Gamble & Ghevaert

Archive for the ‘fertility law’ Category

Independent’s Pink List 2010 honours Natalie Gamble

Wednesday, August 4th, 2010

Gamble and Ghevaert is delighted that founding partner Natalie Gamble has been named in the Independent on Sunday’s Pink List 2010, the paper’s renowned annual review of the 101 most influential gay and lesbian people in Britain.  At number 88, Natalie is recognised as a “pioneer of fertility law” who was “heavily involved in the Human Fertilisation and Embryology Act 2008 and nominated in 2008 as Stonewall’s Hero of the Year”.

The only practising lawyer named, Natalie is ranked alongside British gays and lesbians at the very top of a broad range of professions.  The Pink List 2010 includes politicians Lord Mandelson and Deputy Lib Dem leader Simon Hughes, judges Lord Justice Etherton and Sir Adrian Fulford, former head of the Law Society Dame Janet Paraskeva, business leaders Lord Black (the Telegraph), Sir Michael Bishop (BMI) and Dawn Airey (CEO of Channel 5), theatre directors Sir Nicholas Hytner and Sir Cameron Mackintosh, Director of the British Museum Neil MacGregor, Radio 4 broadcaster Evan Davis, poet laureate Carol Ann Duffy, Turner Prize winning painter Sir Howard Hodgkin, Rabbi Lionel Blue, authors Sarah Waters and Philip Hensher, fashion designers Christopher Bailey and John Galliano, actors John Barrowman, Fiona Shaw and Simon Russell Beale, and celebrities Stephen Fry, Sue Perkins, Matt Lucas, Gok Wan, Alan Carr, Will Young and Radio 1 DJ Scott Mills.  The number one spot - balanced fairly between the sexes - is rightly shared by leading business guru Mary Portas and courageous rugby player Gareth Thomas.

A new entrant to the list at number 88, Natalie is ranked among these pre-eminent individuals as the 25th most influential lesbian in today’s Britain.  Her inclusion recognises Natalie’s groundbreaking work as a leading fertility lawyer, and her work as a prominent champion and advocate of same sex parents.

Prime Minister David Cameron, writing in the Independent on Sunday 1 August, said “The wall of prejudice is chipped away by high-profile role models, by public celebrations, by a positive approach to diversity. That’s why I congratulate everyone on this list for doing their bit to inspire and change attitudes. This is a country where people can be proud of who they are – and quite right too.”

You can find out more about Natalie Gamble and her work or read the Independent’s Pink List 2010 in full.

HFEA set to be abolished as part of government’s slash of quangos

Wednesday, July 28th, 2010

The government announced this week that the HFEA was one of several quangos set to be axed, as part of the government’s bid to cut costs and reduce the UK’s deficit.  The Human Fertilisation and Embryology Authority has regulated fertility treatment and embryo research in the UK since 1991, and its responsibility includes licensing and overseeing fertility clinics, giving ethical and policy guidance and ensuring public confidence in the developing science of assisted reproduction and embryo research.  Its functions will be retained, but carved up between other existing public bodies, including the Department of Health and the Care Quality Commission.

The Chair of the HFEA, Lisa Jardine said:

“IVF needs to be effectively regulated and the current system has served the public, patients and licensed centres well. Our task now is to deliver the organisational change that the Government has decided on and to ensure the continuity of the very high standard of regulation that the sector deserves and expects. I am determined that the success story that is regulated assisted reproduction in the UK will continue.”

Times article on unregulated fertility sites quotes Natalie Gamble

Monday, July 19th, 2010

By Mark Bridge, The Times, Saturday 17 July 2010

Shadowy world of web’s unregulated fertility sites

Unregulated “fertility” websites that put their members in touch with sperm donors for a fee are exploiting vulnerable women and risking users’ health and finances, the Human Fertilisation and Embryology Authority (HFEA) has warned.

An investigation by The Times this week also found that such sites, which enable people including single women and lesbian couples to obtain sperm outside of the regulated market, are being used by men searching for nostrings unprotected sex.  The HFEA believes that the sites’ role as facilitator may in fact constitute illegal “procurement” of sperm, and it is taking legal action against one website to close it down. A spokesman said: “If you use a site that does not direct you to a licensed clinic, you put yourself at risk that the sample you receive is neither safe nor screened and that the donor is not who they say they are.” The regulator also warns that donors who donate sperm via these sites rather than at licensed clinics will be the legal fathers of any children born to single women or unmarried couples and may be liable for child support.

