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代孕的未来:当前全球趋势和各国现状综述。

The future of surrogacy: a review of current global trends and national landscapes.

机构信息

University of Kent.

出版信息

Reprod Biomed Online. 2024 May;48(5):103764. doi: 10.1016/j.rbmo.2023.103764. Epub 2023 Dec 8.

DOI:10.1016/j.rbmo.2023.103764
PMID:38428344
Abstract

The practice of surrogacy is frequently the subject of media, scientific, social, regulatory and policy attention. Although it is, for many, an accepted form of assisted reproduction for those who would otherwise not be able to have children, surrogacy often generates strong feeling, particularly where there is any possibility of exploitation. Therefore, there is disagreement about how it should be regulated. In some countries, surrogacy is prohibited in any form, although this does not stop people using it. In others, it is unregulated but still practised. In some nations it is regulated in either a 'commercial' or an 'altruistic' model. This review article considers the possible regulatory future of surrogacy, initially from a UK perspective considering a recent review of the legal framework in a country where surrogacy works well (although some cross borders to access it), and then through an assessment of global trends and other national perspectives. It concludes that the international regulation of surrogacy, although potentially desirable, is unlikely. This being the case, it would be preferable for individual nations to regulate surrogacy so it can be undertaken in ways that are safe, ethical and protective of the best interests of children, surrogates, intended parents and families.

摘要

代孕实践经常成为媒体、科学、社会、监管和政策关注的主题。尽管对于那些无法生育的人来说,代孕是一种被广泛接受的辅助生殖方式,但代孕常常引起强烈的情感反应,特别是在存在任何剥削可能性的情况下。因此,对于如何对其进行监管存在分歧。在一些国家,任何形式的代孕都被禁止,但这并不能阻止人们使用它。在其他国家,代孕虽然不受监管,但仍在进行。在一些国家,代孕是按照“商业”或“利他主义”模式进行监管的。本文首先从英国的角度考虑代孕的可能监管前景,考虑到一个在代孕运作良好的国家(尽管有些是跨境获取的)最近对法律框架的审查,然后通过评估全球趋势和其他国家的观点。文章得出结论,尽管国际上对代孕进行监管可能是可取的,但不太可能实现。在这种情况下,最好由各个国家对代孕进行监管,以便以安全、符合伦理和保护儿童、代孕者、意向父母和家庭最佳利益的方式进行代孕。

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PLoS One. 2025 Jul 29;20(7):e0328469. doi: 10.1371/journal.pone.0328469. eCollection 2025.
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The newly enacted Italian surrogacy law: Effects on reproductive tourism.新颁布的意大利代孕法:对生殖旅游的影响。
J Assist Reprod Genet. 2025 Jun 12. doi: 10.1007/s10815-025-03545-y.
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Permanently infertile couples and family building-a cross-sectional survey in Denmark.永久性不孕夫妇与家庭建设:丹麦横断面调查。
Hum Reprod. 2024 Nov 1;39(11):2525-2536. doi: 10.1093/humrep/deae208.