Hous. J. 240 HEALTH L. & PoL'Y impose this duty do so with complete disregard for a legislatively and professionally established standard of care.416 Relying instead on unpersuasive and unsuitable theories, courts are effectively denying pharmacists their rightful professional status when upholding the no duty to _w arn rule. Moreover, due to growing prescription use, increasing drug errors, and mounting health care costs, public policy dictates that pharmacists use their expanded roles and knowledge to full potential.417 This requires pharmacists to be held accountable for failing to warn patients about potential adverse drug events.41B Theoretically, the expansion of pharmacists' liability is a step in the right direction, recognizing the professional status of pharmacists and leading to better patient care and drug therapy outcomes. Unfortunately, however, current working conditions have forced pharmacists to take a step back from quality patient care activities, negating any positive effects expanding liability might bring. As pharmacists struggle under high dispensing volumes and exhausting work conditions, little time is left to meet even the bare minimum in patient care requirements.419 As a result, pharmacists have resorted to utilizing unsafe and inadequate methods in order to meet workplace demands and simultaneously avoid any liability to fulfill their duties. 420 Thus, although the no duty to warn rule is no longer compatible with the contemporary pharmacy profession, any increase in liability without a corresponding decrease in other workplace demands can have dangerous consequences. It remains to be seen whether the pharmacy profession will be able to find the proper means to successfully remove itself from such a precariou.& position. 416 See Omnibus Budget Reconciliation Act of 1990, 42 U.S.C. § 1396r-8 (mandating that the minimum standard of care for pharmacists requires that pharmacists perform drug utilization reviews and patient counseling). 417 See generally THE PHARMACIST WORKFORCE, supra note 1, at 33 (discussing the increa.Be'll importance and expanded role of pharmacists as medicine becomes more complex, the risk for errors increases, and cost constraints intensify). 4 18 See Gonzalez, supra note 49, at 53, 76 (noting that the complexity of current drug therap)l~ combined with the OBRA mandates and various state statutes, creates an enviro~in which pharmacists must warn patients about the potential risks of drug therapy). 419 See Ukens, New York, supra note 290, at 39 (suggesting that pharmacists' workloads requifl! that they perform only their basic duties, often omitting higher-level functions such as patient counseling). 420 See Smith & Arbon, supra note 327, at 67. 2 Hous. J. HEALTH L & Copyright © 2002 Raeh Po~'y 241-295 Houston Journal el Polinger-Hyman ISSN 1534-7907 of Health Law & Policy , 241 ": 1 ERECTING WOMEN: CONTRACTING To DrvoRcE pARENTENHooo FRoM . M ARRIAGE Rachel Polinger-H.Yman The sex impul turned it to accoun se was dangerous to the Party parenthood Thefi t: They had played a similar tri , a~d the Party had were encou~a ed ~mzly could not actually be abo/is:/ wzth ~he instinct of 0 1 ':f:e)(· The t'/;!/hildren in 0 !e z: parents and taught to s , were systematically turned .e famtly had become in effi py on them and report thei d . . agaznst device by means of h. ect an extension of the Thou h r ev_zatzons. The informers who len whz.ch e:veryone could be surroundgd t !'olzce. It was a ew zm mtzmately.I e nzght and day by chil~~en, £~n~%~ alm~~:~%~ ~~{:;[;~o,:'~ -George Orwell, 1984 lNTRooucrioN The disposition of fr presents an o o . ozen embryos in divor modates advJ!e::mty ~o explore how our judicial proceedings m assisted reproducti t hn ystem accomtractual fr eedoms 2 R ve ec olooies 'th reproducti . ecent case law d o~ WI con. ve technology give rise to ethi an advancements in F' 1 G cal and moral dilemmas C: EOR.GE ()R,WEL 19 L, 84 at Ill (N (Writing about an~ ew Am. Library of World L't human spirit Orw 11 ent future of COITUption .,...,~~: ul ~ erature, Inc. 1961) (1949) ' e created a 1an ' ~ .....up ation d th _guage called "doublethink" in ~ an e death of the the power of holding and a ~cepting two contradictory b 1i f: • novel). Doublethink is ousJy; it requires both tr 1 conscrous and e e s m one's . d ans ates well into th . unconscious thought Th nun simultanee_ reproductive arena where the . h . e concept of doublethink avoid procreation is that in th co-eJast. A significant and chillin ng t to procreate and the right t e year 1984 the g aspect of Orwell• . . o Orwell's negative . ' government would mo . s VlSion of the future pens when T..di 'dutolspla Was a profound conunentaryrutortheve.ry aspect of human llie ~· V1 ua no 1 h on e ramif:i . · consensual relationships· onger ave the ability to create and c~tio~ of what hapbe free from ov , co~quently, the right to mamtain intimate and 2 See Judi g enunental mterference. ld. many and procreate would no Io er th F. Daar, Assisted ~. ng an Equality Model top ·~r,oducttve Tech1UJ/ogies and t Plaining that each rotect Reproductive Liberties, 25 AM Jh~ Pregnancy Process: Developing SOcial issues). new development in reproductive t~~1: MED.' 45~, 456 (1999) (exgy will }'Ield complicated Hous. J. HEALTH L. & PoL'Y 242 POLINGER-HYMAN . d finition of fami1Y values, structure, and legal ~~aree . 243 10 ing in this particular market. In the practice of reproductive medicine, patients are able to contract with their partners regarding the disposition and control of their embryos. 11 To date, courts have adopted a public policy position and are lypically unwilling to enthese reproductive contracts between in vitro fertilization force couples. 12 (IVF) 3 respons1'b'liti 1 es. has served as a maJO • r contnbTraditionally, the poli~cal are~~al notions of family.4 Political t in shaping and reflecting soCied . g homosexuality to apu or d from con emrun . h ggest ide the home; each of t ese su . h suggestions f have range ou s · ty proving o working mothers an ideological view of a sOCle s that e1t er lions has encompassed It rnative notion of family. . supported or criticized an a ~ .cal family is now a vision that 1S The traditional nuclear, bwlogr lationships, and out-ofn· same-sex re h constantly morplring.' 