When a woman of 67 can become a mother, it must be time for stricter rules
(The Times, 2005-01-17)
I
CAME face to face with a high priest last week.
As befits the head of a flourishing religion, Ian Craft
is urbane, determined and persuasive. As we waited to debate
the issue of elderly mums on Woman’s Hour, he regaled
me with anecdotes about staying at Chatsworth for three days
- he’s an old friend of the Duchess of Devonshire’s
- and the challenge of restoring a “huge wreck of
a house” he owns in the country. But it is
not just his polished patter that wins him disciples. Professor
Craft offers them hope, solace, and - in many cases
- a life-changing experience: their own baby.
Professor Craft is
one of the pioneers of in-vitro fertilisation (IVF). The 45,000
British couples who seek fertility treatment each year, the more
than 30,000 British women who are infertile and the dozens
of (high-profile) parents of children stricken with a disease whose
only hope lies in a designer baby with matching tissue
types have turned IVF into a process that is as
much part of our culture as adoption.
Unlike adoption, however,
the IVF industry is regulated by only the loosest of
guidelines. Yesterday a 66-year-old Romanian gave birth to a triplet
(the others having died) after nine years of fertility treatment
to become the world’s oldest mother. In this country, a
59-year-old woman last week gave birth to her second baby
through IVF. While would-be adoptive parents are subjected to an
age limit and huge bureaucratic obstacles, a couple or, indeed,
a single woman showing up at some IVF clinics simply
fork out the £2,000 that buys each cycle of treatment,
no questions asked.
The Human Fertilisation and Embryology Authority Act
1990 stipulates that any fertility centre in the UK offering
treatment must take into account the welfare of any child
born. Questions of age, economic status and criminal record must
be raised with would-be parents. These recommendations have been taken
on board by the NHS - which has set an
age limit for putative parents (though it varies by locality)
and takes into account criminal records and family circumstances, such
as the length of their relationship or whether they have
children already.
But their observance has proved difficult to enforce
in the hundreds of private fertility clinics that operate in
Britain. The authority, which is supposed to regulate these clinics,
has been embarrassed now into calling for a consultation on
changing the industry’s guidelines. This is encouraging. It is sensible
that a man who has been convicted of, say, grievous
bodily harm should be subjected to particular scrutiny when it
comes to becoming a parent. Equally, a woman who is
67 when she conceives is more likely to be a
burden than a guardian to her child: in her 80s,
her health and energy level will fall short of meeting
the demands of a teenager.
Basic screening for IVF couples,
then, seems perfectly legitimate. Not so to the procreation profiteers.
Already, the medical establishment, and in particular IVF gurus, are
up in arms about the proposed “intrusion” into their customers’
lives. They point to Italy, where stricter regulation has promoted
an exodus by would-be parents to neighbouring Croatia: if you
can afford to go private, no one can stop you
trying for a baby. The medics also argue that stricter
regulations put would-be parents at a disadvantage in comparison with
natural ones: if you don’t need a criminal check to
get pregnant naturally, you shouldn’t be forced to have one
when you are a candidate for IVF.
This is to
ignore the interests of society. When a parent is criminal
or aged, the rest of us have to deal with
a child traumatised by a father’s violence or a mother’s
senility. From the burden placed on our already overstretched social
services to the disruption a dysfunctional child causes in the
classroom, we end up paying for people’s itch to conceive
their very own baby. We are not able to screen
natural parents and this has lumbered us with children scarred
by their unsuitable parents; we should not add to their
number by refusing to check on those who rely on
IVF.
If the authority introduces stricter guidelines we will have
won an important victory over a greedy industry that has
enjoyed complete independence in its pursuit of making babies. But
even when better regulation is in place, the ethos of
the IVF industry - and this includes all other forms
of assisted reproduction - remains questionable.
Children are neither a
right nor a commodity, and the IVF industry treats them
as both. “Baby hunger”, the label we apply to people’s
longing to reproduce, suggests that without a child you will
starve and whither away. But that is not true. However
adorable and adored a baby is, life will not stop
if you cannot conceive. Which is why it is right
that many oppose making IVF available on the NHS: a
cash-strapped health service must perforce prioritise its interventions, and an
assisted birth comes well below cancer treatment and somewhere above
a nose job.
Equally, IVF clinics encourage us to see
a child as a product: the yearned-for result of an
expensive gamble. If you pay your £2,000 per cycle, and
most women need three to four cycles to conceive, you
can walk off with a healthy foetus (or two, or
three) in your womb. But when a child is a
purchase, what kind of emotional legacy will he or she
inherit? To know that your parents long dreamt of having
you is wonderful, but to know that your parents could
realise their dream only because they had a combination of
cash and luck is to make you feel like a
piece of particularly sought-after real estate - no different from
a penthouse in Notting Hill or a villa in St
Tropez.
Babies, once a blessing, are now big business. We
are all the poorer as a result.
Schools give morning after pill to 11-year-olds ( The Telegraph, 2007-07-16 )
Marriage rate falls to its lowest level since records began ( The Daily Mail, 2007-07-05 )
Doctors freeze eggs of girls, 5 ( The Sunday Times, 2007-07-05 )
Ethicists raise alarm as mother donates her eggs to daughter ( The Ottawa Citizen, 2007-05-27 )
Prostitution legislation to remain unchanged ( The National Post, 2007-04-27 )