Currently, we do not accept new consultation on childbirth treatment, but we continue to accept your opinions, requests for the country, and voices of the parties.

One woman visited one day while building an in vitro fertilization facility.He was a Lokitanski syndrome, who was aware that he could not get pregnant, and was asked to give birth on behalf of his passion for him.
At that time, the thought that such a reproductive disorder had to manage it, it exploded after opening an outside fertilization facility in August 1996.Along with in vitro fertilization, in vitro fertilization, including a proxy childbirth, in vitro fertilization was started.The first woman who visited the hospital did not come to the hospital, but the case where her sister offered her mother to the Lokitanski syndrome, which she had been consulted after a while, was the first parenting treatment of our hospital.。

The ovarian function exists in the case of acquired uterus, and the ovaries and eggs are stored in the case of acquired uterus, and the couple wants the child and cooperates fully with that.The case of a substitute childbirth adaptation is that some people become a proxy mother who will give birth under volunteer acts.
In our hospital, the pupil of a proxy giving birth is 10 cases in which the sisters and sisters are 10 cases, 4 to six children are born.However, the environment surrounding the agent who is raising children is easy to cause minor troubles under the current situation where the childbirth is not officially recognized, and after all, the mother and daughter following the case of a proxy mother have been provided on behalf of the mother and daughter on condition.Continued, it was enforced in 11 cases, and 10 children were born.However, the pregnancy and childbirth that are being used as usual have various problems, and in the worst case, it may lead to death (the frequency of less than 10,000 people), so the national examination began.At the end of the birth in January 2014, the childbirth in our hospital is suspended.

Since 2014, Japan has not been giving birth in Japan, but the fact that inquiries have been received, the delivery of proxy abroad has been traded at a high price, causing various problems, and recently adapted.The current situation is that the case that is thought to be outside is treated as a good story, and while witnessing the embarrassing situation as a Japanese, the current situation is.Above all, it is a situation where a reproductive disorder is being unable to be overlooked as a facility that has exposed to Japanese childbirth.

It is necessary to strictly adhere to the following things based on past experiences related to childbirth.
(1) Do it under the volunteer spirit
(2) Receipt of money is within the scope of expenses
(3) At present, a system for childbirth as a country has not been established, and it is considered that childbirth between mothers and daughter is the most appropriate relationship.

① The advantage is
B) It is easy to communicate between mothers and daughter, between father and daughter, and people surrounding them.
ﾛ) If you are a woman with a pregnancy age, such as between sisters and friends, it is necessary to control pregnancy between related couples, but is most of the mothers and daughters after menopause?Even after menopause, the possibility of merger pregnancy is unlikely to be considered.

② The problems and countermeasures
B) As a representative mother, it is natural that there is no abnormality in the human dock of the whole body, but the pregnancy of the daughter of the daughter will be elderly pregnancy and childbirth, and it is necessary to fully understand various dangers.be.
) Since the agent mother has a merger of uterine fibroids, uterine cancer, breast cancer, etc., it is necessary to check them and need to respond.
H) Measures against unexpected accidents in the agent’s mother’s pregnancy and childbirth, especially the insurance system
ﾆ) For strict checks for agency mothers who can easily cause abnormalities, from around 7 months of pregnancy, they shared their mother and daughter in a hospital facility and check their daily agent and children.Doing so can deepen your awareness of your daughter’s pregnancy and childbirth.
Ho) Requested mother’s daughter is not originally given breast milk.However, the request mother is a little more breastfeeding due to the administration of the follicles and progesterone from around 5 months of pregnancy and the administration of the blood prolactin rising effects such as sulpirid (dogma cheel) from around 7 months.Can be possible.

* As mentioned above, we have presented the "guidelines" and "knowledge" so far and have the inclusion of resumption.

　Currently, we do not accept new consultation on childbirth treatment, but we continue to accept your opinions, requests for the country, and voices of the parties.

　There are no laws in Japan that prohibit childbirth.However, in 1983, the Japanese Society of Obstetrics and Gynecology (Nissin Women) stipulated (rules) that "the implementation of in vitro fertilization is to be implemented only for couples, and fertilized eggs are returned to women who collected it."As a result, the childbirth childbirth, like non -spouse in vitro fertilization, could not be done at the Japanese Society of Obstetrics and Gynecology.

