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Lisa Belkin

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Are You My Mother? The Changing Norms of Adoption and Donation

Posted: 03/22/2012 7:42 am

"Open adoption" -- which was a new and upending concept just a few decades ago -- is now the norm within the US. Of the estimated 14,000 to 18,000 domestic infant adoptions each year, 55 percent are completely "open", meaning there is ongoing and direct contact between the birth family and the adoptive family, according to a report released this week by the Evan B. Donaldson Adoption Institute .

Another 40 percent are "mediated", meaning non-identifying letters and photos are exchanged using an adoption agency or an attorney as a go-between. Only the remaining five percent, therefore, are "closed" adoptions, where the birthmother surrenders all future contact.

This represents an evolution in adoption circles "From Secrecy and Stigma to Knowledge and Connections," as the report's title suggests. New thinking in the realms of genetics, psychology, sociology, and law all came to the conclusion that everyone is better off -- the child, the birth parents, the adoptive parents -- when there are fewer secrets.

But change is a haphazard, inconsistent thing, and near-assumption in the whole of the adoption world that children have a right to know where they came from has not gained the same toehold in the other processes by which children find parents. Most states still have laws that protect the identity of sperm donors from offspring who want to find them. Egg donors too are generally anonymous.

Should they be?

Elizabeth Marquardt thinks not. A fellow at the Center for Marriage and Families at the Institute for American Values, a controversial think tank centered around the idea that families with a mother and a father are best for children and society, Marquardt's specialty is the study of assisted reproduction, specifically the effects of egg and sperm donation on the children who are conceived.

One much talked about report of hers was "My Daddy's Name is Donor: A New Study of Young Adults Conceived Through Sperm Donation" which concludes:

...on average, young adults conceived through sperm donation are hurting more, are more confused, and feel more isolated from their families. They fare worse than their peers raised by biological parents on important outcomes such as depression, delinquency and substance abuse. Nearly two-thirds agree, "My sperm donor is half of who I am."

And just last month, Marquardt wrote an article in the Atlantic, titled "Do Mothers Matter", which turned her lens on the children conceived using egg donors and womb surrogates. Wouldn't they have the same questions and rights as adoptees, or children conceived with donated sperm? she asked. Or, more bluntly: aren't parents who go through the process of hiring an egg and/or womb donor essentially "helping themselves to other people's children?" If full disclosure is expected for a child who was adopted after conception, why is that not the norm for children who are, in effect, conceived with the intention that they will be "adopted?" Add in the reality, Marquardt points out, that many children conceived using gamete donors are born to single or same sex parents, and you find yourself wrestling with the additional question of whether it is right to conceive a child who will never have a mother (when donor eggs are used) or a father (donor sperm.)

A swath of parenting bloggers decisively disagreed with the idea that these donors have any of the rights or responsibilities of parents. "To imply that a biological mother is somehow more important than the mother or father who is actually changing your diapers, reading you bedtime stories, and offering you unconditional love is absolutely ridiculous," writes April Peveteaux over at The Stir.

Agreed blogger Sierra, on Babble:

I find Marquardt's framing of this issue as one of children "conceived never to know their mothers" patently offensive. If I chose to donate eggs or carry a surrogate pregnancy, I wouldn't be the mother of that child. The child's parents would be the people who raised and nurtured her, who got up in the night to care for her when she had a nightmare and struggled with her homework night after night. It's not the birth that makes me a mom, and it certainly isn't the ability to produce a healthy egg. It's everything that comes after.

But isn't that the same argument in favor of closed adoption for all these years? That it is not the genetics, but the actual parenting, that makes a parent? And haven't the decades taught us that it is, in fact, a mixture of both? Yes, adoptive parents are the child's parents. But biological parents are not secrets to be buried, but building blocks to be embraced.

It should follow then, that the next new norm would be open donation, in the paradigm of open adoption. The technology makes this seem new, but it is really a lesson that's already been learned. More knowledge, more understanding, more communication...these things don't weaken the ties between parent and child. They strengthen those bonds instead.

