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Surrogacy Procedure In India – By Internationally Experienced Surgeons
Added: (Tue Oct 06 2009)
Surrogacy Procedure In India
What is Surrogacy ?
Surrogacy is the arrangement when one woman (the surrogate mother) will bear a child for another woman or a couple (the intended parents) and surrender it at birth..
Types of Surrogacy Treatment
There are two types of treatment : -
* Full or host surrogacy in which the surrogate (host) mother receives embryos that do not geneticially belong to her
* Partial or straight surrogacy in which the surrogate contributes her own eggs and therefore the surrogate mother is both the genetic and carrying mother..
Indications for Surrogacy
Patients who have difficulties sustaining a pregnancy : -
* Damaged lining of the womb - Asherman Syndrome
* Recurrent miscarraige in spite of all possible treatment
* Repeated failiure of IVF treatment in spite of the creation of good quality embryos..
Recruiting a Surrogate Mother
The Surrogate Mother is recruited legally by the surrogate agencies under the ethics and guidelines of the law and under strict supervision of the partner IVF and Surrogacy Doctor. A host of tests and procedures, details of family history and physiological counseling are carried out before registering the surrogate....
Screening and Preparing for Surrogacy Treatment
The commissioning (intended) parents : -
* Full history and clinical examination to establish the indications for the treatment and exclude infectious diseases that might adversely affect the surrogate mother or the potential child. The whole process including procedures and risks and legal and ethical issues are discussed..
The Surrogate Mother (Couple)
Full history and clinical examination to exclude infectious diseases that could be passed to the baby and conditions that might make pregnancy a particular risk for the surrogate mother. Procedures and risks including emotional and psychological difficulties are discussed in detail. We also discuss all the ethical and legal issues..
Counselling
Both parties should see independent counselor who will submit their reports to the Internal Committee. The treatment has to be approved at the Committee meeting after the panel is satisfied with the welfare of the potential baby...
Following are the procedure for Surrogacy : -
* Full Surrogacy : -
We need to synchronise two women in the same phase of the cycle so that when the intended mother produces the eggs, the surrogate's womb will be receptive for the created embryos. The surrogate mother receives an injection (Prostap) to stop the pituitary gland to control the ovaries (down regulation). The Prostap injection is given either on day 21 or Day Two of the cycle and the effect lasts for four to six weeks. The drug is fully effective in about 12 days and this is confirmed by a vaginal ultrasound scan to show a thin lining of the womb and inactive ovaries. ..
Legal Issues
Surrogacy is not legal in India. Payment from the intended parents to the surrogate mother is allowed only to cover expenses. Intending parents are strongly advised to seek legal advice. Intending parents from abroad should also seek legal advice in their own country. ..
Other Considerations
Both intended parents and the surrogate mother (couple) should agree on : -
* Number of embryos to be replaced/risk of a multiple pregnancy
* Selective fetal reduction (i.e. termination of one of the fetuses) in case of triplet or higher order pregnancy
* Screening tests for chromosomal abnormalities and neural tube defects +/- amniocentesis..