1~orc~f recent social phenomena that a~e wedlock births are .e~mp es . structure? These social changes, rn challenged the trad1ti~nal famil!ments in reproductive technol~gy, Om bination W1th rapid advan tal meaning of parenthood. care also transfomung . the fundamen . the high-tech field of f erti'lity Recent developments . m c o reserve embryos and sk>re edicine, particularly the ~bdity to ry kxing questions regardrng :em indefinitely, have tr1ggere.; practices within ferpost-divorce rights of ow;ers~pdesires of those actively partic1pattility field reflect the nee s an ~=ent th~ . 21 J. LEGALos MED. latin Reproductive Technologtes, 28 . Andr s & Nanette Elster, Regu . g d the Disposition of Frozen Embry .'. ' Lon B. ut Noto. '" >hould give Jom! 35, 46 (2000); :; ....) (•dvanciDg that N'; Yo:kh':v:': priM mntrru-tual HoFSTRA . . L.alREV. disposition custody, to divorem·g parties when they o no agreement). •w '~ ':;';~~ D~m '"Munay, "''"' nore 6, •t 52-53 (d""on.tr•ting how """ket ""logi.., n• utilizod m'"'sions regarding reproductive technology and its effect on families). n S NEw WAYS OF MA!<mG BABIES. art in deciding how women are . 1996) (noting that politics also pla~o::tion, embryo donation, or surrogacy). . rod . . uctive services such as egg d'ti' nal nuclear, biological family . tha t th• tr• 'Tho as H Murray, New Reprora note 3, at 47 (noting 6 Andrews & Elster, sup d their children); see also om . . HE CAsE OF EcG consisted of a mother, fathhee~ anz'Zy in NEw WAYS OF MA!<mG BABIES. T h I ·es and t ram ' '""""" T.x no og> thi B Colum 00., 1996). A""'t DoNATION 52, 54-55 (Cyn a . . Sowle Cahill, Moral Concerns ra note 3, at 48; see also Lisa BIES' THE CASE OF EGG Do7 Andrews & Elster, sup . zn . NEw WAYS OF MAKING BA . th gh family struc. natzon, . ou Institutionalzzed DBo C 0 hen ed. 1996) (commenting that. evenhl emains constant). 74 t-child relations P r ' NATION ' 76 (Cynthia · •., f"""" ... b ...... tures are changing due to socr ' . that parenthood may be defined y 3 t 47-48 (noting ") & Elster, supra note 'a b' tion of these factors. · • Andrewo . . m """" ma , tation genetics, intention, rearmg, A Div. 2000) (holding that a o n16 (N J Super. Ct. PP· ' . ulating' that .:.-11 co · · contract was unenforceable, 9h See J.B. v. M. B., 751 A. .2d. 613,f 6rtlization IVF ('stip vitro fertiliza...,.,. usband and wife's m VItro e uld be relinquished to an m hi 0 f embryos wo trol and owners P . dissolve). · program should therr marnage rep Gamet~ p~n ~ S~ [.B., 751 A.2d " 615 (citing • boZOn ombryo Wspooltion contnd, Which "'"" that, "The control and disposition of the embryos belongs to the Patient and her Partner ... [who) be osked toembryos."). ''"'cute "" •H•cbed ''"" ""tement "ll>'dlng mntml '""' tion ofwill cryopreserved P Andrews & Elster, su ra note 3, at 46. . f "family" will necessarily imply . re 'd t 46-47 (noting that each poli. " fonnul•twn o difi tion' m tic cklin What is Wrong with Commo z ca .~ 'SIT • · a . ., •)· = ,,., Ruth M• ' (Cynt!Ua B. Colum ., diffurent fumily V u• ' . TH>; C... 0' EGG IloNAnoN 106 comp"""'ted fm 4 This Commentary assesses the courts' rejection of contracts in the frozen embryo setting. Part I of this commentary provides a background into the IVF and cryopreservation process. Part II briefly discusses the early days of IVF and the advances in medical technology that have contributed to this new legal area of dispute. Part ill introduces the different approaches courts have adopted regarding the disposition of frozen embryos in divorce situations; the "right to life", "property", and "deserving special respect" views are analyzed within the semina] cases of Davis v. Davis,u Kass v. Kass," J.B. v. M.B.," and A.Z. v. B.Z. 16 Part IV argues that the influentia] decisions arising from these embryo disposition cases demonstrates an increasing gap between biological reality and legal dicta. 17 Part V attempts to harmonize ideas of reproductive freedom with the prac- n into fd. •tparenthood). 619-20 (n,.<olviDg tha~ M • d~po,;. nmu.. of public poll')', Individual, •hould not be forrOO " 842 s. W2d 588 (T<=. 1992) (8'Mting Juruo, O.vls =tody of m., '""' m., ox-w;re·, frozen embryos because she was intent on implanting the embryos outside of Wedlock). "696 N.E.2d 174 (N.Y. 1988) (upholding "" Ka.. • mntncturu '"'''""'"t which pmvidOO that their frozen embryos Would be donated to an IVF program upon divorce). "751 A.2d •t 613 ('"i"""g'" In vitro'""""" which would donate th• """"' fertilization clinic should the parents divorce). •w to • "725 N.E. 2d 1051 (M.,. 2000) (•trlldng • con"""t whicl, WOUld enabk '"OX-wik to Un- plant be, Md he.. "'-hu..b,.d'• frozen ombryoo wen when ""ox-hu,b.nd did not wW. to be a parent). a.._,.""'" """""In' "S., note 1, •t 10 (conten.pJating writing • diruy, note;, "How could you communicate with the future? It was of its nature impossible. Either the future Would resemble the present, in which case it would not listen to him, or it would be different from it, and his predicament would be meaningless."). This quote adequately reflects the =t '"""'of "'P'Oductlv, ""'""logy, whe.., th• l•w OOMtMtly ·-pb to OC- COmtnodate biological advances, only to find itself reassessing precedent in order to ad" -ruov pmbkms. In thi, new ""'ld of "'J>mduction, "" future will nevff re"'mbk the present. Should the law fail to adjust to this rapid technological pace, legal dicta will become meaningless since it will not be able to accurately guide the changing times. Id. Hous. J. HEALTH L. & PoL'Y 244 POUNGER-HYMAN ticality of enforcing written agreements between couples involved in artificial reproductive technologies. Part VI tests the validity of dispositional agreements by deconstructing an informed consent IVF contract. In sum, this comment criticizes how courts have severely departed from their historically protective stance towards procreative freedom by refusing to enforce IVF reproductive contracts. 18 I. BACKGROUND A. The IVF Process Before analyzing the legal and political ramifications of contracting for parenthood, it is important to understand the purpose of IVF and the procedures involved. 