　However, overseas, there are countries that allow proxy childbirth by law, but there are no laws but allowed.For this reason, there are many couples who have gained children by childbirth overseas, and it is said that the number is already over 100 pairs.In Japan, we do not recognize it, and on the other hand, it depends on overseas.

　Under such circumstances, this hospital triggered a substitute childbirth in 1995, when I met a female patient with Lokitanski Syndrome (born in 4 to 5,000 people regardless of the disease or inheritance).I came to think about.With the launch of the fertility treatment system in 1996 the following year, we started working on the guidelines, and in 2001 we announced the case where my sister was a proxy mother and gave birth (Japan’s first (Japan)).)(Since 2006, the agent mother is limited to the mother of the mother.)

　In 2003, Nissan was banned after a reinforcement of "prohibition of proxy".In addition, the Japan Academic Council’s Produced Health Council (held in December 2006 to March 2008) was submitted to the Minister of Health, Labor and Welfare and the Minister of Legal in April 2008, and the substitute childbirth was "formed.In principle, it should be prohibited. "

　Furthermore, on February 28, 2009, Nissan has received a strict attention to the hospital on behalf of the hospital.
　However, in reality, there are people who want to give birth, and I think that the number of people who seek live abroad will continue to increase.

　In addition, it is necessary to amend the civil law to protect the position and legal status of the born child.Some say that it is possible to interpret it as a child of a requested couple under the current law, but in the case of the precedent, the child’s mother is said to be a "woman born" (the 1962 Supreme Court Court case), and his father said.The woman’s husband (Civil Code) was said to be that the birth notification was not accepted in the case where Aki Mukai and Nobuhiko Takada gained twins in the United States due to childbirth.

　Since there are no national laws related to proxy childbirth, our hospital has implemented a unique guideline for proxy childbirth.
　At this hospital, we have tried to give birth to a proxy for 21 cases so far, and the birth of 16 births has been born (of which 10 out of 11 cases in 11 cases) have been born (as of the end of March 2014).。

　There are the following methods for proxy childbirth.Of these hospitals, only 1-A has been implemented for the time being.I think other methods are future issues.

1.Delivery childbirth by in vitro fertilization
1-a.Requested couple’s fertilized eggs
　A method of transplanting fertilized eggs made by in vitro fertilization of the sperm and eggs of the couple into the uterus of a third -party woman (agent) to obtain a child.In this case, the genetic connection between the requested couple and the child born is maintained.

1-b.Director of a third -party sperm or egg
　Requested couples sperm or eggs are made to make fertilized eggs by fertilized eggs (eggs of women different from agent mother) or sperm fertilizer, and transplanted them to a third -party woman (agent mother).How to get a child.In this case, the genetic connection between the requested couple and the child born is in either of them.

1-C.Director -childbirth using a third -party fertilized egg
　Both sperm and eggs are in vitro fertilization, and fertilized eggs are made, transplanting them into another third -party woman (agent) to obtain children.In this case, there is no genetic connection between the requested couple, the agent mother, and the child born.

2.Delivery by artificial insemination
　Historical childbirth that has been performed since the earliest.A method of injecting (artificial insemination) by injection (artificial insemination) of the client’s husband’s husband’s semen into the uterus of a third -party woman (agent).In this case, the child’s genetic mother becomes a proxy mother, and only her husband has a genetic connection between the requested couple and the child born.

　In the guidelines, only the above-mentioned "1-A" will be implemented, and the target person is limited to "a married couple who is a married couple and the wife is 45 years old with a congenital or acquired or acquired."The age of 45 is usually close to the pregnancy when women are 45 years or older, and even if they give birth, they can be raised by a couple before the child grows up.This is to think.

　For the time being, the agent mother is said to be "the person’s real mother, in principle up to around 60 years old" (in the health condition of the agency, the age has slightly increased and decreased. In the current situation without legal development or compensation system., From the belief that the substitute mother is the most troubles and stress, etc.)

