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What is Surrogacy?
When a Couple is unable to conceive in spite of undergoing
treatments like IUI, IVF, ICSI etc, owing to various health conditions such as
unhealthy uterus due to which the fetus may never have grown even though the
embryos that have been transferred are healthy. During such circumstances the
biological parents can possibly opt to transfer their embryo to a female with a
healthy Uterus which would then facilitate the growth of the fetus. The Child
born out of such a process would in all means be related to the biological
parents whose embryo was transferred, although the female or surrogate mother
would be the one who would have carried the baby of the couple for 9 months.
Who needs surrogacy?Indication for surrogacy
Infertility in a couple can be caused due to many factors
leading to failure of possible treatments. When the female uterus is diseased
due to fibroid, uterine abnormalities, endometriosis, endometrial adhesions,
congenital absence of uterus, pelvic infections due to which the pelvis is
destroyed, repeated abortions, in such cases surrogacy is advised due to
complications with natural pregnancy caused due to the above factors. To add on
to the list of reasons for Surrogacy Women after hysterectomy, renal surgery,
cardiac/liver is left with surrogacy as their option to Child birth.
In the present day world where couple does not want to take
a break from their career could become a common cause for surrogacy amongst
couples.
In some cases even the male infertility could also lead to
surrogacy. Sometimes Gay couples or Single men who desire to have their Gene
pool alive opt for Surrogacy.
Is surrogacy legal in
India?
Although many countries like USA and other European
countries have banned the practice of Surrogacy in their lands. There are yet
no laws as such against Surrogacy in India. But there have been some
discussions for making surrogacy legalized to protect the rights of the child
and the surrogate mother.
What is involved in
Surrogacy?
When a couple decides to opt for Surrogacy after appropriate
discussions, All related medical screening and counseling sessions are
conducted pertaining to the couple's request for surrogacy. A suitable
candidate for Surrogate mother is chosen from the pool of willing women that
the hospital recommends.
These possible surrogate mothers have been thoroughly
screened beforehand. After the completion of all legal proceedings, the date
for treatment with IVF is decided often this could lead to a couple of months
due to the availability. They are then treated with IVF or ICSI during their
period cycle and the result of pregnancy is carefully studied.
Most of the couples prefer the surrogate mothers to stay at
the hospital till the time of the delivery but as always this is optional. The
stay of surrogate mother and all medical expenses are borne by the couple
itself. Based on the case the birth of Baby is carried out in the hospital and
once the baby is born the baby is then registered under the name of the biological
mother. After which the baby us then handed over to the couple and necessary
compensation provided to the surrogate mother till the time of her discharge.
Does surrogate mother
stay in the Hospital?
This option is solely at the discretion of the couple opting
for surrogacy and also the consent of the Surrogate. In some cases the
surrogate prefers to go back to their family and report only during the
checkup. While most of the Surrogates prefer to stay at the hospital to be
taken care of, in such cases the couple must be willing to bear all the
expenses.
Who selects the
surrogate mother?
The Doctors at the hospitals lists the surrogates to the
couple who have undergone screening required for a fit surrogate. More often this
selection is subjected to the demands and needs of both parties.
How is surrogate
screening Performed?
At Gyno ivf center, we follow a strict protocol with respect
to the selection, which is as follows -
Ø
Age must be below 30 years
Ø
Surrogate must have had at least one child birth
in the past
Ø
Medically Fit and healthy
Ø
Surrogate must have a minimum educational
qualification of a graduate
Ø
No previous history of genetic problems/
familial diseases
Ø
Lab tests – Blood R/E, Sugar, cholesterol,
bleeding profile, infection screening, HIV, HBSAg, VDRL, etc must be done
Ø
Weight of the Surrogate must be average, under
nourished surrogates are rejected.
Ø
Pelvis condition is checked using USS
Ø
Surrogate husband must be willing for such a
process.
Do you
have a surrogate pool?
What
is the cost of Surrogacy?
As each couple have their unique set of
complications and needs, the cost or expenses cannot be predicted accurately.
Ø
Following Costs are incurred
Ø
Selection and screening costs
Ø
Initial compensation for coming forward.
Ø
Consultation and allotment cost
Ø
Investigation in case of the couple
Ø
IVF/ICSI cost
Ø
Accommodation during the procedure (1 month) if
needed.
Ø
Pregnancy confirmation should follow payment to
the surrogate (Minimum proportion)
Ø
Accommodation 9 months if needed as the case
maybe
Ø
Medical charges to support pregnancy - Luteal
support
Ø
Antenatal case lab test vaccinations
Ø
Regular scanning medications
Ø
Travel expenses if needed
Ø
Admission costs for medical problems if
needed.(medical problems like bleeding, pain, vomiting, infections,
preeclampsia, gestational diabetes, preterm labor, etc may require admission
and treatment)
Ø
Charges based on Delivery/Caesarian and Postnatal
care of mother.
Ø
Any neonatal admissions if required.
Ø
Compensation (complete) to surrogate mother that
is discussed and fixed prior to starting the procedure. This is not fixed as
some women especially those who are with job and qualification often demand
more than housewives as their income are compromised.
Ø
Disclaimer:
The couple opting for Surrogacy must be prepared to take up any unexpected
costs that could occur due to medical problems in pregnancy, as the hospital is
not liable for such conditions.
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