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What are the important factors to be considered for selecting a woman for surrogacy? Is her spouse's consent necessary?

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posted Oct 26, 2015 by anonymous

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1 Answer

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Age: Age should be between 21-35 years.
Pregnancy history: Should have given birth to at least one child, with no complications either during pregnancy or during delivery. This reinstates the fact that, she is familiar with the medical risks involved.
BMI: BMI (Body Mass Index) should be between 18-25, which not only represents the overall health of the woman, but also about her ability to withstand the medication and strain during the entire process.
Diseases: Should be screened for communicable diseases like HIV, Syphilis, Gonorrhea, Chlamydia, Cytomegalovirus, Hepatitis B and C.
Lifestyle: Should be checked for lifestyle hazards like smoking (active or passive), alcohol intake or any other forms of intoxication, which might tamper with the health of the woman and the baby in later stages.
Mental health: Should be screened for mental health. If there is a history of mental illness and medications were prescribed for the same, eg. anti-depressants, the surrogate mother should have stopped the intake of dosage at least 6-12 months prior to the procedure. However, the criterion for screening depends on the kind and intensity of illness. The woman should also pass the psychological screening by a mental health professional to overcome any issues with giving up the baby after birth.
Responsibilities: Should willingly sign a contract agreeing to her role and responsibilities in the pregnancy, such as steps she'll take to ensure prenatal care and to relinquish the baby after birth
Colostrum: Colostrum is the initial milk produced for newborns which helps enhance their immune system. It is always better to include this in the contract agreement, on if the mother is willing to provide colostrum or not. A positive turn-around is always preferred since that affects the health of the baby in a long run.
Legal check: No history of criminal activity should be present.
Spouse’s consent: The spouse of surrogate should provide consent to go ahead with the procedure. In case of absence of the spouse due to death, guardians should provide the consent for the same.
Financial stability: The woman undergoing surrogacy should not be under the aid of any government organizations for financial support and should have stable financial conditions.

answer Jan 19, 2016 by Dr Prachi
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