Natalie Gamble, of Gamble and Ghevaert, a firm of solicitors that specialises in fertility law, said that the legality of the sites was a grey area. “What is illegal is procurement of gametes [sperm and eggs]. It comes down to the definition of what procurement is. Putting sperm in the post would seem to be clear. Less clear is helping individuals to make contact with one another.”

Membership of the websites, such as Co-ParentMatch.com and Feeling-Broody.com, costs about £10 to £15 a month. Dr Allan Pacey, senior lecturer in andrology at the University of Sheffield, claimed: “They’re in it purely for ‘If a man wants to impregnate the South East… he will be in poor sexual health’ money. It’s blatant profiteering.” He added that the sites profited from the relative expense of licensed clinics which charge about £800 for frozen sperm and one insemination cycle and from a shortage of sperm at clinics now that children born to donor sperm are allowed to contact their natural father when they are 18.

The website of Fertility 1st, which the HFEA is taking legal action against, states that customers should budget £150 for sperm to be couriered. The other sites leave such arrangements up to the donor and recipient, who might decide that his sperm should be delivered to her home, or that he should visit to “produce”, or have sex with her. Whatever the arrangement, Dr Pacey cautioned that sperm obtained using the sites is not adequately screened, so puts the recipient at risk of blood-borne and sexually transmitted diseases, including HIV. It may also carry genetic disorders such as Down’s syndrome. He says that the risk was even greater if, as our investigation suggests, some donors have predatory intent. “If a man wants to impregnate the South East, that ups the risk that he will be in poor sexual health.” He added: “A licensed clinic will run tests before taking samples and again six months after the last sample was taken and frozen. Sperm can only be used after this final check.”

Seyi Joseph, of FeelingBroody.com, said that her site only covered its costs. She added that it has links to documents that explain the rules on legal paternity. She advises that donors be tested for a range of diseases. Nigel Woodforth, of Fertility 1st, said that donors at his site must take regular health tests. He added that donors at the website do not give identifying details to the recipient, and that their records are destroyed after their membership expires. Co-ParentMatch.com did not return our calls.

Time spent undercover on unregulated websites revealed a sad world frequented by men eager to “help” vulnerable women. When I joined one site under the alias of luciex, or Lucy, a 29-year-old nurse, I was contacted by a queue of donors keen to offer “NI”shorthand for natural insemination, as in sex (Mark Bridge writes). As Lucy I signed on at Co-ParentMatch.com, which claims to be the “No 1. Leading website of its kind”a “regulated environment” that uses the slogan: “After all, there’s no time to waste, the biological clock is ticking…” Having uploaded a picture of an attractive brunette and paid £9.95 a month, I was contacted by, among others, men claiming to be a 30-year-old studio manager and a “ready and able!” 58-year-old American “peacebuilder”. Profile photographs showed mainly thirtysomething and middle-aged men, some engaged in manly outdoor pursuits, others dressed for a hot dateone in a crisp white jacket. The tone of conversation was hardly clinical. One man sent “Lucy” a blunt “I am from Manchester and available for NI if you can travel when you are ovulating.” He said that he was a married man and donated to overcome both the national shortage of sperm and narrow-minded attitudes to lesbian parents.

Another tried charm, writing: “Hello Lucie! You reallly [sic] look so gorgeous and I would be happy to donate my sperm so you can become pregnant [...]” Meanwhile, a man whose photo loosely resembled AliG wrote: “Hi how u doin?My names [...] im 30 from London would you like to chat? x”, adding his mobile phone number. When Lucy failed to respond he asked: “Hi Lucie how r u hun? Good i hope… What did u decide to do? Id like to help you become a mother x” Most, when asked, said that they were willing to donate by natural or artificial means, so came across as opportunists rather than full-on predators. Some offered meaningless reassurances about their sexual health. One wrote: “I have also been checked for STDs two weeks ago, in case you wondered.”

Not one asked Lucy why a single woman of only 29 would want to conceive with donor sperm or how she intended to bring up the child, although three professed some interest in a co-parent role. On the other hand, two said that they would be unwilling to take on parental responsibility. One wrote: “I am a donor only and cannot offer financial or parenting support.” It is illegal for donors to charge, and none of the men who made contact requested payment. One did say: “Expenses may be travel costs or hotel costs etc if donation was done on neutral ground.”

Laura Witjens, left, of the National Gamete Donation Trust (NGDT), says that the casual nature of agreements on expenses leaves them open to abuse. “It is common for guys to insist on natural insemination so ‘pay me and sleep with me’, she said, adding: “Some even sent me photos of themselves ‘donating’. It was shocking, and I’m Dutch, so that’s saying something.”