　Regarding the child born, in response to the current Civil Code, etc., we will send a birth notification as a child of a proxy mother, and will later adopt as a child of a requested couple.
　However, in recent cases, the "special adoption" was applied by the court instead of the "normal adoption".In this case, the family register has the same description as a true child, such as the "eldest son" or "eldest daughter" of the requested couple, so it is difficult to understand that it is adopted, and it is legally treated like a child.It is thought that special adoption is better for child’s welfare than ordinary adoption.

　In the future, we think that it is necessary to develop a compensation system in the unlikely event that a woman who is a proxy mother occurs.

　Currently, we do not accept new consultation on childbirth treatment, but we continue to accept your opinions, requests for the country, and voices of the parties.

Regarding "childbirth", the national law has not yet been established, so the hospital formulate guidelines as the following hospitals, and the patient (client) couple, the agent, and the family.After fully understood this content, we will swear according to the attached style and provide childbirth treatment.
* There is also a name called "Appendix", but at our hospital, we will call it a "childbirth".

There are several ways to give birth as follows.

A method of transplanting fertilized eggs made by in vitro fertilization of the sperm and eggs of the couple into the uterus of a third -party woman (agent) to obtain a child.In this case, the genetic connection between the requested couple and the child born is maintained.

Requirements The sperm or egg of the couple is made in vitro fertilized eggs (the eggs of a woman different from the agent mother) or sperm, and transplanted them into a third -party woman (agent).How to get a child.In this case, the genetic connection between the requested couple and the child born is in either the couple.

Both sperm and eggs are in vitro fertilization, and fertilized eggs are made, transplanting them into another third -party woman (agent) to obtain children.In this case, there is no genetic connection between the requested couple, the agent mother, and the child born.

Historical childbirth that has been performed since the earliest.A method of injecting (artificial insemination) by injection (artificial insemination) of the client’s husband’s husband’s semen into the uterus of a third -party woman (agent).In this case, the child’s genetic mother becomes a proxy mother, and only her husband has a genetic connection between the requested couple and the child born.
　For the time being, only the "1-A" will be performed in the hospital for the time being, and only the "substitute childbirth" described below will only refer to "1-A" (otherwise will be a future issue).

In the case of satisfying all the following conditions below.

1.A married couple who is married and their wives are limited to those under 45 (usually, when women are 45 or older, they are close to pregnancy, and even if they give birth, the couple will be raised by the couple before they become adults.Due to high physical and economic risks to do).

2.The wife is limited to women with innate or acquired uterus (such as Lokitan Sky, Castonner Hauser Syndrome, and Women who have undergone uterine removal).Although there is a uterus, it is a challenge in the future that it is impossible to pregnancy or childbirth due to maternal disorders.

1.For the time being, a woman’s wife’s wife’s "real mother" is a woman up to around 60 years old (the age is slightly width depending on the health condition of the agency).The reason is that in the current situation where there are no laws and compensation systems, this can reduce trouble and stress.

2.A proxy mother does not require money or the right to the born child, but is a volunteer spirit, and it is a prerequisite that the client has not been compelled.

Before implementation, take care of the following matters and proceed carefully.

1.Doctors and coordinators make sufficient informed outlets (explanation, understanding and agreement) to the client, agent, mother, and family.In addition, we will explain the dangers and problems of the treatment (the possibility of a child with a disability, especially the effects on the body when the aged mother is old, etc.), and the response to the client, provider, and family.We request that you have enough discussions in advance.

2.The childbirth at our hospital will be implemented based on the trust and responsibility of the volunteer spirit of the agent’s volunteer and the couple who thank them.If a requested couple provides money to the agent, remain within the scope of necessary expenses (consultation and transportation expenses) and rewards.

After giving birth, you will take the following procedures.
1.The child born by a proxy giving birth once submits the birth notification as a child of the agent (parent of birth), and then adopts as a child of a requested couple (in the current civil law and precedents, the child’s mother is a "born woman", father.Is "the woman’s husband", so we have to take this kind of response now.

