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This book is a moving real-life account of one woman's struggle with infertility and her journey through surrogacy to have the family she desperately wanted.

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    August 1, 2004

The petite woman in a pinstriped suit recalled her last visit with her 8-year-old twin daughters. It had been months since she had seen the girls, and a court had just ruled that she had no legal right ever to be with them again.

"I told my girls they needed to know that every moment of the day, every minute of every hour, they are in my mind and they are in my heart," said the 42-year-old Marin County resident, her face wet with tears.

Known in court papers only as K.M., the woman is the girls' genetic mother. She could not bear a child because of a diseased uterus; her partner, a woman known in court as E.G., was infertile. K.M. donated her eggs to her partner. Using a sperm donor, her partner conceived, and the women raised the twins together for five years.

Three years ago, the couple split up. K.M. says her former partner no longer allows her to visit or talk to the girls. Courts have ruled that K.M. has the legal status of an egg donor and no parental rights, in part because she signed a standard donor form at the fertility clinic.

Lagging legal system

The case, which K.M. has appealed to the California Supreme Court, is one of a growing number around the United States in which new reproductive technologies and nontraditional families collide with old legal principles.

Though courts often stretch to give children both a legal father and a legal mother, the formulas for deciding parenthood frequently do not fit the realities of same-sex couples.

"When you read the legal cases," said Deborah Wald, a family-law attorney in San Francisco, "what becomes crystal clear is that children of same-sex couples aren't entitled to the same level of protection as children of opposite-sex couples."

Opponents of same-sex marriage find that entirely appropriate. Court battles between gay parents show why couples of the same gender should not have children, they say.

"Every child needs a mom and a dad," said Dale Schowengerdt, a staff lawyer for the Alliance Defense Fund, which wages legal battles promoting traditional religious views. "Every male couple deprives a child of a mom; every female couple deprives a child of a dad."

But advocates for gay couples say changes in technology and family structures make those arguments out of date. The last census found about 27,000 households in the state where children were being reared by parents of the same gender.

Technology now allows two women to become the natural mothers of a child, two men to mix their sperm and create a baby with a donated egg and a hired surrogate.

"Neither the Legislature nor the courts are keeping up at all with the changes," Wald said.

In ruling against K.M., a Court of Appeal in San Francisco conceded that the decision would have "harsh consequences" for the children.

"There is no dispute that K.M. acted as an affectionate mother to the girls, and that the girls are emotionally attached to her," the judges said, while maintaining that the law left them no choice.

Expanding the legal definition of a parent could allow others -- child care providers and relatives or friends of a child, for example -- to seek parental status, courts have said.

"Functioning as a parent does not bestow legal status as a parent," the appeals court ruled in K.M.'s case.

Changing law

The law in California is changing. Under a new statute that will take effect next year, same-sex couples who are registered with the state as domestic partners will both be legal parents to children born into their households. But the law will not affect children born before Jan. 1, 2005.

Same-sex couples who already have children can ensure parental rights using other legal processes, including adoption. But until recently, some counties in California refused to let same-sex couples employ adoption procedures, Wald said. Moreover, she said, many couples never go through the formalities.

"I actually think it is not all that uncommon for people to never get around to getting their legal paperwork together in many areas of their life," she said.

Courts in several other states have granted custody or visitation rights to nonbiological parents who had not adopted. Recently, in the first decision of its kind in California, a Court of Appeal in Los Angeles ruled that a woman might be entitled to some parental rights over her former lesbian partner's objections if she could show that she had treated the partner's child as her own.

Despite that ruling, most lawyers say adoptions remain the safest route for same-sex couples. "If you don't do a second-parent adoption in California, the other mom can be completely cut off from her child and the child cut off from somebody she completely considers her parent," said Nancy Polikoff, a professor at the American University Law School in Washington, D.C.

Key cases

Now, two cases -- K.M.'s quest for shared parental rights and an effort by El Dorado County to force a woman to pay child support to her former partner -- could change the entire state's approach. The state Supreme Court is expected to decide later this summer whether to consider the cases.

In the El Dorado County case, Emily B., as she is known in court, was the stay-at-home parent in a lesbian relationship. She and her partner, Elisa Maria B., decided to have children using the same semen donor. Elisa got pregnant first and delivered a healthy boy in 1997. Emily bore twins a few months later, one with severe disabilities.

The women had attended each other's medical appointments during the pregnancies and were both present at the births, court records say. Both women nursed all three babies, chose their first names and gave them hyphenated last names.

Emily cared for the children while Elisa worked. Elisa provided medical coverage and listed all three as dependents on her income tax forms.

The birth of three children so close in time and the special needs of one of them eventually strained the relationship.

"It was extraordinarily stressful," Emily said. "I had two children in ICU, she had a 4-month-old baby, I found out my son had a hole in his heart and Down syndrome. ... All of us breastfeeding. ... Our life wasn't the picture I believe she wanted it to be."

In 1999, after six years together, Elisa packed up the car in front of their home, put her son, who was nearly 2, in his car seat and moved back to San Francisco. She helped Emily financially until May 2001, when contact and money were cut off.

Emily eventually applied to El Dorado County for welfare benefits, and the county tried to make Elisa pay child support. The Court of Appeal said no.

"Because Elisa is not the twins' natural mother and because for obvious reasons she is not their father, she does not have any of the rights and privileges of a parent," a three-member panel ruled May 20. Without those rights, she also does not have the obligations, the judges said.

Both the county and state Attorney General Bill Lockyer have asked the high court to review the case.

In a case involving a man and a woman who each brought children into a marriage, both partners would be responsible for all the children if they later split up.

Rights, responsibilities

"As a matter of public policy, same-sex couples should have the same financial responsibilities toward the children they bring into this world as those of opposite-sex couples," Lockyer said when he intervened.

In K.M.'s case, the courts never ruled on the children's welfare. Instead, the judges said they were bound by precedent to determine who was the intended parent when the twins were conceived.

K.M.'s former partner has said she did not intend to give K.M. parental rights. She did not want to have custody problems if they split up. She said K.M. understood.

"Nothing impairs lesbians and gay men from becoming joint parents by agreement," said Diana E. Richmond, the lawyer for the birth mother. "It is just that these two women made a different agreement."

K.M. denies that she ever intended to be a mere donor. Her lawyer, Jill Hersh, argues that intent at conception should not determine parenthood.

"We know there are millions of men out there who are treated as fathers who never intended to be," she said. What should count, Hersh argues, is how the couple act after the children are born.

The two women and the children had lived and acted as a two-parent family, K.M. says. The couple exchanged rings and gave the twins their mothers' names as middle names. K.M. said she did the night feedings when her partner went back to work, bought the girls clothes and shared decision-making over schools and where the family would live.

E.G., who earned more than K.M., paid more of the girls' expenses, but not all. Both women were listed as mothers on school and medical records and both attended school conferences.

The girls called their birth mother "Mama" and K.M. "Boss" or "Mama Boss." They called K.M.'s parents "Granny" and "Papa."

For years, the two women did not tell anyone, including the children, that K.M. was their genetic mother. But K.M. wanted to end the secret, and the issue became a point of stress that helped lead to their breakup.

Around the time the twins turned 5, K.M. revealed the secret -- against the birth mother's wishes, according to Richmond.

"I told them that some people have a mom and dad and some people have two moms," K.M. said. "They asked how did it happen? ... I told them that they came from my eggs that grew in (their birth mother.) They were like, 'Wow!'"

E.G. and the girls now live in Boston. K.M. said that the gifts she had sent the girls had been returned and that she had not been permitted to visit them since February.

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