In spite of this dubious donor-base, the sites manage to entice women “and the odd sincere gentleman”, Ms Witjens said, in part by presenting a clinical façade, using stock photographs of babies to play on emotions. I have spoken to several women who have used the sites who were angry at first when I criticised them. They said, ‘Why make it difficult for people to conceive?’ But they were surprised and grateful when I explained the dangers and the legalities.”

Why can’t I have a baby on my own?

Thursday, May 20th, 2010

From The Independent, Thursday 20 May 2010

At 37, Lulu le Vay found herself single, infertile and craving a child. She decided to try surrogacy – but discovered that only stable couples need apply

One evening last September I was sitting in my consultant’s office after a checkup following the fifth surgery on my uterus, when he dropped the bombshell: due to the unlikelihood that my womb would be able to sustain a pregnancy, surrogacy might be a fertility option I would need to consider, if I wanted a child.

It was, strangely, a comical moment. “What?” I remember saying, my cheeks going as white as his collar. “This can’t be happening,” I protested, giggling. “Things like this happen to Sarah Jessica Parker, not me!” I didn’t cry. I went home, chain-smoked a few fags, and went to bed feeling shocked and void of emotion. When I woke up the next day, this alien idea that had been presented to me hovered over me in the abstract ether. Over the following few weeks, as much as it sat on my shoulder pecking at my thoughts, I refused to let it in as something real – as something I would seriously, at some point, have to consider.

Eventually, curiosity got the better of me and I hit Google and contacted some surrogacy support agencies. Within a couple of hours any decision-making process on my part had been obliterated. There it was, in black and white: “I am afraid that, as a single person, surrogacy in the UK is not an option for you. This is because a parental order – the legal device by which you would become the legally named parent of a child born through surrogacy – is only open to couples in a long-term stable relationship.” From an innocent investigation of an area I knew little about, the shock felt like a punch in the stomach.

This wasn’t supposed to be how my life was going to turn out. Since my early twenties I’d had it all mapped out. Throw myself passionately into my career and have as much fun as possible – the things I was good at – and the family stuff could be put off until later. Pah! what’s the rush? But a decade later the trouble started: fibroids (non-cancerous tumours in the uterus); a ruptured ovarian cyst; more fibroids (lots more). By January 2008, aged 37, I’d had three surgeries which had left me with some knock-out scars, emotionally and physically. Recovery from an operation to remove multiple fibroids that January was tough. Blood transfusions resulted in severe anaemia, as well as a bout of E. coli, which the hospital kindly packed me off home with. The C-section-style wound opened and took months to heal.

By the summer, just when my life was back on track – great job, smashing bloke – the pain and the haemorrhaging dominated my life to such an unbearable degree that I had no choice but to undergo uterine artery embolisation, a new-ish procedure which cuts off blood supply to the tumours by pumping radiation particles into the uterus. The pain that followed was untouchable, not even by morphine. I was in fake labour for 12 hours, my lowest life-point to date. Within days the bleeding disappeared – as did the boyfriend – and I became depressed.

More than a year later, in September last year, I was back in hospital with what I might call the nuclear fallout. The scar tissue had caused havoc. My fallopian tubes had twisted around the uterus, and one was badly infected and swollen. The organs had started sticking together and there was a mountainous ovarian cyst. This mess left me with permanently blocked tubes, a severely damaged uterus, and one sympathetic consultant trying to give me a glimmer of hope for the future of my fertility: it seemed that surrogacy might well be my only option. But not as the law currently stands, I found.

The Human Fertilisation and Embryology Act of 1990 underwent a major overhaul in 2008, and single women were given the right to receive IVF treatment with donor sperm. And as of last month unmarried and same-sex couples can apply for a parental order for a child delivered by a surrogate. This order formally transfers parenthood from the surrogate mother. Yet single persons seeking to become parents through surrogacy have been deliberately excluded from this measure.

“We called for an amendment to the HFE Bill, while it was being debated in Parliament in 2008, which would have allowed single people to obtain a parental order,” says Louisa Ghevaert, a leading expert in surrogacy and fertility law and a founding partner of the law firm Gamble and Ghevaert. “This is a ticking time bomb. The law is discriminating against single people, and to make matters worse, it is completely inconsistent with other parenting laws. A single person can legally go to an IVF clinic and conceive with donated sperm. Current laws should be updated to allow single people to become parents though surrogacy.”

