Surrogatmödraskap i Finland

Surrogatmödraskap var fram tills 2007 tillåtet i Finland. Nu har man återigen gjort en utredning och den Finska etikdelegation som granskat frågan (ETENE) rekommenderar att man återigen tillåter surrogatmödraskap i Finland.

Forskaren och gynekologen Viveca Söderström Antilla har forskat kring de erfarenheter man haft av Surrogatmödraskap i Finland. Man har studerat hur de kvinnor som ställde upp som surrogatmamma mådde och hon konstaterar att man haft mycket goda erfarenheter av surrogatmödraskap i Finland och att metoden är en möjlig väg för barnlösa par att få hjälp. Dock konstaterar Söderström-Antilla att det är viktigt med rådgivning och stöd under hela processen.

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Experience of in vitro fertilization surrogacy in Finland

Acta Obstet Gynecol Scand 2002; 81: 747–752.

Background.

In vitro fertilization (IVF) surrogacy makes it possible for women who do not have a functional uterus to have their own genetic offspring. We describe here our experience of IVF surrogacy in Finland over a 10-year period.

Methods.

This retrospective study included 17 women who underwent ovarian stimulation in connection with surrogacy in 1991–2001 at four clinics. The surrogate mothers were unpaid volunteers: six sisters, three mothers, one husband’s sister, one cousin, four friends and three other volunteers. Thorough counseling was given to the commissioning couples and to the surrogate mothers and their partners. The commissioning couples were prepared to adopt their biological children.

Results.

Twenty-eight surrogate IVF cycles were started in 17 women. One couple received donated oocytes. Trans-vaginal oocyte retrieval was feasible in every case, including those five women with congenital absence of the vagina and uterus. An average of 1.8 embryos was transferred at a time, and 11 pregnancies were achieved [50% per fresh embryo transfer (ET) and 16% per frozen-thawed ET]. Nine healthy singletons and one set of twins were born. One pregnancy ended in miscarriage. The mean birth weight of singleton infants was 3498g (2270–4650 g). The birth weights of the twins were 2900 and 2400g. In all cases the genetic parents took care of the infant immediately after birth. Two surrogate mothers had postpartum depression.

Conclusions:

Altruistic IVF surrogacy works well, but careful counseling of all parties involved is essential.