The ‘surrogate host’ is therefore genetically unrelated to any offspring that is born of this arrangement. In ‘partial surrogacy’ or ‘natural surrogacy’ the women is inseminated with the semen of the husband and therefore is genetically related to the offspring.
Full surrogacy treatment is an accepted option in many countries for certain infertile women. The British Medical Council (BMA) states that surrogacy is an acceptable option of the last resort in cases where it is impossible or highly undesirable for medical reasons for the intended mother to carry the child herself. Medical tourism has demanded high values of surrogacy in India.
Indications for Surrogacy:
- Hysterectomy after cancer
- Congenital absence of the uterus
- Hysterectomy from post partum hemorrhage
- Repeated IVF failure
- Recurrent Abortion
- Hysterectomy for menorrhagia
- Severe medical conditions incompatible with pregnancy
Needless to say the in-depth counseling is required for both the ‘genetic parents’ as well as the ‘Host’. The couple should be explained about the medical, physiological, the potential psychological problems and also the cost of surrogacy. The control of the genetic parent over the host, its limitations and also the risk of the child being born has to be explained.
The “host” on the other hand should also be counseled in depth as above and explained also about the physiological the risks of multiple pregnancy, the social implications, and the need to abstain from unprotected sexual intercourse during the course of pregnancy. Along with all this she should also me made to understand the sense of loss and guilt that she may feel after giving up the baby.
A reliable process of surrogacy in India is awaited!