Peter Bowen-Simpkins, medical director of the London Women’s Clinic concurs: “I am astounded to learn that single people are barred from applying for a parental order. The reasons for surrogacy are usually congenital malformations, or surgery that has removed the womb or rendered it no longer able to bear a pregnancy. Neither of these reasons is the fault of the woman, and it seems gross discrimination, especially when we are offering single women donor insemination or IVF.”

We are living in a society in which the family comes in all colours, shapes and sizes. Gay mums and dads, Brangelina’s rainbow family, Madonna’s little Africa, and people like Sarah Jessica Parker creating a family with the help of a surrogate. Families are being built in more contemporary ways, and single parents play a growing role in this mix.

“I myself am a single parent following divorce, and there are plenty of us out there doing a great job,” continues Ghevaert. “It is unfair for people with health problems, or those on a difficult fertility journey, to then be denied the option of a parental order just because they are single. It makes no sense.”

Surrogacy is complex and expensive, and the international laws surrounding it are riddled with contradictions. With the sprawling World Wide Web, couples are leaping unprepared into other territories to bag their surrogate baby, which can lead not only to pressure and the breakup of their own relationships but may also put the well-being of the child in jeopardy.

In 2008, a Japanese couple used a surrogate mother in India. The intense pressure led to the couple divorcing after the baby was conceived, leaving the child abandoned in a hospital in Western Rajasthan. Under Indian law, single men of foreign origin are not able to apply for a parental order.

The SJP story may have sparked public awareness, as the demand for surrogacy is on the rise. But laws need to be in place with equal rights for all people who have a desire to pursue this avenue, and also with protection in place to support the well-being of children born from a surrogacy arrangement.

I’m still unsure what my fertility outcome will be, as I undergo a final round of treatment. But I do know that the surrogacy path is not for me. I may well look into adoption, if and when it feels right. This is a decision not steered by the current law – surrogacy is just not instinctively right for me. But having a choice would’ve been nice.

 

More information about surrogacy for single people.

Bringing up baby (the options for gay men)

Tuesday, May 4th, 2010

This month’s Out in the City magazine for gay men features an article titled ‘Bringing up Baby’ by Natalie Gamble and Louisa Ghevaert.  The feature reviews the options for building a family through conception as a gay man, including surrogacy, co-parenting and known sperm donation, including the recent changes to UK surrogacy law.

You can read the article here (Bringing up Baby) or see the Gamble and Ghevaert website for further information about surrogacy for gay men, and co-parenting and known sperm donation.

Birth certificates: a new era?

Tuesday, May 4th, 2010

By Louisa Ghevaert, published in BioNews 556, May 2010

Birth certificates have been a hot topic in the UK in recent weeks. There has been much controversy, confusion and misunderstanding, aptly shown by Caroline Gammell’s article in The Daily Telegraph newspaper and Colin Fernandez’s article in the Daily Mail on 19 April incorrectly hailing the advent of the first lesbian couple to both be named as parents on their baby daughter’s birth certificate, born 31 March this year.

Lesbian couples have not in fact had to wait until the beginning of April this year to take advantage of new laws allowing them both to be named as the parents on their child’s birth certificate. Legally, they could both be named as the parents on the birth certificate of any child they conceived on or after 6 April 2009, when the new female parenthood provisions of the Human Fertilisation and Embryology (HFE) Act 2008 were implemented. In practice, as from September 2009 lesbian couples could be named on their child’s birth certificate following a viable delivery, albeit at that stage heavily premature. Natalie Woods and Betty Knowles were not therefore the first in the UK to take advantage of this change in the law (just the first to speak to the press) and we have many clients who have preceded them.

This misunderstanding is undoubtedly the result of increasingly complex laws on parentage and the recent press coverage of the final staged implementation of the HFE Act 2008 on April 6 this year, allowing same sex couples (most notably two men) for the first time to be named as the parents on their surrogate-born child’s birth certificate following the grant of a Parental Order which then triggers the re-issue of their child’s birth certificate.

The Daily Telegraph article went on to quote Baroness Deech, The Chairman of the Bar Standards Board, saying: ‘This is not a moral issue; it is about disguising true facts, and it is about confusing biological parenthood, legal and social parenthood.’ The article further quoted Josephine Quintavalle, from Comment on Reproductive Ethics (CORE), saying that ‘birth certificates should reflect how a baby is generated’ and ‘in a culture that is obsessed with genetics, it is strange that when it comes to birth certificates we are prepared to forget all that?’ and ‘as much as you try to play around with the terminology, the biology reflects what has happened and one day the child will ask about their father.’

