Who Are Your Patients, and What Happens When They Disagree?

Third-party reproduction carries significant legal and ethical challenges. Although well-intentioned mutual desire typically guides parties entering a gestational surrogacy or egg donation arrangement, the potential for conflict cannot be avoided. Because the physician’s role includes treating both their patient (the intended parent/s) and the “third-party patient” (the egg donor or surrogate), the physician should be aware of potential conflicting desires about medical treatment (i.e., an intended parent may desire a triplet pregnancy, while the surrogate may prefer to reduce). Systematic bias should also be considered, as it may result in favoring one patient’s medical needs over the other. The laws in this area are unsettled and in many situations no definitive legal answers are available. Prior to engaging in third-party reproduction each patient should be fully informed of potential medical risks and consult with mental health professionals and independent lawyers to confirm agreement with respect to the arrangement.

Third-party reproduction

ABSTRACT IS AVAILABLE IN THE PDF

Finding the “Appropriate Distance” in Egg Donor Kinship Relations

This article explores kinship formation from the perspective of egg donors in Denmark. Through interviews with Danish egg donors, it investigates how the Danish legal framework and specific context, materialise egg donor kinship relations in third party reproduction. The article shows the ways egg donors negotiate normative ideals about family and motherhood through different kinship strategies. It argues that the donors’ relational kinship work is a form of social pioneering work, wherein donors help define what an egg donor kinship relation is and can be. This is analysed through the analytical concept of “appropriate distance.” The analysis shows how different normative constraints are embedded in the legal framework that structure which kinship relations are available. As an example, the different donor types in Denmark, anonymous, open, and known, become a way of disconnecting or connecting to kinship. In line with existing studies, it demonstrates how egg donation in Denmark is structured around ideals of altruism linked to normative ideals of femininity and motherhood. Further, it is concluded that egg donation proposes subversive potential for deconstructing heteronormative kinship ideals about motherhood. At the same time, however, the analyses conclude that heteronormative family ideals often are re-installed through egg donation practices.