19 IVF provides infertile couples an opportunity to conceive their own children.20 Infertility, however, should not be confused with sterility.21 The medically accepted definition of infertility is the inability to conceive after one year of intercourse without contraception.22 Usually, infertility, unlike ste- 245 rility, is merely a result of . . conceive.23 Impatience rather than The lVF procedure requires the s . . produce multiple eggs whi h th timulation of the ovaries to ' b ' c are en fertiliz d mans ody in a petri dish.24 While . e outside of the woare successfully fertilized nl thr runety percent of removed eggs placed in the uterus.25 E~ ~s thee or four embryos can safely be may be stored for later use~ aht are not transferred right away oug cryopreservation.26 B. Cryopreservation Cryopreservation consists of fr . gen at subzero temperatures 27Th eezmg embryos in liquid nitroage for later use of the extra e. b e process of freezing allows storputting the embryos on ice f: 1?;~: retrieved from the female.2s By use, cryopreservation relieves 23 See RAYMo ND, 24 18 Specifically, the Supreme Court has repeatedly sustained a woman's qualified right to terminate a pregnancy. See Planned Parenthood of Southeastern Pennsylvania v. Casey, 505 U.S. 833 (1992); see also Roe v. Wade, 410 U.S. 113 (1973). Moreover, more than half a century ago, the Supreme Court also protected the right to procreate, invalidating a state's provision for involuntary sterilization of habitual criminals. See Skinner v. Oklahoma, 316 u.s. 535 (1942). translated, IVF means "fertilization in a glass". Artificial Reproductive Techrwlogy, at http:/ /www.lvcm.com/whavins/artrepro.htm (last visited Sept. 16, 2001). 19 Literally Marigliano Dehmel, Note, To Have or Not to Have: Whose Procreative Rights Prevail in Disputes Over Dispositions ofFrozen Embryos?,27 Co NN. L. REv. 1377,1380 (1995); see also American Society for Reproductive Medicine, Patient's Fact Sheet: Infertility, at http:/ I 2o Jennifer www.asrm.org/fact/patients/FactSheets/infertility-Faclpdf (last visited Sept. 28, 2001) (reporting that over six million American women and their partners suffer from infertility). 21 See JANicE RAYMoND, The Production of Fertility and Infertility, in WoMEN AS WoMBS (1993) (explaining that infertility is temporary, while the connotation associated with sterility is permanent), available at http://www.hsph.harvard.edu/rt21/globalism/RAYM~ html. See generally Kass v. Kass, 663 N.Y.S.2d 581, 593 (1997) (exemplifying the signifkaill in the slight difference between infertility and sterility). This distinction becomes impor~ tant in embryo disposition cases where courts inquire into whether there are any reasona~ ble alternatives to achieve parenthood by other means for the party desiring embryos. If the court finds a gamete provider to be sterile, then future reproductive opportunitid are limited. This limitation may have some weight in the court's determination regarding the disposition of the embryos in a divorce custody battle. Id. See also Davis v. Davis, 84.2 S.W.2d 588, 604 (Tenn. 1992). 22 U.S. Co NGRESS, OFFICE oF TECHNOLOGY AssESSMENT, lNFER'TILITY: MEorc AL AND SoctAl> CHOICFS 35 (1988). inability to supra note 21, at ch.1. See Dehmel, supra note 20 a 13 Enter Spotli ht ' t 77; see also Nancy Hill-Holtzman . (human chog· , .L.A. TIMEs, Apr. 29, 1990, at AI (discus . ;:rustaczs Preparing toRe- ing an egg f:~:r~:do~pin) tend to cause multiple bir:~ a w Pergonal and HCG ~:~lic:ed case whlche~:!;~th::~=~r:tuplets in ~e Unit;~~:~:s 0 ::: :~;~; g the septuplets were not b thr ems assocrated With fertility d ensue when women take fertility o~h ~, their births evidenced prob:gs. : ~onths after their birth in 1985 and th gs. . ~ case, four septuplets died wi~s f at zeal problems, includin ce , e rematning three lingered on with . . our oldest fertility center : u:~l ~alsy. The Frustacis sued the Tyler Me~n:~~ med• • claimed that th . ge es, and their fertility 5 Ic '-UJ.UC, the monitonn·g th e high dosage of Pergonal, as well as th peodalist for malpractice. They e octors' all ed . e number oft llicl the suit for six millio d 11 o es, caused these tragedies. fn 1990 theegF neg~gence in n o ars. Id. , rustaCIS' settled 25 Marcia Jo w Y urmbrand, Frozen Emb REv. 1079, 1083 (1986) (noting thatAryos: ~oral, Social, and Legal Implications 59 S C three b ustralian fertility . . ' . AL. L. tion o;;.r:::: Eperbimplan.tation); see also John A. Ro:~=lispts ~ecommend no more than m ryos, 51 Om0 S L n, nor Agreements foro · . Agreements]. 'I'. .J. 407, n.3 (1990) fh . tsposzereinafter Robertson, Prior o::u u,SeeJnnife e rL.Carow N 0 t D . Rule Ad · ' e, avzs v. Davis· An Inc · 529 :reedom and Otherwise Sound ho·"'"' th ow, m the absence of cry ' AUL L. REv 523 ~· e woman that opreservati th · ' are not implanted will exp· ) on, e extra eggs extracted 21 Wunnb rre . rand, supra note 25, at 1083 (e .. embryos are at th tw ~ xplauung that the best sta . e o, mur, or eight cell develo ges at which to freeze the 28 s id pment stage) . ee · at 1083; see also Mina · . . · tng, in ISSUEs IN REPR Alikani, Preservatzon of Human E Plainin .~.. . ODUCTIVE TECHNoLOGy 201 (H I B ggs and Embryos Th.rough Freezg uwt the first h e en equaert Holm ed 1983). uman pregnancies resulting from es ., 1992) (excryopreservation occurred in (199~~'%:~:gea~ional R~oduc::'~;';~!7:;ti~~ ~:; Hous. J. HEALTH L. & PoL'Y 246 POLINGER-HYMAN 247 the woman fr om undergoing29furth er egg retrievals that may be painful, risky, and ~an~erous.ealin for several reasons. First, the Cryopreservahon lS app . gh ld not be overlooked. 3D Each . f preservation s ou . st cost effioency o cryo t . val and implantatwn, can co d . . h . 1 des ovum re ne 00 31 Extracting more than one egg urmg IVF cycle, whlc me u between $10,000 and $20,0 .h d to repeat the process when a the IVF procedure red~ces t. e n~: cy 1s des1red. subsequent pregnan . ent of egg production causes nuSecond, hormonal mducem ful embryo implanta. .d ffects for success . merous deletenous Sl e e hi h risk of developing ovarian ~lsease t . 33 Women who are at a g . . d to freeze their emwn. f la tion are a d vise following IVF ovarian s lmu 34 Cr o reservation also maximizes bryos for subsequent transfer. b y ping doctors and parents the the potential of future pre~anc::e!~~ere is a reasonable possibilopportunity to choose.t~e hmeswin the woman's cycle an opportu1'ty of success.3s In addlhon, allo g 1 fter the IVF procedure natural ba ance a 36 nity to acclimate to a m?re . the success rate for pregnancy. benefits the woman by mcreasmg Third, cryopreservation provides optimum family planning by enabling a couple to delay having children for years without the worry of future infertility problems. 37 Because fertility capabilities decrease 38 with age, technological reproduction affords older couples hope. IVF is not just a treatment for the forever infertile, it is also an option for couples who have already had children, but who cannot conceive again due to either male or female physiological 39 factors. Fourth, cryopreservation offers couples a choice in deciding the disposition of the embryos produced in the IVF process. 