Makinde Olusesan Ayodeji, Makinde Olufunmbi Olukemi, Olaleye Olalekan, Brown Brandon, Odimegwu Clifford O
Viable Knowledge Masters, Abuja, Nigeria.
Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Reprod Biomed Online. 2016 Jan;32(1):6-8. doi: 10.1016/j.rbmo.2015.10.001. Epub 2015 Oct 20.
The practice of reproductive medicine in Nigeria is facing new challenges with the proliferation of 'baby factories'. Baby factories are buildings, hospitals or orphanages that have been converted into places for young girls and women to give birth to children for sale on the black market, often to infertile couples, or into trafficking rings. This practice illegally provides outcomes (children) similar to surrogacy. While surrogacy has not been well accepted in this environment, the proliferation of baby factories further threatens its acceptance. The involvement of medical and allied health workers in the operation of baby factories raises ethical concerns. The lack of a properly defined legal framework and code of practice for surrogacy makes it difficult to prosecute baby factory owners, especially when they are health workers claiming to be providing services to clients. In this environment, surrogacy and other assisted reproductive techniques urgently require regulation in order to define when ethico-legal lines have been crossed in providing surrogacy or surrogacy-like services.
随着“婴儿工厂”的泛滥,尼日利亚的生殖医学实践正面临新的挑战。“婴儿工厂”是指那些被改造成年轻女孩和妇女为在黑市上出售而生育孩子的场所的建筑物、医院或孤儿院,这些孩子通常卖给不孕夫妇,或者流入贩卖人口链条。这种行为非法提供了类似于代孕的结果(孩子)。虽然在这种环境下代孕尚未被广泛接受,但“婴儿工厂”的泛滥进一步威胁到其被接受的可能性。医疗及相关卫生工作者参与“婴儿工厂”的运营引发了伦理问题。由于缺乏针对代孕的适当界定的法律框架和执业规范,很难起诉“婴儿工厂”的所有者,尤其是当他们是声称在为客户提供服务的卫生工作者时。在这种环境下,代孕和其他辅助生殖技术迫切需要监管,以便界定在提供代孕或类似代孕服务时何时跨越了伦理法律界限。