Birth certificates are in fact a legal document recording the legal parentage of a child at birth. Birth registration procedures are governed by law, not biology, and birth certificates have never been in practice a definite record of a child’s biological parents. In non-assisted reproduction cases, a married mother’s husband is presumed to be the father and recorded as such on the child’s birth certificate unless this is rebutted by DNA (deoxyribonucleic acid) evidence of another’s paternity. If the child’s mother is unmarried, she can choose whether to name the father or to leave the father’s details blank.

Since the introduction of the HFE Act 1990, the UK’s first legislation to regulate parentage following assisted reproduction treatment and the precursor of the HFE Act 2008, men and women have also been routinely named as parents on the birth certificates of their children conceived with donor eggs or sperm. Birth certificates of surrogate-born children also continue to record the surrogate mother as the legal mother at birth and her husband as the child’s legal father, even when the intended parents are the biological parents and which then requires them to obtain a post-birth Parental Order to re-assign legal parentage (which can only be done with the surrogate’s consent) and trigger the re-issue of the birth certificate.

With the growth of alternative family structures and recent changes in the law, increasing demand for assisted reproduction treatment using donor gametes and more people building their families through surrogacy, birth certificates will increasingly reflect legal parentage rather than biology. Whilst birth certificates were in the past perceived as representing a child’s biological parenthood, this has not necessarily been the case. What has changed over the last year is the stark realisation amongst some campaigning groups that birth certificates can now in law name a wider range of people as parents on the face of a child’s birth certificate, most notably same sex parents, challenging traditional values and perceptions of family life.

More information on the Gamble and Ghevaert website about birth certificates and surrogacy, birth certificates and donor conception and the new rights for same sex parents

Gamble and Ghevaert welcomes the completion of the UK’s new fertility laws today

Tuesday, April 6th, 2010

By Partners Natalie Gamble and Louisa Ghevaert

The last piece of the government’s flagship Human Fertilisation and Embryology Act 2008 came into force today, completing the first major overhaul of the UK’s fertility laws in twenty years.  The HFE Bill is a major piece of government legislation which has updated the UK’s 1990 laws to bring them into line with 21st century scienific and social advances.  It has introduced important changes including:

* new rights for lesbian partners to be recognised as parents after sperm donation,

* the abolition of clinics’ obligation to consider a child’s need for a father before offering fertility treatment,

* the broadening of the extended storage rules for gametes and embryos, allowing more people to store precious embryos for longer,

* new rights for donor conceived people to make contact with genetic siblings,

* a clearer legal framework for preimplantation genetic diagnosis, and

* the widening of surrogacy laws to allow same sex and unmarried couples to apply for legal parenthood.

The Act has been brought into force in stages, with the new parenthood rules on donor conception in force first for conceptions after 6 April 2009 and the bulk of the Act in force on 1 October 2009.  The final pieces of the jigsaw, which came into force today, are the changes to surrogacy law, allowing same sex and unmarried couples to apply to court to become the parents of a surrogate born child and updating the court rules and procedures.  This completes the implementation of this major piece of government legislation, rather fittingly today, the day on which it has been announced that this Parliament will be dissolved.

The partners at Gamble and Ghevaert have been proud to have played a role at the forefront of these important legal changes, championing the position of fertility patients and same sex parents.  Our contributions to the public and Parliamentary debate and to the legal changes include:

* Helping to secure the important new rights for same sex parents (work for which Natalie was nominated by gay rights organisation Stonewall as their Hero of the Year 2008, named by Diva magazine as one of the UK’s most influential gay women, and invited to 10 Downing Street to meet the Prime Minister last month);

* Winning a last minute government U-turn on embryo storage which allowed surrogacy patients to save embryos from destruction and store them for an extended period (for which Louisa was named as Times Lawyer of the Week in October 2009);

* Lobbying for changes to surrogacy law, which were debated in Parliament (but sadly not adopted) - we are continuing to campaign on this;

* Winning improvements to nationality law for British parents of children born through surrogacy abroad following our contribution to the Department of Health’s consultation on the new parental order regulations.

Find out more about the legal changes on our website, relating to donor conception, surrogacy and fertility treatment.

Today’s Guardian - Couples who pay surrogate mothers could lose right to raise the child

Tuesday, April 6th, 2010

By Denis Campbell, health correspondent.  Published in the Guardian, Monday 5 April 2010

Childless couples who acquire a baby using a surrogate mother abroad risk not being recognised as its parents in Britain if they flout British law by paying fees, fertility lawyers have warned.

