What is a parent? How policy shapes the definition of parenthood

Editor’s note: This blog post is the first part of a two-part series. 

The LA Times recently reported on a same-sex married couple who sought U.S. passports for their two children. Of the two fathers, one was born and raised in the United States while the other was born in Israel.

The couple lives in Canada, and the Israel-born partner has yet to obtain U.S. citizenship. They hired a gestational surrogate, used donor eggs and sperm from both men, and had two sons in one pregnancy, born in Canada. When they applied for U.S. citizenship for their children, they encountered a curious problem: only one child could become a U.S. citizen.

Both boys were born at the same time, biologically half-brothers but functionally twins. How could this be possible?

A short background on definitions of parentage are helpful before I explain what happened.

Once upon a time, it was relatively easy to determine parentage, particularly for women: the one who gave birth was the mother of the child, and the mother’s husband was the legally presumed father.

However, with the advent of assisted reproductive technologies, mere biology – whether genetic or gestational – no longer adequately characterizes a parent-child relationship. What evolved is a trifurcated classification of parentage:

  • Genetic parent: The individual who contributes an egg or sperm. In cases of gamete donors, if the donation is completed properly according to law, the donor typically has no parental rights and no responsibility for custody or support.
  • Gestational parent: The individual who will carry the pregnancy and give birth. In cases of gestational surrogacy, if the surrogacy occurs in a surrogacy-friendly state with proper contracts, the surrogate has no parental rights and no responsibility for custody or support.
  • Intended parent: The individual who will be responsible for raising and supporting the child.

So, if we apply these definitions to our understanding of parentage, we can navigate most ambiguities. For example, if a heterosexual married couple uses the woman’s egg and donor sperm, and the woman carries the pregnancy, who is the father? If the arrangement was done in accordance with legal and medical guidelines, the father is the woman’s husband, since the sperm donor has no rights or responsibilities with respect to the child.

If a woman uses donor egg and sperm and hires a gestational surrogate to carry the pregnancy, who is the mother? In a surrogacy-friendly state, the woman who commissioned the arrangement is the mother, since she is the intended parent.

But fact patterns can get progressively more complicated, and real problems emerge when conflict arises that requires the law to weigh in on an answer. Many of our familial laws were written in an antiquated context of parentage, in which there were primarily married mothers and fathers giving birth to children without the assistance of reproductive technologies. Now that we have separated the genetic, gestational, and intended roles of parenthood, where they were once undivided, laws that assume that they still coalesce seem to fall short.

In response, some states, including those who have adopted the Uniform Parentage Act, have expanded their laws to recognize intended parenthood as legally valid in certain circumstances. Rather than rely on biological relationships, these states look at the circumstances in which the child was conceived and born, granting legal parental rights to the individual(s) identified as intended parents from the start.

This expansion has not been universal, and it causes confusion. For example, if a couple in California enters into a valid gestational surrogacy agreement with a surrogate in the same state, using a donor egg and donor sperm, the legal parents at birth are the intended parents based on California law. However, if this same surrogate lived in Arizona rather than California, she would be the presumed legal mother because surrogacy contracts are prohibited in that state.

Where you are born can determine who your legal parent is. This is one reason most surrogacy contracts include travel restrictions for the surrogate, and also why surrogates wishing to take custody of the children they carry leave the state to give birth in an anti-surrogacy jurisdiction.

So, what happened with the case of the couple in Canada? Next week, we will explore how these laws struggle to keep up with advances in assisted reproductive technology and learn about the impact it has on families in unexpected ways.

-By Claire Horner, J.D., M.A., assistant professor in the Center for Medical Ethics and Health Policy at Baylor College of Medicine  

3 thoughts on “What is a parent? How policy shapes the definition of parenthood

  • March 3, 2018 at 7:00 pm

    But what a doctor means when he asks for our mother or father’s health history is not who gestated us, who intended to raise us or who wound up raising us – he’s talking about whose offspring we are whose child whose son or daughter.

    We have court approved guardianship and step parenthood for a reason. Not intending to raise your offspring does not erase your parental relationship to your offspring, it obscures it. I reunite families separated by absentee parents who were gamete donors. Several of those parents were donors for various programs through the University of Texas (Baylor).

    This modification of language is lucrative for those who want to adopt other people’s children off the record so that it appears they are parents simply by paying enough money or doing enough work to get their names onto the birth certificate of someone else’s offspring. That falsified record of human reproduction is a falsified medical record for the person named on it. That act of falsification undermines the rights of people born who will already suffer the loss of their mother or father who don’t want to raise them. That person will suffer the stripping of their legal right to recognition as a member of their own maternal and or paternal family and will be sequestered from their immediate and extended family to serve the people who paid to have them all to themselves.

    This expansion of the definition of parenthood is not a right for the adults involved and the redefinition actually undermines the rights of people who are forced to play the roll of an entirely different person who does not exist. They have to pretend to be someone’s child when they are not. Telling them the truth is not nearly as good as giving them equal rights to their own families with factual records of their birth only naming their own parents who reproduced to create them. If that were done and their parents relinquished in court and their birth record were never falsified then at least they could have legal kinship to all other offspring of the same parents. At least they would not be forced to look like they are not a branch of their own tree.

    This business of making people pretend parents comes at the expense of people’s actual rights. Nobody has a right to be the parent of another person’s offspring. Not by marriage not by payment not by effort or gestation or labor.

    Donor eggs and sperm and surrogacy are not fertility treatments, they are efficient ways to abandon people at their most vulnerable stage in life.

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