The National Maternity Hospital, Holles Street, Dublin, Dublin 2, Ireland.
Ir J Med Sci. 2024 Apr;193(2):549-554. doi: 10.1007/s11845-023-03546-9. Epub 2023 Oct 13.
Surrogacy is a form of assisted human reproduction whereby a surrogate woman carries a pregnancy for a commissioning couple or individual. There are two types of surrogacy, traditional and gestational. Worldwide we have seen a rapid increase in the use of surrogacy. Despite this, there is a lack of consensus internationally on the laws governing surrogacy. In Ireland, surrogacy remains largely unregulated. Currently, there is no specific legislation for surrogacy. This review aims to discuss its current regulatory status and associated ethical issues.
On surrogacy from an Irish legal perspective, this study is to (i) demonstrate the lack of legislation, (ii) describe the Health Bill 2022 and (iii) examine the challenges surrounding surrogacy and Irish case law. On surrogacy from an Irish ethical perspective, this study is to (iv) discuss the ethical issues surrounding autonomy, (v) discuss the ethical issues surrounding non-maleficence, (vi) discuss the ethical issues surrounding justice and (vii) evaluate ethical issues specific to commercial surrogacy: (1) child welfare and (2) commodification and exploitation of children and women's bodies.
Surrogacy has raised several ethical issues. There are issues surrounding autonomy of the surrogate and commissioning couple, child welfare, exploitation and commodification, non-maleficence and justice. There are also significant legal concerns with surrogacy. It is neither legal nor illegal in Ireland. This creates challenges for the commissioning couple particularly in terms of custody of the child.
代孕是一种辅助生殖形式,其中代孕女性为委托夫妇或个人怀孕。代孕有两种类型,传统代孕和妊娠代孕。在全球范围内,我们看到代孕的使用迅速增加。尽管如此,国际上对于代孕的法律规定仍缺乏共识。在爱尔兰,代孕基本上不受监管。目前,没有针对代孕的具体立法。本综述旨在讨论其当前的监管状况和相关的伦理问题。
从爱尔兰法律的角度来看代孕,本研究旨在(i)展示缺乏立法,(ii)描述 2022 年健康法案,(iii)审查代孕和爱尔兰判例法所面临的挑战。从爱尔兰伦理的角度来看代孕,本研究旨在(iv)讨论自主权所涉及的伦理问题,(v)讨论不伤害所涉及的伦理问题,(vi)讨论正义所涉及的伦理问题,以及(vii)评估商业代孕所特有的伦理问题:(1)儿童福利和(2)儿童和妇女身体的商品化和剥削。
代孕引发了一些伦理问题。涉及代孕者和委托夫妇的自主权、儿童福利、剥削和商品化、不伤害和正义等问题。代孕也存在重大的法律问题。在爱尔兰,代孕既不合法也不非法。这给委托夫妇,特别是在孩子的监护权方面带来了挑战。