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Keywords:

  • gestational surrogacy;
  • HFEA Code of Practice;
  • parental order;
  • traditional surrogacy
  • • 
    The incidence of surrogacy is rising.
  • • 
    Literature on associated obstetric risks is scarce and caution must be exercised when labelling surrogate pregnancies as low risk.
  • • 
    Although obstetricians’ responsibilities lie with the surrogate mother, they must ensure her wishes do not conflict with the best interests of the baby.
  • • 
    Prepregnancy counselling is the key to a successful surrogacy arrangement.

Learning objectives:

  • • 
    To gain an awareness of the different types of surrogacy.
  • • 
    To understand the law surrounding surrogacy.
  • • 
    To learn about antenatal, intrapartum and postpartum care in surrogacy.

Ethical issues:

  • • 
    When the surrogate mother's wishes and the interests of the child conflict, do obstetricians have the right to discuss this with the commissioning parents without her consent?
  • • 
    When should obstetricians seek ethical and legal support?

Please cite this article as: Bhatia K, Martindale EA, Rustamov O, Nysenbaum AM. Surrogate pregnancy: an essential guide for clinicians. The Obstetrician & Gynaecologist 2009;11:49–54.