychology 22 (2): 123–136.
DOI: https://doi.org/10.1080/0264683042000205981   Google Scholar

European Parliament. 2011. New EU policy framework to fight violence against women. https://www.europarl.europa.eu/doceo/document/TA-7-2011-0127_EN.html (05.04.2011).
  Google Scholar

Feraci Ornella. 2015. “Maternità surrogata conclusa all’estero e Convenzione europea dei diritti dell’uomo: riflessioni a margine della sentenza Paradiso e Campanelli c. Italia”. Cuadernos de derecho transnacional 7 (2): 420–439.
  Google Scholar

Ghods Ahad J., Mahdavi Mitra. 2007. “Organ transplantation in Iran”. Saudi journal of kidney diseases and transplantation 18 (4): 648–655.
  Google Scholar

Gunnarsson Payne Jenny, Korolczuk Elzbieta, Mezinska Signe. 2020. “Surrogacy relationships: a critical interpretative review”. Upsala Journal of Medical Sciences 125 (2): 183–191.
DOI: https://doi.org/10.1080/03009734.2020.1725935   Google Scholar

Guntram Lisa, Jane Williams Nicola. 2018. “Positioning uterus transplantation as a ‘more ethical’ alternative to surrogacy: Exploring symmetries between uterus transplantation and surrogacy through analysis of a Swedish government white paper”. Bioethics 32 (8): 509–518.
DOI: https://doi.org/10.1111/bioe.12469   Google Scholar

Hallich Oliver. 2017. “Sperm Donation and the Right to Privacy”. The New Bioethics 23 (2): 107–120.
DOI: https://doi.org/10.1080/20502877.2017.1355083   Google Scholar

Kuwert Philipp, Glaesmer Heide, Eichhorn Svenja, Grundke Elena, Pietrzak Robert H., Freyberger Harald J., Klauer Thomas. 2014. “Long-Term Effects of Conflict-Related Sexual Violence Compared with Non-Sexual War Trauma in Female World War II Survivors: A Matched Pairs Study”. Archives of sexual behavior 43 (6): 1059–1064.
DOI: https://doi.org/10.1007/s10508-014-0272-8   Google Scholar

Lamba Nishtha, Jadva Vasanti, Kadam Kaushal, Golombok Susan. 2018. “The psychological well-being and prenatal bonding of gestational surrogates”. Human Reproduction (Oxford, England) 33 (4): 646–653.
DOI: https://doi.org/10.1093/humrep/dey048   Google Scholar

Martínez-García Magdalena, Paternina-Die María, Desco Manuel, Vilarroya Oscar, Carmona Susanna. 2021. “Characterizing the Brain Structural Adaptations Across the Motherhood Transition”. Frontiers in Global Women’s Health 2 (10):742775–742775.
DOI: https://doi.org/10.3389/fgwh.2021.742775   Google Scholar

Patel Nayana, Jadeja Yuvraj, Bhadarka Harsha, Patel Molina, Patel Niket, Sodagar Nilofar. 2018. “Insight into different aspects of surrogacy practices”. Journal of Human Reproductive Sciences 11 (3): 212–218.
DOI: https://doi.org/10.4103/jhrs.JHRS_138_17   Google Scholar

Perucchietti Enrica. 2016. Utero in affitto. La fabbricazione di bambini, la nuova forma di schiavismo. I retroscena della maternità surrogata, delle derive dell’eugenetica agli interessi delle lobby. Marene: Rivoluzione.
  Google Scholar

Piersanti Valeria, Consalvo Francesca, Signore Fabrizio, Del Rio Alessandro, Zaami Simona. 2021. “Surrogacy and ‘Procreative Tourism’. What Does the Future Hold from the Ethical and Legal Perspectives?” Medicina 57 (1): 47.
DOI: https://doi.org/10.3390/medicina57010047   Google Scholar

Reardon David C., Craver Christopher. 2021. “Effects of pregnancy loss on subsequent postpartum mental health: A prospective longitudinal cohort study”. International journal of environmental research and public health 18 (4): 1–11.
DOI: https://doi.org/10.3390/ijerph18042179   Google Scholar

Robertson John A. 2016. “Other women’s wombs: Uterus transplants and gestational surrogacy”. Journal of Law and the Biosciences 3 (1): 68–86.
DOI: https://doi.org/10.1093/jlb/lsw011   Google Scholar

Schicktanz Silke. 2007. “Why the way we consider the body matters. Reflections on four bioethical perspectives on the human body”. Philosophy 2 (1): 30.
DOI: https://doi.org/10.1186/1747-5341-2-30   Google Scholar

Schliesser Christine. 2016. “Körperlichkeit und Kommerzialisierung: zur theologisch-ethischen Problematik der Leihmutterschaft”. Zeitschrift für medizinische Ethik 62 (2): 107–120.
  Google Scholar

Schnittker Jason. 2022. “What makes sexual violence different? Comparing the effects of sexual and non-sexual violence on psychological distress”. SSM – Mental Health 2: 100115.
DOI: https://doi.org/10.1016/j.ssmmh.2022.100115   Google Scholar

Sills Scott Eric (ed.). 2016. Handbook of Gestational Surrogacy. International Clinical Practice and Policy Issues. Cambridge: Cambridge University Press.
DOI: https://doi.org/10.1017/CBO9781316282618   Google Scholar

Stefanelli Stefania. 2021. Procreazione medicalmente assistita e maternità surrogata. Limiti nazionali e diritti fondamentali. Milano: Giuffrè Francis Lefebvre.
  Google Scholar

Tehran Hoda Ahmari, Tashi Shohreh, Mehran Nahid, Eskandari Narges, Dadkhah Tehrani Tahmineh. 2014. “Emotional experiences in surrogate mothers: A qualitative study”. Iranian Journal of Reproductive Medicine 12 (7): 471–480.
  Google Scholar

Teman Elly. 2008. “The social construction of surrogacy research: An anthropological critique of the psychosocial scholarship on surrogate motherhood”. Social science & medicine 67 (7): 1104–1112.
DOI: https://doi.org/10.1016/j.socscimed.2008.05.026   Google Scholar

Tieu Matthew M. 2009. “Altruistic surrogacy. The necessary objectification of surrogate mothers”. Journal of Medical Ethics 35 (3): 171–175.
DOI: https://doi.org/10.1136/jme.2008.024679   Google Scholar

Van Zyl Liezl, Walker Ruth. 2013. “Beyond Altruistic and Commercial Contract Motherhood. The Professional Model”. Bioethics 27 (7): 373–381.
DOI: https://doi.org/10.1111/j.1467-8519.2012.01962.x   Google Scholar

Zenit. 2016. Parliamentary Assembly of the Council of Europe Rejects Plan to Legalize, Regulate Surrogacy. https://zenit.org/2016/10/12/parliamentary-assembly-of-the-council-of-europe-rejects-plan-to-legalize-regulate-surrogacy/ (12.10.2016).
  Google Scholar


Publiée
2023-01-06

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Globokar, R. (2023). The Motif of Sacrifice in Surrogacy. Studia Teologiczno-Historyczne Śląska Opolskiego, 42(2), 51–72. https://doi.org/10.25167/sth.4899

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