Obstet Gynecol. 2016 Mar;127(3):e97-e103. doi: 10.1097/AOG.0000000000001352.
Gestational surrogacy is an increasingly common form of family building that can allow individuals or a couple to become parents despite circumstances in which carrying a pregnancy is biologically impossible or medically contraindicated. The practice of gestational surrogacy involves a woman known as a gestational carrier who agrees to bear a genetically unrelated child with the help of assisted reproductive technologies for an individual or couple who intend(s) to be the legal and rearing parent(s), referred to as the intended parent(s). Obstetrician-gynecologists may become involved in gestational surrogacy through caring for the gestational carrier or by caring for the intended parent(s). Although gestational surrogacy increases options for family building, this treatment also involves ethical, medical, psychosocial, and legal complexities that must be taken into account to minimize risks of adverse outcomes for the gestational carrier, intended parent(s), and resulting children. The purpose of this document is to provide an overview of gestational surrogacy and to describe the ethical responsibilities for obstetrician-gynecologists who take part in the care of women who participate in these arrangements.
代孕是一种越来越常见的家庭组建方式，它可以让一些个人或夫妇在生理上不可能或医学上不允许怀孕的情况下成为父母。代孕的做法涉及到一名被称为代孕母亲的女性，她同意在辅助生殖技术的帮助下生育一个与自己没有基因关系的孩子，这些孩子的目的父母（通常是一对夫妇）将成为法律上和养育上的父母。妇产科医生可能会通过照顾代孕母亲或照顾目的父母（通常是一对夫妇）而参与代孕。尽管代孕增加了家庭组建的选择，但这种治疗也涉及到伦理、医疗、心理社会和法律等方面的复杂性，必须加以考虑，以尽量减少代孕母亲、目的父母和由此产生的孩子出现不良后果的风险。本文件的目的是概述代孕，并描述参与照顾参与这些安排的女性的妇产科医生的伦理责任。
