Surrogacy is an arrangement between a woman and a couple or individual to carry
and deliver a baby.
Deciding to go in for surrogacy is a very hard decision for most infertile couples,
because of the many variables involved, and they have many concerns - social, legal,
financial, emotional and medical.
Conventional medical, surgical and assisted reproductive procedures (eg. IVF) will
help infertile couples to achieve pregnancy. There are, however few cases where
the conventional options cannot be used. In order to achieve pregnancy, some couples
solicit the assistance of a third party to provide sperm, egg or alternatively to
carry a child for them. (surrogate parenting)
We have a large and comprehensive program for third party options such as oocyte
(egg) donation, embryo donation and surrogacy for patients who require these technologies.
Egg donors and surrogate mothers are screened by our own team, carefully recruited
and matched as per the patients requirements to ensure smooth conduct of the procedures.
Traditional / Natural surrogacy
This is where the surrogate is inseminated or IVF/ICSI procedure is performed with
sperms from the male partner of an infertile couple. The child that results is genetically
related to the surrogate and to the male partner but not to the female partner.
IVF / Gestational surrogacy
This is a more common form of surrogacy. In this procedure, a woman carries a pregnancy
created by the egg and sperm of the genetic couple. The egg of the wife is fertilized
in vitro by the husband's sperms by IVF/ICSI procedure, and the embryo is transferred
into the surrogate's uterus, and the surrogate carries the pregnancy for nine months.
The child is not genetically linked to the surrogate.
To whom is surrogacy advised?
Women or couples who choose surrogacy often do so because they are unable to conceive
1. Primarily, IVF surrogacy is indicated in women whose ovaries
are producing eggs but they do not have a uterus. For e.g., in the following cases:
- Congenital absence of uterus (Mullerian agenesis)
- Surgical removal of the uterus (hysterectomy) due
to cancer, severe hemorrhage in Caesarian section or a ruptured uterus.
2. A woman whose uterus is malformed (unicornuate uterus, T shaped
uterus, bicornuate uterus with rudimentary horn) or damaged uterus (T.B of the endometrium,
severe Asherman's Syndrome) or at high risk of rupture, (previous uterine surgeries
for rupture uterus or fibroid uterus) and is unable to carry pregnancy to term can
also be recommended IVF surrogacy.
3. Women who have repeated miscarriages or have repeated failed
IVF cycles may be advised IVF surrogacy in view of unexplained factors which could
be responsible for failed implantation and early pregnancy wastage
4. Women who suffer from medical problems like diabetes, cardio-vascular
disorders, or kidney diseases like chronic nephritis, whose long term prospect for
health is good but pregnancy would be life threatening.
5. Woman with Rh incompatibility
Some people may come to terms with their childlessness. Others may find adoption
or fostering an acceptable alternative, although this option is limited by the number
of babies and children offered for adoption. For others surrogacy may be seen as
a possible solution. The surrogacy arrangement is sometimes made through an agency
and other times contracted privately.
Using a family member as a surrogate: It is better when a family member offers to
server as a surrogate as it is comforting to have personal knowledge of your surrogate's
medical history and background.
We have very stringent and meticulous criteria for choosing a surrogate. The surrogates
are between 21-35 years of age. They are married with children of their own. Detailed
medical history, surgical history, personal history and family background is looked
into. The surrogate and her partner are screened for infectious diseases like sexually
transmitted diseases, Hepatitis B & C, HIV, and VDRL. Thalessemia screening is also
done. Other basic blood and routine urine investigations are also done along with
a detailed pelvic sonography. Surrogates without any history of congenital anomalies
are only chosen. A detailed legal contract is then drawn along with the surrogate.
Why India for Surrogate ?
INDIA AS A PREFERRED DESTINATION FOR SURROGACY!
Many people globally are now choosing India a destination for Surrogacy. There are
many reasons like:
- Surrogacy Treatment is Economical In India
- Best Of IVF Treatment, Technology and expertise
is up to world class standards.
- Easy to find Surrogate Mother In India
- Legal Aspect of Surrogacy as law are in favour
of surrogacy treatment.
India is foremost in surrogacy because of the low cost treatment and availability
of women opting to be surrogate for childless couples.
Many surrogate arrangements are made through agencies that help match up intended
parents with women who want to be surrogates for a fee. The agencies often help
manage the complex medical and legal aspects involved.
Surrogacy in India is much more simpler and cost effective than anywhere else in
the world. There is an increasing amount of Intended Parents who choose India as
their surrogacy destination. The main reason for this increase is the less costlier
surrogacy and better flexible laws. In 2008, the Supreme Court of India has held
that commercial surrogacy is permitted in India. That has again increased the international
confidence in going in for surrogacy in India.
Our Centre provides a Agency who recruits a suitable surrogate mother for the couple
as per mutual requirements. The IVF procedure is then started once their menstrual
cycles are synchronized. The couple can expect a 50% chance of pregnancy per cycle
of IVF / ICSI with gestational surrogates.
Would-be parents in America, Canada, Australia, France, and other western countries
often prefer Indian surrogate mothers, because India provides cheaper yet modern
health care facilities, and because the legal formalities are much less in India
– surrogacy can cost just one fifth what it would in their own country.
Foreign nationals will have to confirm immigration formalities with their respective
country consulates to avoid any inconvenience in taking the babies back to their
India does not yet have a legislation controlling surrogacy.
Indian Council for Medical Research guidelines:
1. The Indian Council for Medical Research has given Guidelines
in the year 2005 regulating Assisted Reproductive Technology procedures. The Law
Commission of India submitted the 228th report on Assisted Reproductive Technology
procedures discussing the importance and need for surrogacy, and also the steps
taken to control surrogacy arrangements. The following observations had been made
by the Law Commission:
2. Surrogacy arrangement will continue to be governed by contract
amongst parties, which will contain all the terms requiring consent of surrogate
mother to bear child, agreement of her husband and other family members for the
same, medical procedures of artificial insemination, reimbursement of all reasonable
expenses for carrying child to full term, willingness to hand over the child born
to the commissioning parent(s), etc. But such an arrangement should not be for commercial
3. A surrogacy arrangement should provide for financial support
for surrogate child in the event of death of the commissioning couple or individual
before delivery of the child, or divorce between the intended parents and subsequent
willingness of none to take delivery of the child.
4. A surrogacy contract should necessarily take care of life insurance
cover for surrogate mother.
5. One of the intended parents should be a donor as well, because
the bond of love and affection with a child primarily emanates from biological relationship.
Also, the chances of various kinds of child-abuse, which have been noticed in cases
of adoptions, will be reduced. In case the intended parent is single, he or she
should be a donor to be able to have a surrogate child. Otherwise, adoption is the
way to have a child which is resorted to if biological (natural) parents and adoptive
parents are different.
6. Legislation itself should recognize a surrogate child to be
the legitimate child of the commissioning parent(s) without there being any need
for adoption or even declaration of guardian.
7. The birth certificate of the surrogate child should contain
the name(s) of the commissioning parent(s) only.
8. Right to privacy of donor as well as surrogate mother should
9. Sex-selective surrogacy should be prohibited.
10. Cases of abortions should be governed by the Medical Termination
of Pregnancy Act 1971 only.
We will help you make the right decision, so you can maximize your chances of having
a baby !