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Medico legal and ethical aspects of surrogacy; A case report of a tragic maternal death from Sri Lanka

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dc.contributor.author Kitulwatte, I.D.G.
dc.contributor.author Gangahawatte, S.
dc.contributor.author Perera, U.L.M.S.
dc.contributor.author Edirisinghe, P.A.S.
dc.date.accessioned 2022-09-07T08:55:13Z
dc.date.available 2022-09-07T08:55:13Z
dc.date.issued 2022
dc.identifier.citation Journal of Forensic and Legal Medicine.2022;91:102425 [Epub 2022 Aug 28.] en_US
dc.identifier.issn 1752-928X (Print)
dc.identifier.issn 1878-7487 (Electronic)
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/25230
dc.description Indexed in MEDLINE. en
dc.description.abstract A case report from Sri Lanka on surrogacy leading to a tragic maternal death; medico-legal and ethical aspects. Surrogacy, with multiple ethical and legal issues associated with it, is practised worldwide. Although regulations are not available in Sri Lanka, we report a woman who had a tragic death as a complication of surrogate pregnancy. The body of a young mother with four living children was brought for autopsy examination. According to the documents provided, there was a controversy about the deceased’s identity. A woman volunteered to show a pillow trapped in her abdomen, simulating a pregnancy. By surrogacy, her husband’s sperm were inseminated in this woman’s uterus artificially according to a contract. She was diagnosed and managed for pregnancy-induced hypertension in the second trimester. At 36 weeks of gestation, she was admitted to the hospital in labour. On admission, she was icteric with elevated blood pressure. A cesarean section delivered a baby, and it was noted that she had an abruption of the placenta. She developed a postpartum haemorrhage following delivery, and resuscitation failed, resulting in her death. She had elevated liver enzymes and low serum proteins before death. Autopsy findings included intense icterus, congested lungs, global ischemic changes in the myocardium, pale kidneys and fatty soft yellow liver. This case discusses many unanticipated legal and ethical issues related to surrogate pregnancy, especially in a lack of regulations regarding the practice and relatively cheap medical expenses. en_US
dc.language.iso en en_US
dc.publisher Elsevier Ltd en_US
dc.subject Surrogacy en_US
dc.subject Fatty liver en_US
dc.subject Maternal death en_US
dc.subject Ethics en_US
dc.title Medico legal and ethical aspects of surrogacy; A case report of a tragic maternal death from Sri Lanka en_US
dc.type Case Report en_US


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