Surrogate pregnancy: an essential guide for clinicians

Authors

  • Kalsang Bhatia MRCOG,

    Locum Consultant in Obstetrics and Gynaecology, Corresponding author
    1. Department of Obstetrics and Gynaecology, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire BB2 3HH, UK Email: naviapo@aol.com
      Department of Obstetrics and Gynaecology, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire BB2 3HH, UK Email: naviapo@aol.com
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  • Elizabeth A Martindale MFFP FRCOG,

    Consultant Obstetrician and Gynaecologist
    1. Department of Obstetrics and Gynaecology, Royal Blackburn Hospital, UK
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  • Oybek Rustamov MRCOG,

    Specialist Registrar in Obstetrics and Gynaecology
    1. Department of Obstetrics and Gynaecology, Royal Blackburn Hospital, UK
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  • Anthony M Nysenbaum MD FRCOG

    Lead Clinician for Surrogacy, Consultant Obstetrician and Gynaecologist
    1. Manchester Fertility Services, Princess Road, Manchester M15 5AT, UK
    2. Department of Obstetrics and Gynaecology, Trafford General Hospital, Moorside Road, Davyhulme, Manchester M41 5SL, UK
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Department of Obstetrics and Gynaecology, Royal Blackburn Hospital, Haslingden Road, Blackburn, Lancashire BB2 3HH, UK Email: naviapo@aol.com

Abstract

  • • 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.

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