La Puma J, Schiedermayer D L, Grover J
Section of Clinical Ethics, Lutheran General Hospital, Park Ridge, IL 60068.
Am J Obstet Gynecol. 1989 Jan;160(1):59-62. doi: 10.1016/0002-9378(89)90087-2.
Despite measures intended to assure that adequate information, reasonable understanding, and willing participation are involved in surrogacy contracts, questions of economic coercion remain for surrogate mothers. Surrogate contracts have been voided in several states. Nevertheless, obstetricians may be caught between their wish to help the infertile couple desirous of a baby through surrogacy and the ethical and legal questions about the use of surrogacy as a medical treatment. Obstetricians should not be placed in the position of Portia in The Merchant of Venice, that of an arbiter of an unethical contract. Obstetricians should not prescribe or acknowledge surrogacy as a medical treatment and should not knowingly participate in contracts that lead to surrogate pregnancy.
尽管采取了一些措施来确保代孕合同涉及充分的信息、合理的理解和自愿的参与，但代孕母亲仍面临经济胁迫的问题。在几个州，代孕合同已被宣布无效。然而，产科医生可能会陷入两难境地，一方面他们希望帮助渴望通过代孕拥有孩子的不孕夫妇，另一方面代孕作为一种医疗手段存在伦理和法律问题。产科医生不应处于《威尼斯商人》中鲍西娅的位置，即成为一份不道德合同的仲裁者。产科医生不应将代孕规定或认可为一种医疗手段，也不应在明知的情况下参与导致代孕怀孕的合同。
