Surrogacy is an arrangement, where by a woman agrees to and carries a pregnancy to term and gives birth to a child and/ or children and then hands them over to the intended parents or the commissioning couple.
In traditional surrogacy, the surrogate becomes pregnant through Intra Uterine Insemination (IUI) or In-Vitro Fertilization (IVF). In that case, her own eggs are utilized in the process and she makes a genetic contribution to the baby. This type of surrogacy is no longer legally allowed.
Gestational surrogacy is the other type of surrogacy arrangement in which surrogate has no genetic connection to the baby. IVF allows the creation of embryos from the gametes of the commissioning couple and subsequent transfer of these embryos to the uterus of a surrogate host.
Surrogacy is required in case of the following conditions:
- Women who don’t have a uterus as a result of a hysterectomy (uterus removal surgery) done due to some problem in the uterus like tumor or cancer or excessive bleeding during previous childbirth
- Women who are born without a functional uterus
- Women who have significant abnormalities in their uterus or womb including uterine scarring (Asherman’s Syndrome) due to Tuberculosis or multiple times D & C of the uterus etc. and inability to develop a thick, supportive uterine lining
- Significant medical conditions that make carrying a pregnancy risky for a woman’s health (such as hypertension)
- Women who have an illness requiring medication which can’t be stopped but is risky to the baby if continued during pregnancy
- Women who get pregnant but suffer recurrent miscarriages
Want to know also about IVF? Check out our In-Vitro Fertilization article.