Such payments, which can be as high as £30,000, could lead to those who have made them being refused permission by the high court to become the child’s legal parents, specialist solicitors say.  The Human Fertilisation and Embryology Act 1990 allows couples entering into deals with a surrogate mother overseas to pay her only what is allowed here – “expenses reasonably incurred”, such as compensation for time off work, medical bills and living expenses.  But lawyers handling such cases have told the Guardian a growing number of couples are embarking on international surrogacy in places such as India, the US and Ukraine, and that many of them are in effect flouting the law by paying whatever is needed to get a child. This could cause serious problems for them and the children as the high court may not grant a parental order.

More couples have sought legal advice about international surrogacy in the past two years, fertility lawyers say. Finding a surrogate in the UK is difficult, and many see surrogacy abroad as their last chance, said Miranda Baker, a lawyer in the field.  Lawyers predict that more people will pursue such deals after tomorrow, when the law changes to allow unmarried and same-sex couples to apply for parental orders.

Last November Mr Justice Hedley heard that a Mr and Mrs A had paid $23,000 (£15,000) to acquire twins from a surrogate mother in California. Mr A was the biological father. His sperm had been used to fertilise an egg from an anonymous donor and embryos were implanted into the surrogate. It was clear that “a significant element, although it is difficult to specify exactly what, of the $23,000 represents a payment contrary to the [law]“, he said.

Among matters of public policy the case raised was that “the court should be astute not to be involved in anything that looks like the simple payment for [in effect] buying children”. Despite that, Hedley granted Mr and Mrs A a parental order.

Hedley took the same view in 2008 in the case of X and Y – the first international surrogacy case the high court ruled on. A married couple whose repeated attempts to become parents had failed had twins known as X and Y using a Ukrainian surrogate. They also paid more than was “reasonable” to the woman, who used the money to put down a deposit on a flat, but obtained an order.

Sam King, a family law barrister specialising in assisted reproduction, warned couples having a baby through surrogacy abroad not to assume the high court would retrospectively endorse an arrangement that was “obviously commercial”. “They are taking a chance [by paying large sums]. Not all judges may be as generous as Mr Justice Hedley has been so far. All you need is one family to be denied a parental order because too much money has been paid for the whole thing to be thrown into confusion.”

Natalie Gamble, a lawyer who acted for the parents in both those cases, said: “If you don’t get a parental order the English couple aren’t seen as the child’s legal parents and you are committing an offence if you are caring for a child that’s not yours. You have to tell social services if you’re doing that.”

International surrogacy is hugely controversial. “It’s unethical and exploitative because the trade is all one-way,” said Breedagh Hughes, a Royal College of Midwives spokeswoman, on the ethics of childbirth. “It reduces babies to the level of commodities.”

Jonathan, a 32-year-old nurse, tells how he and his civil partner, Colin, 33, a financier, spent $150,000 (£98,000) on surrogacy to become the parents of Harriet, who was born in California last year. They live in London.

“We began discussing having a child in 2006, when we were deciding to become civil partners. I was feeling broody, and had always wanted to have my own biological child. We opted to pursue surrogacy in California because we would get legal custody there of the child before it was born and the surrogate would have no legal relationship to the baby.

“My sperm was introduced to eggs left by an egg donor: they were fertilised in an IVF clinic in Los Angeles and two of the embryos were implanted into the surrogate. She simply carried the child for nine months.

An agency in LA found both the egg donor and the surrogate. We never met the egg donor or knew who she was, but knew her medical history, results of her genetic tests, what she looked like and so on. We did meet and get on well with the surrogate, who was called Jennifer. She had two daughters of her own and had been a surrogate once before. There was no coercion. We had a contract, and Jennifer specified things in that like that she wanted back massages and a big hotel room for her family to stay in when she was giving birth.

Agencies in California quote a price of $100,000 to $150,000 to do everything relating to a child. The whole process wasn’t too difficult, and cost us about $150,000. We paid the embryologist $60,000, though that included the harvesting of the donor’s eggs, the IVF and the transfer of the embryos into the surrogate. It was $40,000 for the surrogate and $10,000 for the egg donor, plus $10,000 to the agency, who supplied the donor and the surrogate. Then there was $10,000 for our lawyer, $5,000 for the medical and psychological screening and another $5,000 for medication for both the donor and the surrogate, to ensure they were in cycle at the same time.

“Bringing Harriet into the UK nine months later was incredibly difficult, though, and we engaged lawyers to help us. She had to come in as an immigrant on a US passport on a six-month tourist visa. When we later filled in a form to get her British citizenship, we put ‘not known’ in the section headed ‘mother’. She now has dual nationality and is legally ours under Californian law. If we do apply, it could be an issue that we paid well over the ‘reasonable expenses’ limit – that is, we paid a fee. That’s illegal in this country, but allowed under Californian law.