 
 
 
"Open adoption" -- which was a new and upending concept just a few decades ago -- is now the norm within the US. Of the estimated 14,000 to 18,000 domestic infant adoptions each year, 55 percent are c...
"Open adoption" -- which was a new and upending concept just a few decades ago -- is now the norm within the US. Of the estimated 14,000 to 18,000 domestic infant adoptions each year, 55 percent are c...
 
 
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geauxangel
01:49 AM on 04/13/2012
What about children conceived through rape, or one night stands? Those children will never know their fathers, and yet these chiildren must somehow make it through because there are no records to go back and check to find out who the "donor" is...Forcing sperm?egg donors to reveal their info for their future offspring will only cause great reductions in people willing to donate. Yes, we are our genetics plus our raising, but never knowing your genetic mother or father doesn't mean you are doomed to a life of addiction and depression...ultimately, your life will be what you make it...
11:57 AM on 04/25/2012
As a product of a "one night stand," I can tell you that you are mistaken. Learning the circumstances of my conception did not change the fact that much of my personality, talents, weaknesses and mannerisms did NOT come from those loving parents who raised me. Yes, I did struggle through addiction and depression and overcame those rites of passage so common in the adopted community. Finally finding where my traits and tendencies came from, finding siblings who shared my temperament and beliefs has meant a closure to never feeling connected to those around me on a deep human level.

Most civilized nations have banned anonymous gamete donation; only the US continues to regard genetics as a business model with ample supply and demand dictating the morality or lack therof. It is time that we consider the children produced by assisted reproduction not as property manufactured to fulfill adult needs for parenting, but as human beings who have the same rights to know their origins as every other person.

If that strikes some here as being unsensitive to their unresolved need to have offspring, consider that to those of us who were denied knowledge of who we are and where we fit into the fabric of humanity consider it insensitive to hide our origins.

I personally know several adopted adults who are products of rape; they bear no shame and share the desire to know the truth and resent those who tried to hide it.
07:29 PM on 03/23/2012
What I don’t understand Elizabeth is how can you even think for two seconds that somehow my son’s egg donor – genetic parent – genetic mother, whatever you want to call her is even remotely more important than myself? I mean come on, you are a mother yourself think about all you do for your child. Well guess what? I do the same. I care for my child, raise him in a loving and stable home, prepare him for the world, provide him a spiritual education, provide food, clothes, a roof, and offer him unconditional love.

Are kids conceived via egg donation going to have questions? Of course they will. It’s human nature. Some are going to care about this more than others.

Personally, I feel strongly that how a child is conceived has nothing to do with how they are going to “turn out” or grow up as adults. It’s what happens after they are born.

So let me ask you Elizabeth, after reading all of this, and being a mother yourself, do you really think kids conceived via egg donation or embryo donation are going to miss their egg donor or to take it a step further their genetic parent?

Marna Gatlin
Founder, Parents Via Egg Donation
05:06 PM on 03/23/2012
Basically, we should ask ourselves... Do adults have a right to children? OTHER people's children? Or do children have a right to THEIR parents?
Adoption is an institution that finds homes for children who were unlucky enough to have to be separated from their real families.

"Donation" (for money?) is a market to provide children for adults who want them.

That is wrong. That is immoral. That is a form of human trafficking where people are bought/sold and traded.

I say this as one of them.
07:34 PM on 03/23/2012
Alana - I would invite you to sit down with my son sometime. My son who we couldn't have brought into this world without the loving generosity of our egg donor. Our egg donor who was so very happy to help we his parents bring him into the world because I am infertile. The same little boy who at age two came to me and said 'Momma I picked you'. He will tell you he's incredibly happy, he loves his Mom and his Dad and he leads an amazing life. One filled with love, honor, respect and adventure! He wouldn't trade places with any other kid on the planet. I am sorry you feel the way that you do I really am, however, not all kids born via egg donation or sperm donation feel the same way. There's tons of kids born via this process who are really really happy to be alive and their donors are happy to have helped.
02:26 PM on 03/24/2012
I find mothers via egg donation to be very defensive of their position as the child's "real" parent. I think the insecurities surrounding motherhood-via-egg donation make it profoundly difficult for the children conceived to be open and honest about their curiosity about their genetic mother. They don't want to offend or upset their highly sensitive social mothers and end up living their lives in isolation and lonely curiosity because they don't want to hurt social mom's feelings.

