Gestational surrogacy is currently becoming increasingly a preferred method of family building especially among couples who are unable to have a child due to biological or medically contra-indicated issues. However, the number is still relatively low but growing day by day. Among the 174,962 in vitro fertilization cycles carried out in the Centers for Disease Control and Prevention in 2013, less than two percent of them are those involved in gestational surrogacy. Nevertheless, eighty-five percent of the clinics that do in vitro fertilization recorded by the Centers for Disease Control and Prevention engage in surrogacy fertility treatment.
What does gestational surrogacy mean?
In gestational surrogacy, a woman referred to as a gestational carrier agrees to carry and deliver a child with unrelated genetic compositions through the help of assisted reproductive technologies for a single parent or couple who would be the legal parent of the child and under whose custody the child will grow.
The embryos that are transplanted into the woman are normally obtained from gametes from one or the two intended parent(s). Sometimes, the embryos are derived from donated oocytes, sperm, or both. This practice is different from traditional surrogacy which we would be discussing in subsequent article.
Obstetrician and gynecologists are usually involved in gestational surrogacy. He or she provides the needed care for the gestational carrier and the intended parent(s).
Despite the fact that gestational surrogacy can boost your option for building a family, it is wrapped with varieties of ethical, medical, psychosocial, and legal intricacies for both the gestational carrier, anticipating parent(s), and resultant kids and ought to be considered to reduce your risks of unpleasant upshots.
Due to ethical, legal, and psychosocial intricacies involved, as well as possible health risk to the gestational carrier, the American College of Obstetricians and Gynecologists recommends that gestational surrogacy should only be used in scenarios where there is no other possible way for an individual or couple to have biological children or when there is medical contraindication for the intended parent(s).
The law that covers gestational surrogacy differs from one state to the other. Thus, you need to obtain appropriate legal guidance from certified legal practitioner with experience in gestational surrogacy in the state where you intend to practice it.
Domestic and international Gestational surrogacy
Gestational surrogacy can be domestic or international. It is local when the surrogate carrier comes from the same country as the intended parents while cross border gestational surrogacy occurs where the intended parents and gestational carrier comes from different countries.
When going for cross border gestational surrogacy bear in mind that there are varied religious and legal norms, together with varied mind-set of people in these countries concerning assisted reproductive technologies. This makes it hard to work out a globally satisfactory structure for the arrangement. For example, gestational carriers outside the US may be stigmatized in their communities due to the negativity wit which the practice is associated in those countries.
If you decide to go for cross-border gestational surrogacy you need to check your options for accessing reproductive care. This is applicable to American couples or individuals arranging for a gestational carrier oversea or oversea intending parent making such arrangement in the US.
Benefits of gestational surrogacy
Potential Complexities
Conclusion
Gestational surrogacy can be an option for pregnancy where the intended parents have issues that make it impossible to get their own biological parents on their own. There is need for obstetrician and gynecologists to get involved in the arrangement to take care of the surrogate carrier and the intended mother. Although, it is an option to have a child of your own consider the ethical, medical, social and psychological issues surrounding the situation before embracing the procedure. It should really be your last option and recommended when other options have failed.