Winkel Esther, Roumen Frans J M E, Dermout Sylvia M
Atrium Medisch Centrum Parkstad, afd. Gynaecologie, Heerlen, the Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1777.
A 43-year-old female, gravida 3, para 2, who was 9 weeks pregnant, presented herself as a surrogate mother for a 33-year-old couple at our outpatient clinic in Heerlen, the Netherlands, for pregnancy follow-up. As she had not passed the selection procedure in the Netherlands (VU University Medical Center, Amsterdam), IVF using the gametes of the prospective parents and embryo transfer was performed in Belgium. We discussed the management of possible problems and complications during pregnancy and delivery. After an uneventful pregnancy and delivery a healthy boy was taken home by the donor couple. In the Netherlands, high-tech surrogate motherhood under strict non-commercial conditions has been accepted by law since 1997. Since the inclusion criteria are very strict, some couples seem to find a way to have their wish fulfilled abroad. Uniformity of the IVF surrogacy legislation in Europe is necessary to discourage this practice. When this situation occurs nevertheless, it is important that doctors involved know how to handle the (often unknown) medical, ethical, legal, emotional and psychosocial aspects associated with high-tech IVF-surrogacy.
一名43岁、孕3产2的女性，怀孕9周，作为代孕母亲来到荷兰海尔伦我们的门诊，为一对33岁的夫妇进行孕期随访。由于她在荷兰（阿姆斯特丹VU大学医学中心）未通过筛选程序，遂在比利时使用准父母的配子进行体外受精并进行胚胎移植。我们讨论了孕期和分娩期间可能出现的问题及并发症的处理。经过顺利的孕期和分娩，这对捐赠夫妇带着一个健康的男孩回家了。自1997年起，荷兰法律就已在严格的非商业条件下认可高科技代孕。由于纳入标准非常严格，一些夫妇似乎会想办法在国外实现他们的愿望。欧洲体外受精代孕立法的统一对于抑制这种行为很有必要。然而，当这种情况发生时，涉事医生了解如何处理与高科技体外受精代孕相关的（通常未知的）医学、伦理、法律情感和社会心理方面的问题很重要。
