CASE 3: SURROGACY

Tilly and her husband come to see you, their GP, to ask for advice on fertility treatment. She is 30 years old and has had five miscarriages. She does not have any problems conceiving but is unable to carry a pregnancy to term. Recent tests have diagnosed her with antiphospholipid syndrome - a condition which causes her blood to clot and disrupt the supply of blood to the placenta. Tilly and her husband are still desperate to have their own children. They have discussed their situation with their friends and family and Tilly's best friend has offered to act as a surrogate mother. She is 34 years old, married and has three children of her own and her husband has recently had a vasectomy as they felt their family was complete. Tilly wants to know what the law in Kenya and says about surrogacy and whether she could have in vitro fertilization (IVF) so that the child would be genetically hers and her husband's but carried by her friend. She also wants to know who will be considered the 'mother' of the child.

Questions

1. What is surrogacy? Describe process and types {25mks}

2. Who are the legal parents of a surrogate child? {20mks}

3. Is surrogacy legal in Kenya? What does the Kenyan law stipulate {15mks}

4. Discuss the ethical issues surrounding the practice of surrogacy {20mks} 5. Discuss FOUR ethical dilemmas Tilly and her husband are facing {8mks}

make sure it has introduction, answers of those questions and make them so developed and explanation and conclusion and references