Just because we're nice and love you to your face doesn't mean we're not profoundly hurt by what you did.
03:18 PM on 03/24/2012
Hi I volunteer to reunite separated families many of which were separated by gamete donation. There are some things you may not have considered and you seem like a very caring and loving person so what I'm saying is only food for thought.

Donor offspring eventually come to understand the scientific definition of parent as being the source, cause or origin of something else. They also come to understand that in general we are responsible for dealing with the outcome of things that we cause and they will come to understand that most people take responsibility for raising the offspring they create or they relinquish their responsibility in a court approved transfer of parental rights. They will come to understand that court process as a way of protecting the the parents and adoptive parents from coercion and the child from being bought into or out of their genetic family. It will be difficult to understand why their genetic parent was not also made to follow this protective process. It will be difficult to understand how their genetic parent would want to help a total stranger by giving them their genetic child when they probably would not give a stranger the keys to their car for an hour and would give more care and consideration to finding their neighbor's child a baby sitter than they did finding a caregiver for 18 years of their offspring's life.
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geauxangel
01:51 AM on 04/13/2012
Not everyone donates "for the money"...sisters donate to sisters, best friends to best friends...they do it out of love...not everyone in this world is a money hungry parasite that will do anything, no matter how heinous, if the money is right...
04:45 PM on 03/23/2012
Sierra speaks as a Parent: "If I chose to donate eggs or carry a surrogate pregnancy, I wouldn't be the mother of that child. The child's parents would be the people who raised and nurtured her." And Sierra speaks from an Either/Or paradigm. Either THIS one is the mother or THAT one is.

A Child, however, is better served by an And paradigm, the opportunity to integrate all her parts into her identity. Else the parents -- by adoption or by donation -- split the baby. A person whose identity has two parts, that of biology and that of biography, should not have to have pieces of herself hidden because of Either/Or thinking.

"More knowledge, more understanding, more communication...these things don't weaken the ties between parent and child. They strengthen those bonds instead." Hear, hear.

(I am a mom to two via open adoption and the author of the upcoming book, The Open-Hearted Way to Open Adoption.)

Lori Lavender Luz
04:20 PM on 03/23/2012
Dear Ms. Belkin,

You raise some very interesting points. As you may be aware, in Canada, the British Columbia Court of Appeal heard a case brought by Ms. Olivia Pratten about the right, if any, of donor-conceived people to know identifying information about the donor.

Canadian and American views regarding assisted reproductive technologies differ in many ways, one of which is as follows: in Canada, there is no such thing as embryo adoption, only embryo donation. While open donor agreements do exist and perhaps should exist, I do not equivocate gamete or embryo donation with adoption. Adoption may be our closest experience thusfar to gamete or embryo, but recipients of gamete donors are not "helping themselves to other people's children" as alleged by Marquardt; rather, gamete donors are helping parents conceive their children.

Sara R. Cohen
Fertility Law Canada at Raviele Vaccaro LLP
www.fertilitylawcanada.com
twitter @fertilitylaw
facebook www.facebook.com/FertilityLawCanada
07:39 PM on 03/23/2012
Hi Sara - I too don't ascribe to or believe in embryo adoption -- it's just not possible and there is no such thing. Embryo donation is the correct term and one I use daily. I feel that all embryo donations as well as egg donations should be open. We should follow the adoption module and take the big scary out of it. Adoption is our closest experience to gamete or embryo donation and no I do not agree with Ms. Marquardt that being the recipients of gametes is in any way helping ourselves to other peoples children. Those who donate embryos are doing a very very lovely and beautiful thing.

Marna Gatlin
Founder, Parents Via Egg Donation
12:24 PM on 03/25/2012
Thanks Marna! It sounds like our views are very similar. I also think embryo donation is special and hope that its use increases as people become more comfortable with the idea.

I would love to learn more about PVED.

Sara R. Cohen
Fertility Law Canada at Raviele Vaccaro LLP
04:27 AM on 03/27/2012
Hi PVED
I have a question. Do you think we will see gamete donation really move toward an adoption module? I hope your barometer is right because as I said I help parents find their kids given up through gamete donation and vice versa I know that the people I'm currently helping would be thrilled if the doctor that handled the procedures would just be good sports and let them see their files and get each other's names.

