Ashling O’Connor in Bombay
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Wendy Duncan and her husband Brian are white. Nineteen months ago, the Lincolnshire housewife gave birth to a beautiful, healthy, Indian daughter.
Freya, brown-skinned and dark-eyed, is not a medical miracle after a long and fruitless quest through IVF and adoption, but the product of a booming industry in India that is offering embryos for adoption.
India is fast cornering what is forecast as a £3 billion-a-year market in “reproductive tourism”. It has highly trained, English-speaking doctors and medical procedures that cost a third of the price charged in Europe.
Couples such as the Duncans are lining up to be treated. Their experience was so successful that they are returning next week to the Bombay fertility clinic that produced Freya, to try for a second child.
Mrs Duncan, 41, plans to undergo the same procedure, which involves the implantation of up to five fertilised embryos into her womb. If successful, she will return to England after a short holiday knowing she is pregnant and give birth to another Indian baby.
Embryo adoption was the culmination of an 18-year journey for the Duncans during which their attempts to become parents were frustrated by nature and bureaucracy. Being white and already having a mixed-race child (from Mrs Duncan’s previous relationship) meant that they failed the criteria for a normal adoption.
IVF was unsuccessful and expensive for a family relying on Mr Duncan’s income as a lorry driver. The older Mrs Duncan got, the less the chance there was of any fertility treatment working.
Their options were running out until they stumbled upon a website for the Bombay clinic. It was an easy choice.
“Last time, I knew I was pregnant within three days. It was quick - just like having a smear,” she said. “Couples wait years in the UK for egg donation . . . So when we heard about this, we thought ‘Why not?’ If the standards were the same [as British ones], then we didn’t have a problem. And they were. In fact, we were able to get a lot more information. We weren’t just a number.”
The Duncans had no qualms about bearing a child of a different race. They are Freya’s natural birth parents and legal guardians in British law.
“To us colour is not an issue. I already have a mixed-race daughter, whose father is Arab, from a previous relationship,” Mrs Duncan said. “Lots of people say you would never think Freya wasn’t ours. She is so like me, it is unbelievable. She should have been a redhead - she has the temperament.”
The Duncans spent £8,000 on one course of IVF in Britain. Their treatment in Bombay cost £3,000.
Drs Anjali and Aniruddha Malpani, a husband and wife team, say that two-thirds of the patients attending their clinic in Bombay are from abroad. The Duncans were the first white couple to whom they gave an Indian embryo. It was a situation that raised emotional and ethical questions.
“We invested a lot of time in counselling for this one,” Dr Anjali Malpani said. “It is absolutely ethical if the patient wants it. It is a personal choice. It is a lot like adoption but you have the feeling of a natural pregnancy.”
The booming industry has attracted criticism on ethical grounds. Social workers in India fear that poor women are being exploited for “rent-a-womb” services such as surrogacy, banned for commercial gain in countries such as Australia and China.
British health professionals, meanwhile, fear a rise in multiple births and an added strain on the Health Service. In Britain, embryo implants are limited to two at a time but in India, where there is no law governing fertility aid, doctors can insert up to five.
The council does issue non-binding guidelines but there are calls for the rules to be tightened, rather than relying on clinical discretion.
“The Government is thinking along these lines. They have already accredited fertility centres, which are subject to minimum requirements and precautions,” said Dr Chander Puri, director of the National Institute for Research in Reproductive Health, which created India’s first test tube baby in 1986. “India is at the cutting edge of technology and the success rate in our centres is high compared with the best abroad.” The glowing international testimonials on the Malpanis’ website suggest that they will never be short of people willing to defy medical opinion back home. The images of gurgling babies are their best advertisements.
“People will always look and stare because we are different but I haven’t had one single person say I shouldn’t have done this,” Mrs Duncan said.
2,000
children born annually in Britain from donated eggs, sperm or embryos
£250
maximum payment per cycle for egg donation - selling eggs is illegal, but
women can claim expenses
£8,800
paid for eggs from two British students in 2002, by California-based Egg
Donation PLC
240
UK women contacted the same Californian clinic in the week following the story
29,688
patients underwent IVF in Britain in 2003
Source: HFEA, Agencies
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what about people who do have their own genetic children. There are many that are negligent and emotionally abusive not to mention physically so. Are they more entitled to have these children than the responsible loving yearning parents who are unable to conceive on their own?
