The Use of Prebirth Parentage Orders in Surrogacy Proceedings 637
child. In these cases, the birth mother’s name will normally and automat-
ically go on the child’s original birth record pursuant to hospital and state
birth record procedures. If the birth mother in this situation is married, her
husband’s name will also normally and automatically go on the child’s
original birth record.
9
Thus, when women use only sperm donors and/or
egg donors to have children and give birth themselves, their children’s
birth records are typically in accord with the parties’ intent and do not
have to be amended.
10
As a result, the intended parents often do not par-
ticipate in any legal proceeding, either before or after the birth of the
child, to affirm their parentage or settle potentially competing parental
rights to the child.
11
For a woman who lacks a viable uterus or for a single man or gay
couple, the only avenue available to them to have a child is the use of a
surrogate carrier to gestate and deliver a child. When a surrogate is used,
9. See, e.g., IOWA CODE ANN. § 144.13 (West 1999).
10. In cases of lesbian couples, it is often only the birth mother who is listed on the origi-
nal birth record, and the couple will need an additional proceeding, typically a second-parent
adoption, to have the nonbiological mother’s name placed on the birth certificate.
11. The fact that most intended parents having children through third-party reproduction
where the intended mother actually gives birth to the child do not go through legal proceedings
to formalize their parentage status does not mean that they should not do so. Some such pro-
ceedings are rendered unnecessary by express statutes governing such procedures that serve to
legally establish or sever the parental relationships of the participating parties, such as sperm
donation statutes that are in effect in virtually all states. See, e.g., C
OLO. REV. STAT. ANN. § 19-
4-106 (West 2003). Typically, these statutes state that parents who use sperm donated by a man
other than the husband under certain specified circumstances (e.g., a married couple, under the
supervision of a licensed physician, with the written consent of the husband joined in by the
wife, etc.) are the legal parents of the child upon its birth, whereas the sperm donor is not. These
statutes serve to automatically establish the legal parentage of the intended parents and terminate
any parental rights that the donor (whether known or anonymous) could otherwise claim based
on genetic relationship. These statutes make the determination of parentage in such situations
simple, clear, and inexpensive since no additional legal proceedings are necessary to effect resolu-
tion of the parentage issues. Unfortunately, there are only three states that have similar provisions
for the use of egg donors, and such statutes do not apply to the many people who do not fit within
or comply with the statutory requirements (e.g., unmarried persons, persons who inseminate
without the assistance of a licensed physician, persons who fail to sign or join in the necessary
consents, etc.). F
LA. STAT ANN. §§ 742.11(a), 742.14 (West 1993); OKLA. STAT. ANN. tit. 10, §§
554-555 (West 1990); V
A. CODE ANN. §§ 20-156, 20-158 (Michie 2000). Therefore, in these
cases in which the statutes do not apply, the donors of sperm or eggs may retain the legal right
to assert paternity/maternity rights over the children born using their gametes based on their
genetic relationship to the child pursuant to the provisions of the applicable paternity/maternity
statutes in the relevant jurisdiction. These rights continue unless and until there is a legal pro-
ceeding initiated and completed to formally address establishment and severance of parental
rights among the participating parties. Simply because donors in such cases (particularly anony-
mous donors) may be unlikely to try to establish parental rights to the child does not mean that
they cannot legally do so. Whether legal proceedings to formally determine the rights of the var-
ious parties and prevent such claims are conducted in these circumstances depends on the
informed choice and risk-tolerance of the intended parents, and they should be appropriately
advised regarding these legal issues as part of the third-party-reproduction process.