4° For example, frozen embryos have become available for donation to infertile couples as a result of successful cryopreservation programs. 41 Cryopreservation also allows couples additional time to decide whether to implant, donate, or destroy the unused embryos. 42 Despite its touted benefits, cryopreservation also has some disadvantages. For example, one downside associated with cryopreservation is that not all embryos survive the freezing or thawing process related to an assisted reproductive technology procedure. 43 In fact, the Centers for Disease Control has discovered that the live . te d Wl"th the IVF treatment such . . diff 1ties assoc1a (dedscrthlbmgteru~c~ctopic pregnancies, and miscarriages). . · g outs1 e e u ' . man to undergo as few egg as pregnancies occurrm f 30 See Carow, supra note 26 ' a t 529 (noting that it is better or a wo 29 See RAYMOND, supra note 21 7 3 . fp ·ce htrn (last visited Sept. 28, df flity com 11v n · .. de:t~r~g may entail further costs in addltlOn to . th a t embryo freezmg an 2001) (reporting retreivals as possible). 31 See IVF Costs, at http://www.adnnce 38 the IVF cycle procedures). H 1m To Freeze or Not to Freeze: H I Bequaert o es, 32 See Carow, supra no t e 26 ' at 529; see also . e enIVE TECHNOLOGY 193' 196 (Helen Bequaert Is That an Option? in Issues IN :~Pt~~~:;::dical reasons" to utilize cryopreservation are Holmes ed., 1994) (commentmg t a REPRODUCTIVE TECHNOLOGIES 50 (InLABORATORIES: WOMEN AND Tty h rmone used to 33 Robyn (finding that clomiphene, a diana Uruversl . similar chemical structure o men as a stimulate egg production, has a 1970 DES was administered to pregnant w~ fr m the This drug was eventually remove o f (DES)). Between the 1940s and . s, . prophylactic measure to avoid rruscarna;;he vagina, cervix, and breast, increased ra:e~. market, as it was found to cause c:~~r :ctopic pregnancies in daughters of these wo infertility, spontaneous abortions, d . their eggs for I 34 Id.. at 35 (finding that pre-menopaus al womens h ould also consider freezmg numerous). Rowla~tyd, ~~:~992) implantation success). 39 . ·s more likely to get pregnan 6 at 529-530 (noting that a woman ' 36 See Carow, supra note 2 ' . f from fertility drugs) . through IVF when her body lS ree LEON SPEROFF ET AL., CLINICAL GYNECOLOGIC ENDOcRINOLOGY AND INFERTILITY 932 (5th ed. 1994) ("In successful IVF programs, where take-home baby rates can be in the 35% range for women 36 and younger, for women over 39 the figure is in the 10% range."). See John A. Robertson, Embryos, Families, and Procreative Liberty: The Legal Structure of the New Reproduction, 59 S. CAL. L. REv. 939, 947 (1986) [hereinafter Robertson, Legal Structure] 40 currten~:r:~g d~ethylstilbestrol o 32 LoY. L. REv. 317, 333 (indicating ·se future use). · that 3S Richard P. Dickey, The Medical Status of ::h!7:.~th~r, or a natural disaster can comproffil high fever, bleeding, accidental ID)Ury t t See John A. Robertson, Ethical and Legal Issues in Cryopreservation of Human Embryos, 47 FERTILITY & STERILITY 371 (1987) (comparing cryopreservation with insurance coverage because couples can safeguard against future infertility by freezing their eggs now for later use). (commenting that male infertility is another common reason that couples resort to IVF). Interview with Dr. Robert G. Brzyski, Assistant Professor at the Univ. of Tex. Health Sci. Ctr. at San Antonio, in San Antonio, Tex. (Oct. 22, 1996) (transcript on file with St. Mary 's L.].). 41 See Robertson, Legal Structure, supra note 39, at 376-77 (suggesting that embryo donation may foster a stronger relationship for adoptive parents because the rearing mother will have carried the child to term herself). 42 Brzyski, supra note 40; see also Virginia Groark, Divorce Settlement Keeps Frozen Embryos in Limbo, CHI. TRIB., Mar. 25, 2000, at N5 (reporting that a divorcing couple in Illinois agreed to preserve their two frozen embryos for fifty years until they come to a mutually satisfactory custody agreement). 43 CENTERS FOR DISEASE CONTROL AND PREVENTION, U.S. DEP'T OF HEALTH AND HUMAN SERVICES, 1997 Assisted Reproductive Technology Success Rates: National Summary and Fertility Clinic Reports, available at http:/ /www.cdc.gov /nccdphp/drh/archive/art97/ index.htrn (last visited Oct. 3, 2001) (comparing frozen embryos per thaw, frozen embryos per transfer, and fresh embryos per transfer) . 248 Hous. J. HEALTH L. & PoL'Y POUNGER-HYMAN 249 zen embryos is usually lower than the l:e birth per thaw rate for fro b that were never frozen. f t for fresh em ryos birth per trans er ra e . with cryopreservation invo ves 1 Another problem associat~ the embryos.45 To illustrate, a the time limit imposed on s.t or g B 't in in 1996 when frozen ued m Great n a d " "prenatal massacre ens ned b their parents, were remo~e embryos, essentially abando d Y_ ersed in a warm solutiOn from liquid nitrogen freezers. ~n Immt46 This event occurred purll ed to dismtegra e. b s where they were a ow h. h insisted that frozen em ryo U .t d Kingdom law w IC 47 suant to a ru e ll d to die after five years. must be thawed and a owe f cryopreservation, which t One of the grea es t disadvantages . . h o bT ty to contract for the ent hes m t e a 1 1 . . is the focus of this comm ' b s 48 Many programs reqmre future disposition of the froze~ em ry~~cts delineating the terms opreservahon con . lly 49 . couples to sign crY_ . reserve the embryos cryogeruca .. under which the clmic ~~ p. hi h frozen embryos are considClinics outline the time hmi~s m wh c f ons of the clinic in such ered abandone d an d highlight t e ac 1 circumstances. These contracts create situations that can potentially cause conflicts between clinics and patients, and the couples themselves. Parents may assume that their embryos will be destroyed by the50 clinic under the clinic's reservation of rights in the contract.5 1 This is important because, ultimately; many parents may be emotionally unable to make the decision to destroy their embryos. 52 A second disadvantage is that the lapse of time between the NF procedme, freezing, and implantation gives the married couple an opportunity to change their minds about the process as well as their marriage." When the couple decides to get divorced, they may disagree on the disposition of the frozen embryos. 