What is surrogacy?
Surrogacy is an arrangement, often supported by a legal agreement, whereby a woman (the surrogate mother) agrees to bear a child for another person or persons, who will become the child’s parent(s) after birth.
People may seek a surrogacy arrangement when pregnancy is medically impossible, when pregnancy risks are too dangerous for the intended mother, or when a single man or a male couple wish to have a child. Surrogacy is considered one of many assisted reproductive technologies.
In surrogacy arrangements, monetary compensation may or may not be involved. Receiving money for the arrangement is known as commercial surrogacy.
Where commercial surrogacy is legal, couples may use the help of third-party agencies to assist in the process of surrogacy by finding a surrogate and arranging a surrogacy contract with her. These agencies often screen surrogates’ psychological and other medical tests to ensure the best chance of healthy gestation and delivery. They also usually facilitate all legal matters concerning the intended parents and the surrogate.
ICSI Clinic implements surrogacy motherhood programs, being in exclusive partnership with the medical tourism agency «Darina Plus», which provides legal, logistical, and organizational support for patients throughout the surrogacy program until the parents leave Ukraine with the child.
The term “surrogacy” is generally used to describe a couple different scenarios.
Traditional
A traditional surrogacy (also known as partial, natural, or straight surrogacy) is one where the surrogate’s egg is fertilised in vivo by the intended father’s or a donor’s sperm. Insemination of the surrogate can be either through natural or artificial insemination. Using the sperm of a donor results in a child who is not genetically related to the intended parent(s). If the intended father’s sperm is used in the insemination, the resulting child is genetically related to both the intended father and the surrogate.
In some cases, insemination may be performed privately by the parties without the intervention of a doctor or physician. In some jurisdictions, the intended parents using donor sperm need to go through an adoption process to have legal parental rights of the resulting child. Many fertility centres that provide for surrogacy assist the parties through the legal process.
Gestational
Gestational surrogacy (also known as host or full surrogacy) was first achieved in April 1986. It takes place when an embryo created by in vitro fertilization (IVF) technology is implanted in a surrogate, sometimes called a gestational carrier. Gestational surrogacy has several forms, and in each form, the resulting child is genetically unrelated to the surrogate:
- The embryo is created using the intended father’s sperm and the intended mother’s eggs;
- The embryo is created using the intended father’s sperm and a donor egg;
- The embryo is created using the intended mother’s egg and donor sperm;
- A donor embryo is transferred to a surrogate. Such an embryo may be available when others undergoing IVF have embryos left over, which they donate to others. The resulting child is genetically unrelated to the intended parent(s).
Psychological concerns
Anthropological studies of surrogates have shown that surrogates engage in various distancing techniques throughout the surrogate pregnancy so as to ensure that they do not become emotionally attached to the baby. Many surrogates intentionally try to foster the development of emotional attachment between the intended mother and the surrogate child.
Some surrogates describe feeling empowered by the experience.
Although gestational surrogates generally report being satisfied with their experience as surrogates, there are cases in which they are not. Unmet expectations are associated with dissatisfaction. Some women did not feel a certain level of closeness with the couple and others did not feel respected by the couple. Some gestational surrogates report emotional distress during the process of surrogacy. There may be a lack of access to therapy and emotional support through the surrogate process.