Do you think it should be or is going to be a requirement in order to participate as either a donor or a consumer? Or do you think it should be more of a voluntary thing left up to the people purchasing the gametes the way openness is left up to the people who want to adopt. It is really common to have open adoptions now but it is not legally enforceable I think the parents are really at the mercy of the adoptive parents as they do secure full parental authority when the adoption is finalized
12:09 AM on 03/26/2012
Ms Cohen I have a question about your last sentence where you say that gamete donors help parents conceive their children.

If parenthood does not turn on reproduction but rather on the daily grind of nurturing, then why would you say an infertile female and/or a sterile male "conceive their children" together? Did you mean to say healthy individuals conceive children with donors? It just struck me as an odd statement because if they could conceive children together, they would not need someone else to give up rights to their offspring in order to become parents; they'd just make their own offspring and call it a day.

If the people we call donors have no claim to parenthood for lack of nurturing, shouldn't the people we call parents have no claim to conception for lack of reproduction?
11:11 AM on 03/26/2012
Hello Marilynn,

Thank you for your comment. I don't mind when people disagree with me - I think these are important conversations we are having, and I'm glad we are having them!

I used the term "conceive their children" because with gamete donation, the intended parents are arranging for the egg to be fertilized with the sperm whereas with embryo donation, this fertilization process has already occurred prior to the involvement of the intended parents. However, my point wasn't about conception really - I wouldn't take issue if you instead used the term "have their children" instead.

In Ontario, the jurisdiction in which I reside, we do not have legislation that requires gamete donors to give up their rights to children born from their donated gametes. Gamete donors often do give up their rights and obligations by contract, but alternatively, there are situations where Ontario courts have found that children concieved by donor offspring can have more than 2 parents where two intended parents and a donor have been involved in the child's life and act as a parent.

I don't believe in one size fits all families.
03:54 PM on 03/23/2012
my 'new' sister who I just learned about will never know her birth father, the birth certificate states "If mother is unwed, DO NOT FILL IN THE FATHER'S NAME" OMG can you believe that!??? Everything was to protect the man. But we know her now and we're having BLAST!!!
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geauxangel
01:56 AM on 04/13/2012
I am glad it worked out for you...but not every person who goes looking for their genetic parents is gonna like what the find when the get there...it's not always a beautiful thing when a "donor" or birth parent opens the door to their "child"....sometimes they get the door slammed in their face..
11:48 AM on 03/23/2012
We're stepping on slippery stones when we shut humans off from their genetic origins. To wit:
http://abcnews.go.com/Health/sperm-donors-24-children-told-fatal-illness-medical/story?id=14115344#.T2yZkXggq-x
09:37 AM on 03/23/2012
Last summer I wrote to you about my ambivalence about my experience as an anonymous egg donor in 1996. I have since been in contact with the fertility center and after they retrieved records from warehouse storage I learned that my donation was one of the first at that center and that it resulted in the birth of a healthy baby boy. I was able to update their records so that the donor recipient parents or their child could contact me through a third party should they ever wish to. Simply knowing the outcome of the donation and that they can now easily find me if they want to know anything further about the child's genetic origins changed my perspective on the donation and eased my lingering worries. I can now say with absolute certainty that I am proud to have been an egg donor.
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Lisa Belkin
Life/Work/Family/Coffee
10:44 AM on 03/23/2012
That was a wonderful piece, Ruth: http://parenting.blogs.nytimes.com/2011/07/22/an-egg-donor-responds/
10:20 PM on 04/23/2012
Thanks for posting this. It's such a thoughtful piece, and includes several good links. I recommend it to anyone involved in egg donation in any way.

One thing I was disappointed to read was that there's research suggesting that donors tend to be forgotten after they've provided their gift. As a recipient of donor eggs, I can confidently say that I will think of my donor and her generosity often, even if I don't have a child as a result of the donation.
07:41 PM on 03/23/2012
Rragan - As a mother via egg donation I just want to take a moment and thank you for doing one of the most loving and generous acts you could ever do. You have changed a families life forever by donating one cell from your body. I hope we can meet our egg donor one day. Your post made me smile.