“We shouldn’t have to seek a parental order. She was conceived and born in California as our child, and her birth certificate says who her parents are, so the courts here should respect Californian law.

Having to apply for a parental order, where there’d be an assessment of Harriet’s welfare and Colin would have to prove that he’s no danger to her, is an inequity. Anybody else can go out, get drunk, get pregnant, bring up a child appallingly and face no intervention or legal barriers.

I resent people saying that British couples who resort to surrogacy are buying babies abroad. We didn’t buy Harriet: she’s not picked off a shelf. She’s not a ‘designer baby’.

We had our own child and had a great team to help us. All we did was rent a woman to carry her. We paid for the services of an embryologist and an incubator who walks and makes good babies – but we didn’t buy a baby. She’s my daughter biologically, and she’s our baby.

A lot of heterosexual couples in the UK spend a lot of money having many cycles of IVF at £5,000 a time – is that not buying a baby?”

Only first names have been given to protect the family’s identity

More information on surrogacy law and international surrogacy law from the Gamble and Ghevaert website.

Going solo: fertility treatment options and the law for women starting a family on their own

Friday, April 2nd, 2010

By Natalie Gamble, Partner with Gamble and Ghevaert LLP

Published in BioNews 551, 29 March 2010

It’s tough to get life sorted as a modern woman. Education, work and finances now commonly take women well into their thirties before they decide to start a family, and not everyone manages to find the right partner by the time they get there. It is perhaps not surprising that increasing numbers of women are making the decision to start a family independently. ‘Solo’ mothers (as distinct from single mothers) are those who make a positive decision to go it alone and to conceive without a partner - but as well as the social and financial implications of this choice, there are a number of legal implications which all solo mothers in the UK ought to give careful consideration to.

One option for solo mothers is to conceive through sperm donation at a licensed clinic. The sperm is screened, tested and quarantined, ensuring the safety of mother and child and the quality of the sperm. A range of treatments are available, including intra-uterine insemination (IUI) and IVF (in vitro fertilisation) and potentially even treatment with donor eggs, depending on the woman’s age and medical history, and assessed with medical guidance from the clinic involved.

One of the biggest longer term advantages for many solo mothers is the parental autonomy and legal clarity this option brings: the status and responsibilities of the donor are excluded by law, and in practice there is no other parent to manage. Of course, this has its downside too, and it is important for a solo mum to ensure she will have all the practical support she will need as chief carer and breadwinner, and to make careful provision in her will to ensure her child is fully protected if anything happens to her.

Children conceived through sperm donation at licensed clinics in the UK now have the right to find out the donor’s identity (and possibly to make contact with genetic half siblings) once they reach the age of 18, which means that their genetic heritage is available to them if they wish to find out more. For many solo mother families, this offers a good balance: parental autonomy for mum during childhood, but the option for the child to contact the donor and siblings in later life.

In years gone by, it was difficult for single women to obtain treatment with donor sperm at a licensed clinic. Until 2009, the law provided that fertility clinics had to consider the welfare of a child before offering treatment, ‘including the need of the child for a father’ - for many years many clinics interpreted this as a bar on treating single women. Clinical practice evolved over time to a more flexible approach, and in 2009 the law was updated so that clinics now have to consider the child’s need for ’supportive parenting’. This was explicitly worded to be more inclusive of single women (and lesbian couples) and means that single women should now not have any difficulty accessing licensed treatment, albeit that donor sperm may be in short supply in some places and that treatment may need to be privately funded.

Another option is known donation or co-parenting. Some solo mothers ‘team up’ with a man who is willing to act as a known donor or co-parent, often gay or single. Every situation is different, and the range of involvement from the biological father after conception can stretch from none to full shared parenting. Different treatment options are also available, including natural conception, artificial insemination at home and IUI or IVF at a licensed clinic.

It is important in such situations to think through and manage the longer term and legal issues from the outset. Unless conception occurs at a licensed clinic, the donor will be the child’s legal father and will be both legally and financially responsible for the child. If conception occurs at a licensed clinic, it may be possible to register the donor with the Human Fertilisation and Embryology Authority (HFEA) and thereby exclude his parental status, but care needs to be taken (and it may be necessary to put in place additional legal documentation) if he intends to have ongoing parental involvement after the birth. It is a common misconception that known donors to single women always have their legal status excluded if they donate through a licensed clinic.