S. Jones, vancouver, canada
If a couple in India choose to donate their embryos to a couple out of country then I say why not? The couple donating the embryos are giving their embryos the chance of life and the couple receiving the embryos are receiving an amazing gift. Please don't judge the infertile couples seeking this option unless you have personally walked this path. It is the most painful journey that any woman or couple could experience. Studies have shown that infertility is even more stressful than undergoing cancer treatment. One cannot understand the desire and quest to have a child unless they too have been dealt that card in life!
Christina, San Francisco, USA
hello i am fiona, wendy and brians eldest daughter, i am 20 and have my own daughter. I have been there with my mum and dad while they have been going through hell and i wouldn't wish that on anyone, as i said i have my own child and the feeling of wanting another right now is not strong but if wanting another child to share life with is what my parents want then who are we to say what they have done is wrong!!!!
I love my little sister Freya and she is the most lovely little girl (next to my own of course) any one could dream of. my mum has always dreamed of having a big family. It is not like mt parents have gone to india and asked poor families to sell their embros they have used the embros from other couples who have had treatment and do not wish to use the spares (that sounds harsh i know but could not think of another way of describing it) so how have they exploted anyone when freya grows up my mum and dad will explain to her how special and loved she is and about her origin
fiona, market rasen lincs, england
How does this couple know what health and intelligence the purchased embryo has inherited?
In 15 years will the embryo now teenager yearn to be with her own people?
Millions of orphans, other children who could use help and this couple has to buy an embryo from another race.
Pfffft.
Elena Haskins, Northern California, USA
This is nothing more than bartering in human flesh. Children if wanted, are commodities, if unwanted, are vermin. People are not entitled to have children; childbearing is not an accomplishment; childrearing is. What Westerners are doing in this case is buying cheap, human capital and exploiting third world destitution.
I have no sympathy for the terminally infertile. Go abroad and adopt or get a pet. The motives of many of these baby hungry people are contemptible.
Caroline Eccleston, Marshfield, USA
I went through 3 ICSI, 2 IVFs as a single ( and a very good looking women who just couldnt make a man to commit), spent in total over 20,000 pounds and went through hell! I am currently waiting for the outcome and if it is negative again!, I would go to India. I cannot afford to pay for yet another cycle, and wait for another 4-6 months for a donor (because of the new law) ! I wish I could adopt but the British adoption law is crazy (like the government), so thanks god I can now do the ivf tourism thing.....Shame on UK....
Ekaterina, London, UK
Not a bad idea. All of Western World can have brown and smart computer techies.
Krishna Praba, Palm Beach, USA
I was lucky enough to have given birth, but once. Had I never had a child I would have walked on hot coals and swum through icy seas to have done so. Good on the Indian medical profession for offering this service and to the women who donate. They deserve more thanks can ever be offered.
Jane Bailey, london, england
This is a terrible, terrible practice. On top of the more obvious reasons why, you also create a child with identity issues and a substandard medical history. Plain and simple, this is making a buck for doctors and satisfying desires of people who need to understand we can't always have everything we want...and to achieve it at this price is wrong.
S Romberger, Pennsylvania, USA
Thats not nice at all!!
I am from India work in the UK. My parents are doctors who practise in Mumbai, and they are disgusted with this!!
India is home to a lot of such doctors who will go to any length to earn money....and beside that there is no regulatory body which has teeth.
In India medical practise has no ethics as well highlighted in this article.
I donot have any answer to what can be done to prevent it.
Dr P Mulay, Wadebridge, Cornwall
Sorry, Dr Anjali Malpani, nothing is ethical simply because the patient wants it. These artificial reproductive technologies like IVF have opened a real Pandora's box upon society. If you cannot conceive a child naturally and you cannot adopt, then please support an overseas orphan through a charity.
Joanne Schrader, Hannibal, Missouri
Its always instructive to see the triumph of market forces over regulatory or pricing disparity. Increase in immigration by low paid workers and emigration by those seeking less compulsory government participation in their lives, or cheaper property are other examples of what seems to be a global trend of peoples wish to actuate their individuality.
Politicians, at some point, may need to learn from this, and think about consigning some notions of group solidarity and conformity to history. What may have helped nineteenth-century workers obtain fairer treatment from their masters may be a tiresome irrelevance in a more grown-up world. Better by far to see how things are done elsewhere, make value judgements and either copy or improve.
dr venables preller, Warminster, UK