Warmly,

Marna Gatlin
Founder
Parents Via Egg Donation
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frnd74
08:28 PM on 03/22/2012
As an adoptive mother in a completely open adoption, I agree 100% with identity disclosure in gamete donation. Using "research" from a right-wing think tank is not the way to go on this. Their "research" finding that children conceived using donor sperm are worse off on a number of measures is simply propaganda to further the cause of every-child-needs-one-father-and-one-mother. They could never be trusted to produce research based on good science because they have an agenda. Fairly surprised that HP would back an article using this source to justify a position.
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Lisa Belkin
Life/Work/Family/Coffee
08:33 AM on 03/23/2012
Just because they are conservative doesn't always mean they are wrong, frnd74 :)
I fiercely disagree with anyone -- and yes, the Center is among them --  who would take data like this and conclude that donation should not be permitted because it allows the creation of families with same sex or single parents. That , in my opinion, is an illogical misinterpretation and misuse of the data. A logical conclusion, though, would be that children have the right to know their own story. Because the piece of Marquandt's argument -- that children conceived with donors often (though not always) wonder, and feel unmoored by not knowing -- is hardly unique to her. Most studies of children of donors find the same thing.

That said, your question makes me see that I should have gone into this more in the post itself. Thank you.
05:13 PM on 03/23/2012
The problem here is not with the data, Lisa, it's with the framing of the data. You reprinted Marquart's words as follows:

"on average, young adults conceived through sperm donation are hurting more, are more confused, and feel more isolated from their families. They fare worse than their peers raised by biological parents on important outcomes such as depression, delinquency and substance abuse. Nearly two-thirds agree, "My sperm donor is half of who I am."

Rather than simply stating the facts about what they found, this language puts a very direct value judgement on what these children and what are feeling (they are "hurting more"; they are "doing worse than their peers"); there is nothing objective about the language used here -- it is purely subjective. And to reiterate this starkly conservative framing -- from researchers, as you point out, that have a very keen interest in limiting the rights of same sex and single parents -- is truly destructive. The Right does well enough spreading their awful frames around the world; they really don't need our help doing it.

That said, I do believe that all children have the right to know their origins, whether adopted, or conceived through sperm or egg donation. So I'm totally in your corner on the central point here -- I just wish you'd not tried to validate the Institute for American Values in making it.
07:42 PM on 03/23/2012
Not of egg donors Lisa. You should read the studies.
06:50 PM on 03/24/2012
Be sure that all research is funded by someone with an agenda. I have read the entire study over and over again and I'll agree that where the report goes off the rails is in saying that donor offspring are "more likely" to do this or that. I'd like them to take the same study and publish a report that sticks to the stuff which cannot be argued by anyone. I'm sure its true that they found more drug abuse in that group than in the other groups but there is no telling what other things might have influenced that particular group; drug abuse can be genetic and those people don't know anything about half their family it could run in the family or it could be that the family that raised them had problems with drugs - its not possible to say one caused the other. However that report only has a hand full of those mental leaps in it. I'd say 95 percent of the rest of the conclusions can be directly tied to being donor offspring like greater fears of unintentional incest - there is no other reason for them to have those fears than knowing that they have no idea who half their relatives are.
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frnd74
02:37 PM on 03/25/2012
Do you have a post-graduate degree or are you in some other way familiar with how to critically evaluate scientific literature? Are you well-read or familiar with issues around closed versus open adoption (if we're going to attribute "research" findings to fears, this is probably the closest comparison to individuals who were born of gamete donation)? If not, you're likely as informed as the folks doing the quoted research.
07:58 PM on 03/22/2012
I totally agree that donor egg and donor sperm should be a lot more open in regards to information available to any children that result. But I don't see that happening. Unlike adoption, where one day you are childfree and the next holding a baby or toddler, pregnancies are more gradual and private affairs. Every woman I know who has used donor eggs kept that information very close. As for me, I deliberately chose open domestic adoption over international because I strongly believe my kids have a right to know where they came from. It has been a challenging, messy, and ultimately rewarding path, especially since we have both medical records and ongoing relationships with birthfamilies. But when it came to the whole 'openness thing', it was never about what I was comfortable with; it is what is best for my kid. Everyone has a right to know their origins.