Where there is a clear intent that the donor will be known and treated as the child’s father, both sides should be clear about the legal issues before going ahead. The decision as to whether the father is named on the birth certificate is significant as this will dictate how much decision-making power the father has in his child’s upbringing. It is also important to think through the issue of financial responsibility and how this will be managed, as well as the intention for sharing care in practice both in the early months and in the longer term. In many cases, it is appropriate to put in place a donor or co-parenting agreement to cover these sorts of issues, to provide clarity and to help flush out any potential problems before they arise. An agreement does not bind the family court - since the parents cannot stop the court doing what it thinks is in a child’s best interests - but it will be taken into account if a dispute does arise.

It is important to take care if the solo mum conceives while she is still legally married or in a civil partnership. Problems can arise for women who make the decision to start a family on their way out of a marriage or civil partnership, and are keen to get going as soon as possible before their divorce/dissolution is finalised. The law provides that any child artificially conceived by a married woman or one in a civil partnership (and this includes home insemination) will be treated as the legal child of her husband or civil partner. In most cases this is the opposite of what is intended, making it critical to take legal advice before conception.

Women are increasingly making reproductive choices independently, typically in their thirties and forties and often simply to avoid missing out on motherhood before it is too late. The decision is often one which has been made over a considerable period of time, with care, thought and courage. Such women have more complex issues to grapple with than many other fertility patients, both in their conception choices and their longer term parenting issues, and it is important for them to consider the options and the law carefully from the very start.

Today’s Observer: New surrogacy laws ease the path to parenthood for gay men

Sunday, March 28th, 2010

By Robin McKie, science editor, The Observer, Sunday 28 March 2010

Changes to legislation will recognise growing trend for same-sex couples to become parents, say campaigners.

Gay male couples will be able to use a fast-track route to become the legal parents of surrogate children from next week. On 6 April, changes to the law will permit two men to be named as parents on a child’s birth certificate for the first time in British history.

The transition will take effect following the implementation of the final piece of the 2008 Human Fertilisation and Embryology Act. This last section is aimed at helping same-sex and unmarried couples who seek to have surrogate children and will allow them to secure legal parenthood in a new, simplified manner. At present, only married, heterosexual couples can use this route.

“These changes bring the law up to date with the realities of modern 21st-century life and recognise that increasing numbers of same-sex and unmarried couples are having children together,” said Natalie Gamble, of the fertility law firm Gamble and Ghevaert.

Surrogacy has become increasingly common and offers couples an alternative route to parenthood if all other methods, including IVF treatments, fail. Current legislation allows heterosexual, married couples to get a parental order to give them a birth certificate for a child born to a mother with whom they have entered into a surrogacy agreement. But gay, lesbian and unmarried couples cannot do this. The surrogate mother has to be named on the birth certificate. If she is married, her husband is legally considered to be the father.

An example is provided by the story of Steven Ponder and his partner, Ivan Sigston. Both are police officers. Last year, they became one of the first gay couples to father a baby in Britain when Ponder’s married sister, Lorna Bradley, gave birth to a boy, William.

Crucially, however, Lorna Bradley’s name appeared on the birth certificate, which made her a legal guardian of the child. Ponder and Sigston could have applied to adopt the baby. If successful, they would have been given an adoption certificate to replace his original birth certificate. But adoption is complex and involves the intervention of social workers and other professional groups.

The new system is far more streamlined. Provided that a court is satisfied that two men are in a stable relationship; that no fees, other than expenses, are paid to the surrogate mother; and that it is in the child’s best interest, then it will award a parental order for a birth certificate to be drawn up with both men named as parents, and therefore legal guardians. “Lesbian couples and unmarried couples usually have other routes available to them if they want to have children, but surrogacy is particularly important to gay men, so they will get most out of this change in legislation,” said Gamble.In effect, the law has now opened the doors in order to make it easy for a gay man and his partner to have children.

This point was backed by Ben Summerskill, chief executive of Stonewall, the gay rights campaign group: “We are delighted that the reality of people’s family lives is being recognised at last, that both lesbian and gay couples no longer have to go through the unpleasantness of an adoption procedure.”

Gamble warned, however, that while the new legislation would make it easier for gay couples to have children, the rules governing surrogacy in the UK remained badly out of date.

“There are particular pitfalls for single parents and those going abroad. In the latter case, a couple returning to England with a surrogate child find that the law does not recognise their right to parenthood. It can cause immense distress. There are a lot of aspects of surrogacy that now need to be addressed urgently.”

 

More information about surrogacy law, international surrogacy law, and how the law is changing for same sex and unmarried couples from Gamble and Ghevaert LLP.