54 The options available to the couple are implantation, donation, or allowing the embryos to thaw and expire on their own.55 The usual scenario involves the wife's wish to implant the eggs while the husband seeks 56 to have them destroyed. Unfortunately, for couples who disagree and ultimately litigate, the courts' position leaves much to be de- so Id. at 74 (commenting that medical facilities and gamete providers may disagree about the removal and transfer of embryos to another facility, and that gamete providers may argue among themselves about implantation, division, and donation of the embryos); see also Alise R. Panitch, Note, The Davis Dilemma: How to Prevent Battles Over Frozen Preembryos, 41 CAsE W. REs. L. REv. 543 (1991) ("IVF has generated legal problems sterrunmg from disputes over control and ownership of preembryos. These disputes fall into two ca tegories: disputes between NF participants and their clinic, and disputes between the NF participants themselves."). Id 44 45 . at 375 (discussing the prob!ems that can . . arise See Robertson, Legal Structure, su;:: note ~~~er the ramifications of storage time hrruts on when gamete providers do not y con cryopreserved embryos). d in Britain, at http:/ /www.cnn. if Human Embryos Destroye . CNN Interactive, Thousands o b (last visited Sept. 10, 2001). com/WORLD/9608/01/frozen.em ryos h. n beyond five years). . . d for cryopreserva o 47 Id (noting that parental consent ts reqmre & STERILITY 780, 780 · . . Problems, 53 FERTILITY . J Jr Cryopreservatwn andected zts circumstances w hich should be included m 48 Howard J. ones, ., (1990). The following instances are unexp 46 a reproductive contract: d th or disability of one of the ea Death or disability of the prospective parents; f the prospective parents; divorce of the prospective parents; legal separation o d material remains in storage beyond the prospective parents; if the cryopres;::t or beyond some other agreed upon time . arents including their failure to pay rospective mother' s reproductive :;,.,,, of oon@ct wifu fue P=P"'""f:! =d ll ony; I= of current or delinquent cryopreservaho~ a regnancy; a wish of one [or both by the prospective parents m attemp g ~rved pre-zygote/pre-embryo from prospective parent's to remov~ th; cry~;::oluntary discontinuation of a cryothe original program; [and] vo unary lo~ b an lVF program. preservation program Y 49 inw=; dm,.,, . 8 DICK L. REv. 67, 7 Vitro Fertilization: Problems and Solutwns, 98 uch .as "transfer or John Dwight Ingram, In f ·l·t· should clearly elucidate terms s . d time " I actttes (1993) (stating that med tca d tion use for research, or des tru chon, an · · · withdrawal of embryos, sale or a op , limits."). 5J 5 2 See Ingram, supra note 49, at 75 (finding that parties will not typically enter into an NF contract unless they are certain that the contract's provisions will be honored). Id. at 75 (asserting that couples will have strong emotions regarding issues such as disposal, implantation, death, and divorce). 53 54 See Samuel A Gunsburg, Note, Frozen Life's Dominion: Extending Reproductive Autonomy Rights to In Vitro Fertilization, 65 FoRDHAM L. REv. 2205, 2211-12 (1997) (commenting that such life-changing decisions have created legal courtroom battles). See, e.g., Davis v. Davis, 842 S.W.2d 588 (Tenn. 1992) (demonstrating Junior and Mary Sue Davis' disagreement about the disposition of their embryos after their marriage dissolved). 55 See Robyn Shapiro, Who Owns Your Frozen Embryos? Promises and Pitfalls of Emerging Reproductive Options, 25 SPG. HUM. RTS. 12, 13 (1998) (noting that dispositional options may include or thestorage). embryo's destruction, donation for scientific purposes, donation to an infertile couple, 56 See Davis, 842 S.W.2d at 589 (chronicling Mary Sue Davis ' desire to implant her and her ex-husband 's frozen embryos after they divorced); Kass v. Kass, 696 N .E.2d 174, 175 (N.Y. 1988) (reciting Maureen Kass 's wish to be impregnated with her and her former husband 's frozen embryos); but cf ].B. v. M.B., 751 A2d 613, 615-16 (N.J. Super. Ct. App. Div. 2000) (involving a situation where the wife wanted the embryos destroyed and the husband Wanted to preserve them for later use). 250 Hous. J. HEALTH L. & PoL'Y sired because courts tend to disregard contracts concerning embryo disposition. 57 II. THE EARLy DAYS A. Maidenhead Revisited: The First Time The first IVF procedure in the United States occurred in 1973.58 Doris and John Del Zio were the first couple in the United States participating in the radical new fertility procedure. 59 After three failed attempts to repair Mrs. Del Zio's fallopian tubes, New York fertility specialists, Dr. William Sweeney and Dr. Landrum Shettles, performed this procedure by surgically removing an egg from Mrs. Del Zio's ovary and placing it in a sterile package. 60 The egg was then fertilized with Mr. Del Zio's sperm and placed in an incubator to develop for three days at Columbia Presbyterian Hospital. 61 Dr. Raymond Vande Wiele, Chairman of Obstetrics and Gynecology at Columbia, became enraged when he discovered that Dr. Shettle had not sought the institution's permission before performing the experiment. 62 Dr. Vande Wiele objected to the procedure on ethical and moral grounds. 63 Punctuating his argument, Dr. Vande Wiele removed the container from the incubator and opened it, destroying the Del Zios' chances of ever giving birth to a child. 64 Ironi57 See Shapiro, supra note 55, at 13 (advancing that courts should enforce IVF directives as other contracts are enforced). 58 LORI B. ANDREWS, THE CLONE AGE: ADVENTURES IN THE NEW WORLP OF REPRODUCTIVE TECHNOLOGY 16 (Henry Hold & Co. 1999); see also Patricia A. Marin & Martin L. Lagod, The Human Preembn;o, the Progenitors, and the State: Toward a Dynamic Theory of Status, Rights, and Research Policy, 5 HIGH TECH. L.J. 257, 259 (1990) (recognizing that the birth of the first infant ever conceived by IVF occurred in England in 1978). 59 ANDREWS, supra note 58, at 16. 60 Id. (identifying Dr. Landrum Shettles as a fertility specialist based at Manhattan's Columbia Presbyterian Medical Center). 61 Id. (stating that the zygote was incubated in a culture medium for this period of time to maximize the probability of a successful implantation in Mrs. Del Zio 's uterus). 62 Id. 63 ANDREWS, supra note 58 (revealing that Dr. Vande Wiele was also concerned that the petri dish may have been infected and could have harmed Mrs. Del Zio 's health if implanted). 