Gestación subrogada: perspectivas, desafíos e implicancias bioéticas, legales y epigenéticas en la salud pública en Argentina.
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| Title: | Gestación subrogada: perspectivas, desafíos e implicancias bioéticas, legales y epigenéticas en la salud pública en Argentina. |
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| Alternate Title: | Surrogacy: Perspectives, challenges, and bioethical, legal, and epigenetic implications in public health in Argentina. |
| Authors: | Baston, Cecilia1 (AUTHOR) bastonc@otamendi.com.ar, Risso Vazquez, Alejandro2 (AUTHOR) |
| Source: | Medicina (Buenos Aires). nov/dic2025, Vol. 85 Issue 6, p1232-1239. 8p. |
| Subjects: | SURROGATE motherhood, LEGAL doctrines, MEDICAL protocols, PUBLIC health, EPIGENETICS, REPRODUCTIVE technology, COUNTRIES, BIOETHICS |
| Geographic Terms: | ARGENTINA |
| Abstract (English): | Introduction: Surrogacy, understood as the act of carrying a pregnancy on behalf of another person, has expanded as an assisted reproductive technology. Its regulation varies widely some countries permit it, while others prohibit it altogether. In Argentina, there is no specific legislation regulating surrogacy, leading to sig nificant legal uncertainty. The objective of this work is to analyze the ethical, legal, clinical, and social aspects of surrogacy in Argentina, based on a literature review and the institutional experience of a private hospital in Buenos Aires City. Materials and methods: A literature review and a descriptive analysis of the institutional experience in response to the increasing demand for surrogacy were conducted. Clinical care protocols, as well as legal and bioethical considerations, were evaluated. Results: A steady increase in surrogacy cases was observed, including the arrival of families from vari ous countries with differing laws and regulations. This prompted the development of specific institutional pro tocols, including prenatal interviews, informed consent procedures, psychological support, and newborn identifi cation protocols. Clinical scenarios varied in complexity some gestational carriers provided colostrum, others requested no contact with the newborn, some intended parents pursued induced lactation, and in certain cases, admission to neonatal intensive care units was required. Discussion: Surrogacy raises multiple bioethical (au tonomy, consent, commodification), legal (regulatory gaps, determination of parentage), and clinical (emotional impact, child neurodevelopment) dilemmas. The need for compre hensive legislation is emphasized -one that ensures altruis tic practice, prohibits commercialization, guarantees rights, and fosters an intersectoral approach involving the State, judicial system, healthcare institutions, and civil society. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: La gestación subrogada, entendida como el acto de gestar un embarazo para otra persona, se ha expandido como técnica de reproducción asistida. Su regulación varía algunos países la permiten, otros la prohíben. En Argentina, no existe una legislación espe cífica, lo que genera inseguridad jurídica. El objetivo es analizar los aspectos éticos, legales, clínicos y sociales de la gestación subrogada en Argentina, a partir de una revisión bibliográfica y la experiencia de un sanatorio privado de la Ciudad Autónoma de Buenos Aires. Materiales y métodos: Se realizó una revisión biblio gráfica y un análisis descriptivo de la experiencia insti tucional de un sanatorio porteño ante la creciente de manda de gestación subrogada. Se evaluaron protocolos asistenciales, aspectos legales y bioéticos involucrados. Resultados: Se observó un aumento sostenido de casos, con migración de familias de distintos países con sus respectivas legislaciones y normativas, lo que motivó la creación de protocolos específicos entrevistas prenatales, consentimiento informado, acompañamien to psicológico y mecanismos para la identificación del recién nacido. Las experiencias clínicas variaron en escenarios complejos algunas gestantes aportaron ca lostro, otras solicitaron no tener contacto con el bebé; algunos comitentes implementaron lactancia inducida, en otras situaciones se requirió la internación en unidad de cuidados intensivos neonatales. Discusión: La gestación subrogada plantea dilemas bioéticos (autonomía, consentimiento, cosificación), legales (vacíos normativos, filiación), y clínicos (impac to emocional, neurodesarrollo infantil). Se destaca la necesidad de una legislación integral que contemple el carácter altruista, impida o normatice la comercia lización, garantice derechos, y promueva una mirada intersectorial que involucre al Estado, la justicia y la sociedad civil. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Abstract: | Introduction: Surrogacy, understood as the act of carrying a pregnancy on behalf of another person, has expanded as an assisted reproductive technology. Its regulation varies widely some countries permit it, while others prohibit it altogether. In Argentina, there is no specific legislation regulating surrogacy, leading to sig nificant legal uncertainty. The objective of this work is to analyze the ethical, legal, clinical, and social aspects of surrogacy in Argentina, based on a literature review and the institutional experience of a private hospital in Buenos Aires City. Materials and methods: A literature review and a descriptive analysis of the institutional experience in response to the increasing demand for surrogacy were conducted. Clinical care protocols, as well as legal and bioethical considerations, were evaluated. Results: A steady increase in surrogacy cases was observed, including the arrival of families from vari ous countries with differing laws and regulations. This prompted the development of specific institutional pro tocols, including prenatal interviews, informed consent procedures, psychological support, and newborn identifi cation protocols. Clinical scenarios varied in complexity some gestational carriers provided colostrum, others requested no contact with the newborn, some intended parents pursued induced lactation, and in certain cases, admission to neonatal intensive care units was required. Discussion: Surrogacy raises multiple bioethical (au tonomy, consent, commodification), legal (regulatory gaps, determination of parentage), and clinical (emotional impact, child neurodevelopment) dilemmas. The need for compre hensive legislation is emphasized -one that ensures altruis tic practice, prohibits commercialization, guarantees rights, and fosters an intersectoral approach involving the State, judicial system, healthcare institutions, and civil society. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00257680 |