2.However, recently, there has been a case where the "special adoption system" has been applied instead of the "normal adoption system" according to the judgment of the court.In this case, the family register has the same description as a true child, such as the "eldest son" and "eldest daughter" of the requested couple, so it is difficult to understand that it is adopted, and it is treated as a real child.

* The guidelines shall be revised as appropriate if the ethics committee of the hospital acknowledges the need for a review based on the government’s legal development and changes in various situations.

Created on December 5, 1996
Revised on April 1, 2009
March 1, 2010 Partial revision

Under the various circumstances, we know that the family will be working together to give birth to a proxy child with strong intentions and wishes.
　However, there is no country’s law about childbirth, and there are many things to keep in mind when conducting discussions.
　Therefore, in conjunction with the "Delivery Guidelines", you can read this "knowledge of proxy childbirth", and your mother and daughter, the family who supports it, and the family who support it, each will determine that they will work on childbirth.Please check the responsibility, and even the trust relationship.We wish you a day when you can grow up with a new precious life with affection, and we will do our best as a medical institution.

1.Even in the modern age of medical care, pregnancy and childbirth are still in danger.Not only will you take care of your body with your behalf, but there are also severe risks such as miscarriage, ectopic pregnancy, rupture of uterus, amniotic blasting, and ordinary placental deaf peeling.Please be aware of it and check with your family to work on a proxy child (there can be situations that are inevitable even in normal pregnancy birth).

2.In the unlikely event that such a situation happens, it is natural to do our best to save both the life of both the agent and the fetus, but in the case of this hospital, the life of the agent’s mother is the highest priority.Please understand that it will be the case (we also give priority to the mother in normal pregnancy).

3. On top of that, assuming an inevitable situation (death, sequelae, etc.) in the agent, not only for the agent’s preparedness, but also for the family of the agent and the agent mother.Please discuss what kind of response will be made by the parties.

Four.If your child and wife are pregnant during pregnancy and your couple becomes impossible to pick up your child due to an accident, etc. (for example, death), please discuss what will be done between the parties and check them (artificial abortion surgery.If the accident is allowed to be less than 22 weeks of pregnancy, pregnancy will be interrupted, or if it is later, it will be given birth and the real mother’s family will be adopted, etc.)

Five.As it could be a normal pregnancy, the child born may be malformed, chromosome, cerebral pediatric paralysis, fetal death, etc.Please be aware of it and make sure you are going to give birth.

6.Currently, there is no national law nor a social support system for proxy childbirth, and at the moment it is possible to implement only the hospital and the party’s responsibility, at least as long as the treatment at our hospital.Please be aware of that.

7.In the current civil law and precedents, the mother of the child stipulates that the mother of the child is "the woman who gave birth" and the father is "the husband of the woman", and it is not assumed that children will be born in childbirth.
　Therefore, at this stage, the child born by a proxy birth at this hospital will send a birth notification as a child of the agency (parent of birth), and then adopt it as a child of a couple or try a special adoption.Please understand that it is unbearable (but I think it is necessary to amend the civil law that the couple who knows the child is the parent).

8.In the future, our hospital will continue to work on various efforts in the future, so that positive legislation will be developed, parent birth will be recognized in the country, and children who are born will be able to live a society that can live dignifiedly and happily.It is located.In order to deepen the understanding of the general public, we would like to volunteer, including interviews with the media, including all the disadvantages of the agent and childbirth treatment.。In such an opportunity, we will limit the support in the form of protecting privacy, and our hospital will be a window to take as much attention as possible.Thank you very much for each position as much as possible.

9.Finally, please swear the following:
　・ A couple and agent who requested a proxy childbirth not simply gave a person without a person, but thanked for the joy and the happiness that could be applied to the volunteer spirit, and was born.I will take responsibility for the happiness of the kid.In addition, we will work with sincere feelings without forgetting to thank all of "giving life".
　・ When I was able to understand the child born (4 to 5 years old), I talked about this fact, and both the parent (agent mother or her husband) and the real parent (requested couple).On the other hand, grow up so that you do not forget your gratitude.

These are the heartfelt requests from our hospital.
Please do not hesitate to tell the staff if you are concerns about treatment or questions about treatment.