64 Id. at 16-17 (revelaing that Mrs. Del Zio's reproductive organs were damaged beyond repair after the surgical procedure, making another egg retrival impossible); see generally Del Zio v . Presbyterian Hosp. of N.Y., No. 74 Civ. 3588 (S.D.N.Y. 1978) (recognizing a cause of action for emotional distress for the mishandling or destruction of embryos). For unilaterally destroying the embryo of his own initiative and without notice or consultation with the couple involved, the couple sued Dr. Vande Wiele for intentional infliction of emotional distress. The jury awarded the couple $500,000 in damages. Id. at 2, 11. This case POLINGER-HYMAN 251 cally, although Dr. Vande w· 1 Kro~edure, he evidently was ~::;as ethically opposed to the IVF avmg a ten to twenty percent ch::c~se1 to des~roying ~n embryo As reproductive technolo o becommg a child. 65 out the 1970s and 1980 . b gy procedures progressed thr h th s, It ecame cl th oug e exception to IVF emb ryo man ear at the Del Zios w ere not ru1e.66 The Del z· agement; rather the resolved ethical a:d case dle~onstrated that there ~er/mwere the mora Issues d. any unA round the world, NF clinics wereregar. mg embryo disposition. 67 ~:~ly l'from right-to-life organizati~~~~~ under attack, predomira I~ staged a hunger strike in . or example, priests in and patients had to walk ast the lobby of. an infertility clinic wanted to get in.69 p a human barner whenever they B. Bipolar Nation· Red f' . . e mmg Family Values Married couples h wh th · ave a funda 1 b menta right to deter . e er and when they cou 1 h can ear a child 7o D mme p es c oosing the means by h . h . oes this right extend to ture and religion in the world h: r~co th~y bear a child? Every culgruzed procreation as a natutriggers important legal issues The . Hous. 252 J. HEALTH L. & PoL'Y POLINGER-HYMAN 253 . · a lso protects d U 't d States Conshtuhon · n The me l'ty and ethics reconCI·1ed WI'th the eral right of marnage. . 72 B t how are mora I this nght. u · d couples? . · sire to procre ate for non-marne h oet advance dan apt discussiOn Charles Baudelaire, a F~en~ p . 'ty 73 He wrote, in My Heart t ab ou the function of. mora1I ty m soCie · Societal morals are currently in flux due to the interplay between assisted reproductive technology and traditional conceptions 77 of family structure. Therefore, before answering whether marriage is or should be a condition precedent to undergoing IVF procedures, or especially embryo disposition during divorce proceedings, it is · to define and understand modern conceptions of first important 78 parenthood. Laid Bare' the followmg: .. h interminably use the " d other such . f the Bourgemsle w o All the imbecile~, ?,. lity" "morality in art. an fi -franc words: "immoral , lm~ora me 'of Louise Villedleu, a ver been e~r~~~~n!e~~r:,~~ Currently, one of the ways in which men and women are distinguishable is by a woman's ability to bear and beget children. 79 Yet, in the evolving world of the new millennium, even this idea is 80 being challenged. In 1997, Japanese researchers announced that they were close to developing "ectogenesis," an artificial womb with the ability to circumvent the need for human gestation. 81 The advent of artificial wombs would compel the parenthood model to evolve and challenge a history of Supreme Court cases based on traditional 82 notions of family. A man could become a single parent by purchasing an embryo, and utilizing the machine to nurture and support 83 the fetus. 84A woman could utilize an artificial womb to circumvent pregnancy. In an epoch of environmentally engineered embryos Lou~ee~ ?a~: ~~~h~~~ehands, stupid me to the whore w d be an to blush and cover . me as we stood there before, kin: at my sleeve and askint . decencies could repeatedly p uc t tues and pictures, how sue m before deathless s a_ 74 r the subjective lens of high and Baudelaire illus~rate_s, thro_u~ar disease, capable of two ex~ low art, how morahty IS a_ bipone doctor would destroy an em ethics, tremes. 75 In the name .of the name of ethi cs, another doctor would from destruction.76 bryo, and conversely, ~ strive to protect the em ryo be flaunted in pubhc. · d co uples [having . . that' "For many marne opmmg n ANDREWS, supra no te 58' at 25 .(further ") rochildren] is the essence of family. . . 'th the fundamental right to make rep US 113 (1973) (dealmg Wl . olved forcing a woman tore72 See Roe v. 410 . the means chosen by the sta_te mv of rocreation is not an her wishes). Although this nght tituJon to protect this right. ductive deCISIOns main pregnant agam; reme Court has interpreted the Fertilization Produces Adjuenumerated right, the up Imb t Note The Golden Egg; In Vz rod' . g the long-estab. Vinet er , ' (1991) ( 1scussm Id.; see also Moruque & TECH. L.J. 495, 505-0 6 . . without unjustified . l7 R TGERS CoMPUTER h t " ind1v1dua1 may, . . dicatzon, u Court precedent t a an · tion contraception, lished United States Supremeke decisions relating to U.S. 535,541 government mterference,himpas and child rearing"); Skinner v. b . I'vii of man); see . f 'ly relations ' ong the as1c c U and procreation are am Equitable Solution, 46 · abortion, arru . hen the enforcement (1942) (holding that marnagCe0 mment Frozen Embryos: Towards an · J T espalac10s, nfli t that anses w . th t ' also Mano . r 823-24 (1992) (discussing the co c Th argument advanced IS a MIAMI L. REv. 803, . th ights of the other party). e d go the IVF proce' rights derues e r h decided to un er of one person s . d th ir rights to procreate when t ey . . if that decision would deny the parties exerc1se e d to change that dec1s10n th should not be a11 owe dure. Thus, ey . t to the preembryos. Id . Norman Cam203-04 (Peter Quennell ed. & the other party the ngh 73 CHARLES BAUDELAIRE, MY HEART LAID BARE eron trans., 1951). 74 Id at 203-04. W~de, w~ent Co~ 77 Janet L. Dolgin, The "Intent" of Reproduction: Reproductive Technologies and the Parent-Child Bond, 26 CoNN. L. REv. 1261, 1261-62 (1994) (commenting that the "complex system of assumptions and principles" endemic to our society are challenged by scientific innovation). ~arriageJ;:::a 3~6 ~ights 75 76 78 Andrews & Elster, supra note 3, at 47 (supporting that reproductive technology encourages a reconsideration of the meaning of "parent"). 79 80 81 Id. (describing the artificial womb as a d ear plastic box of warm amniotic fluid in which a fetus is attached to a dialysis machine that replaces oxygen and deans the fetus's blood). Currently, the Japanese researchers have only attempted to utilize the device with goats, removing the fetuses from their mothers three weeks before their due date and placing them in the artificial womb. Id. 82 The Connecticut Supreme Court has recognized that the traditional notions of nuclear family have been replaced and extended family now play a larger role. The court refuses to accept that a child 's best interests and welfare should be determined only by individu- . Britam regarding laws Id. at 71-72 (discussing the controversy men in storage for more See ANDREWS, supra note 58, f abandoned embryos that had be d 'ed a last-minute . th d structzon o . . J hn MaJOr eru which requrred e e 1 1996) Then Prime Mmlster o After the embryos than five years as of August ' t . delay the disposal of the embryos t to preserve the th tic paren s · . ti ·st groups o appeal by anti-abor om linics received requests e gene he would be destroyzng had been destroyed, the c d bl distressed never rmagmed t y embryos. Doctors, understan : y erate to c;nserve them. Id . embryos of women that were esp fro~ ANDREWs, supra note 58, at 73-74. Id. als who fit a very narrow definition of "family". Doe v. Doe, 710 A.2d 1297, 1317 (Conn. 1998). 83 ANDREws, supra note 58, at 74 (theorizing the social and familia] implications of the Japanese artificial womb technology). 84 ld. (highlighting that women can also benefit from the Japanese womb machine, despite the fact that they are biologically equipped to support a fetus on their own). Hous. J. H EALTH L. & PoL'Y POUNGER-HYMAN · the . t Y truly personifies a bipolar nahan: .f. · 1 wombs soCle · and arh ICla . ' 85 . . 1 best and worst of hmes. .t. of reproductive biOlogica d. the disposi Disputes regar m~ . ofIon circumstances an d con.texts .86 material can arise in a nchf var~~~tional protection are the ng~t to T o fundamental rights o con ation 87 Recently, courts ave w . ht to avoid procre . . . hts can procreate and the ng h tract these procreative ng . considered whether, througl co:dica~es that waiving reprod~chve be waived.88 Although case ~w olic courts should recognize a b~ding the gamete providers to rights is contrary to ~ubhc 1 's procreational hberty y coup e . a greements. their reproductive 254 255 equivalent to the destruction of a living human being. 90 Applying the Right-to-Life analysis, the husband's right to avoid procreation ceases to exist after participation in the IVF program. 91 1. In 1980, Mary Sue and Junior Davis married and Mary Sue became pregnant six months later. 92 Unfortunately, a tubal pregnancy forced her93to undergo surgery, resulting in a loss of her right fallopian tube. After her fifth tubal pregnancy, Mary Sue decided to have her remaining fallopian tube ligated, leaving her unable to nat4 urally conceive.9 The Davises then decided to pursue IVF in order to have a child.9S J THE fROZEN EMBRYO AS LIFE, ARGUMENTS FOR SPECIAL RESPECT PROPERTY, OR DESERVING III. The Davis' unsuccessfully attempted IVF six times, incurring a total expense of $35,000. 96 Each pregnancy attempt required Mary Sue to endure hormone injections, invasive surgery, and psychological toll as she wondered each time if the procedure would work. 97 On December 8, 1988, their last attempt at IVF, nine eggs were retrieved from Mary Sue, fertilized, and allowed to develop in the lab- Embryo as Life A . . b ehind viewing the emThe pro-life movemer:t is .the Impetus destruction of a preemb ry o is bryo as a lI.fe. 89 Under this view, 85 CHARLES DICKENS, A TALE OF · Books 2000) Two CmEs (Richard Maxwell ed., p e n gum . ::n:. (n~t~fe t~ea ·~'::~;ental BB 89 91 See Ruth Calker, Pregnant Men Revisited or Sperm is Cheap, Eggs Are Not, 47 HAsTINGs L.J. 1063, 1069 (1996) nancy to term) . (contending that a man cannot veto a woman's right to carry a preg92 See Davis v. Davis, 842 S.W.2d 588, 591 (Tenn. 1992) (stating that after being married, the couple returned to Germany for army assignments, where they learned that Mary Sue was pregnant). · 93 Id. 94 Id. 95 Id. (explaining that the couple attempted adoption but for various reasons decided on IVF to become pregnant). IVF involves the aspiration of ova from the follicles of a woman's ovaries, fertilization of these ova in a petri dish using the sperm provided by a man, and the transfer of theId.product of .this procedure into the uterus of the woman from whom the ova were taken. intere9st25pr~~=c~J. 455aU.S. 745, 753 (198f2) liberty i982) . · atters of arm Y B 450· A.2d ' t also Right to Choose v. yme, child" is "one of the mos personal chmce m m '')' Fourteenth Amendment : seet tenninate a pregnancy or bear a . . that "the chmce o (recogruzmg . . human experience"). intimate decisiOns m 1056-59 auld accord a A.Z., 725 N.E.2d at . . th t "the Right-to-Life approach w they believe 2 (stating ofa persons under the 1a w because See Oehme!, supra no.te o' a t d1382otections the full nghts an pr . .. preembryo , ent' of conception. ). life begins at the mom See Natalie K. Young, Frozen Embryos: New TechnolOf51J Meets Family Law, 21 GoLDEN GATE U. L. REv. 559, 565 (1991) (stating that various entities and religions, such as the Catholic Church, consider embryos to be persons); see also Christopher G. Jesudason, Maximum Consultation in the use of Frozen Embryo, NEw STRAITs TIMEs, May 26, 1997, at 15 (arguing that Western cultures, including Catholic and Christian religions, have historically emphasized the importance and sanctity of life), available at 1997 WL 2962717. 90 1t (1859). . the worst of times, it was th e age of wisdom, increduIt was the best of times, It .was och of belief, it was the epoch of . of was the age of foolishness, It was the ethpe season of Darkness, it was thedspnnthin~g l'ty it was the season of Light '.1t.was h d everything be fore us, we ha hno th 1 ' . was the winter of despair, we a we were all going direct t e o er hope, 1t ll oing direct to Heaven, . d that some of 1ts before us, we were a g. d was so far like the present peno f' evil in the su. rece1v · ed ' for good or or ' . short: .the . peno way . ted on its bemg . . - tmauthonties msis n01s1es rison only. perlative degree of compa A Div. 2000) (relating that a 616 (N.J._ Super. process, 86 See, e.g., J.B. v. M ·B., 751 A.2d · 613, t participating m anC~F~~d cryopreservation d) . 81 former husband and wife, pnor o an IVF program if they divorce . d nate their embryos to . ld v Connecticut, 3 agreed to o 316 US 535 541 (1942); see also Gnswof .traceptive devices Oklahoma · · ' · the use o con 87 See Skinner v. ' . that a statute outlawmg . e also Santosky v. US 479 485-86 (1965) (holdmg . of marital relationships); se th t freedom of . . 'unl wful invasion of the pnvacy ' • historical recogrutwn a b the Davis v. Davis 96 97 ld. at 591-92 (noting Mary's failed attempts at pregnancy even though she subjected herself to both subcutaneous injections, which were necessary to shut down her pituitary gland, and intramuscular injections, to produce ova). See Davis, 842 S.W.2d at 591-92; see also Davis v. Davis, No. E-14496, 1989 WL 140495, at *2 (Tenn. Ct. 1989) (outlining the difficulties Mary Sue underwent in her attempts to becomeCir. a mother). Hous. J. HEALTH L. & PoL'Y POLINGER-HYMAN d. Mary Sue's uterus, tory 98 Two of the embryos w ere implante reservedmfor future use. 99 ora · . . ven were cryop eservad th cientific process of cryopr while the remmrung se The couple understoo f e s 'ble ethical issues and how cry~­ tion but were still unawareiVoFpos~~ess 1oo Furthermore, the coup de ' h ed the pr · h bryos beyon preservation ramifications of storing t ;i:'::ot initially redid not d to transfer them if pregnancy the clinic and the the time nee e nt existed between sult.101 No written agreeme d her husbandJOZ . cou le or between Mary Sue an e last IVF attempt, and m Febtransfer could be considered, p No pregnancy resulted from f 1989 before another emb y ruary o ' . 103 There a ft er, a dispute arose regardd . D · filed for drvorce. . .ng cryopreserve seven remamr Juruor avrs . . f the the disposrhon o . 256 257 alive."" The trial court made an astounding assertion, slating that "human life begins at the moment of conception, . . . [and] Mr. and Mrs. Davis have accomplished their original intent to produce a human being to be known as their child." 108 The court further determined that its role was to establish public policy determining the status of embryos in a divorce proceeding.109 Employing the above reasoning, the court found that awarding the frozen embryos to Mary Sue recognized the "best interests of [the] children." Un110 moved by Junior's contention that he had a right to avoid procreation, the court postponed a ruling regarding the issues of child support, custody, and visitation rights until "such time as one or more of of thelive seven cryogenically preserved human embryos are the product birth."llr ·~e:n&e cons~ :"o mg '"' . order to later embryos. t dy of the embryos m d "" Mary Sue requested cu~ .o ortunities at motherhoo . implant them and have addd:o:~~~ to keep the embryos froze~ Junior opposed Mary's reques' t he wanted to become a paren until he deer'd ed "whether .or no "106 outsr'd e the bounds of marnage. b. The Court of Appeals of Tennessee placed significant emphasis on the fact that the frozen embryos were a result of mechanical manipulation.112 Unlike the trial court, the appellate court considered whether Junior Davis' right to avoid procreation had been violated and concluded that his constitutional rights were violated in a situation where pregnancy had not yet occurred."' After reviewing perti- h T . 1 Court's Decision na and as d that embryos are humans, court such,The theytrial should be concl~d~ affor e the same protections as people born a. The Court of Appeals Decision T e 1 Davis v. Davis, No. E-14496, 1989 WL 140495, at *3-*4; see also Trespalacios, supra note 72, at 812-13 (arguing that the court's conclusion in Davis could lead to a paradoxical situation where a court might find a woman has a duty to implant the fertlized eggs, but could not order her to implant them as a result of the Roe v. Wade decision). The Right-to-Life approach argues that Roe v. Wade is not implicated by the divorce and fertilized egg cases. These propoents distinguish Roe from preembryos by arguing that Roe dealt with a woman's right to terminate her pregnancy during the first trimester, but when issues of bodily integrity are not involved, the state may protect preembryos as life. See id. at 812. The Davis trial court embraced this Right-to-Life approach by framing the issue on the inquiry of whether an embryo is a human being. See Davis at *4. 07 os Davzs, 842 S.W.2d at 592· 99 Id . that although they were p 1ease d with the increased number of ova, they did not 100 Id. (noting 'bl ative consequences). . d did not have d I with uncertamties, an onsider the poss1 e neg c . were unprepared to ea . 101 Id. (stating that the Davzs:e event of separation or dzvorce). torage of the 'bility of long-term s disposition plans m any D ·ses had not discussed the poss1 during the last IVF proce102 Id. (stating that the avz . unable to locate consent forms f the last procedure, d th t the clmzc was nt forms or d embryos, an a th Davis's did not sign any conse dure was forever lost. I . dure). Consequently, e . th ramifications of the proce . e had ·t · to dzscuss e his marnag and the opportunz y J ·or filed for divorce because uld prove · d zca ' ting unzhad hoped the birth of a child wo 103 Davis 842 S.W.2d at 592 (m b t that that he u """"' beffi :U,,.ble fm 108 Davis, 1989 WL 140495 at *9 (noting that the court addressed the issue of when human life beings). begins and concluded that the embryos could not be property because the were human 109 Id. un· '"'~'' y~, the relationship . ). D ·s· testimony is contra d'zc tory as tow unstable). · ge was M ry Sue avz 104 Id . at 592 & n.lO (revealing thhat 'tha the IVF if she had known her marna th embryOS e throug wz anted e she would have gon h I in the divorce Mary Sue w hildless couple). d t d to a c · that althoug ear Y lOS Id. at 589-90 (suggestmg d that she wanted them to be ona e th than alloW for herself, she later asserte h the embryos destroyed ra er 1 . t Junior preferred to ave 06 Id. at 590 (stating tha them to another couple). Mary Sue the right to donate no ld. at *11 (stating that temporary custody of the party 's seven cryogenically preserved human embryos should be vested in Mary Sue, giving the embryos the chance to be implanted). 111 ld. at *11 . 112 Davis v. Davis, No. 180, 1990 WL 130807, at *1 (Tenn. Ct. App. 1990), ajfd by Davis v. Davis, 842 S.W.2d 588 (Tenn. 1992) (stating that the development of the ova were limited to the eight cell stage, which time they were frozen, preventing even the slightest develof major bodyatsystems). opment l!s ld. at *3.