surrogacy india blog

What is surrogacy?

Surrogacy is the method of assisted reproduction where woman carries and delivers a child for another couple or person.

What are the indications of surrogacy?

  1. After hysterectomy
    • For cancer
    • For post partum Hemorrhage
    • For menorrahgia
  2. Congenital absence of the uterus
  3. Repeated failure of IVF
  4. Recurrent abortion
  5. Severe medical conditions incompatible with pregnancy

What are the types of surrogacy?

  1. Commercial / Altruistic – It describes a woman who is financially compensated – beyond expenses associated with pregnancy – for carrying the baby of another couple.
  2. Traditional surrogacy (TS) – In this surrogate acts as both the egg donor and as the actual surrogate for the embryo, and she is impregnated using a process known as intrauterine insemination, or IUI.
  3. Gestational Surrogacy (GS) –In this the surrogate’s eggs are not used at all. Therefore, the child will not be related to the surrogate biologically. Using the gestational type of surrogacy, the embryo is actually created by using both the biological father’s sperm and the biological mother’s egg through a process called in vitro fertilization.

What are the criteria for selecting surrogate?

  1. Age – 21 to 35 years
  2. Should be in good health.
  3. Must have given birth to at least one child
  4. Not having any serious medical complications during any prior pregnancies or deliveries.
  5. Surrogates and their partners must be non-smokers, drug-free, and not abuse alcohol

What are the steps in surrogacy?

  1. Preparation of Surrogate –
    • Birth control pills (regulate her menstrual cycle and to coordinate with Prospective Mother’s or Egg Donor’s menstrual cycle)
    • Injectable hormone medication (GnRH agonist) to control Surrogate’s hormone production / menstrual cycle.
    • Oral Estrogen – To increase endometrial lining from Day1/2
  2. Preparation of Prospective Mother or Egg Donor –
    • Ovarian stimulation
    • Egg retrieval
    • Insemination / fertilization
    • Embryo culture
  3. Embryo transfer in surrogate
  4. Luteal phase support to surrogate

Is surrogacy legal in India?

Commercial surrogacy is legal in india. The availability of medical infrastructure and potential surrogates, combined with international demand, has fueled the growth of the industry. Surrogate mothers receive medical, nutritional and overall health care through surrogacy agreements. The Home Ministry in Jan 2013 enacted discriminatory rules banning gays and singles of either sex from surrogacy in India. Age restrictions for surrogates requires women to be between 21 and 35.

The Indian Council for Medical Research (ICMR) has given some Guidelines for surrogacy. The Law Commission of India submitted the 228th report on Assisted Reproductive Technology procedures discussing the importance and need for surrogacy, and also the steps taken to control surrogacy arrangements. The following observations had been made by the Law Commission:

  1. Surrogacy arrangement will continue to be governed by contract amongst parties, which will contain all the terms requiring consent of surrogate mother to bear child, agreement of her husband and other family members for the same, medical procedures of artificial insemination, reimbursement of all reasonable expenses for carrying child to full term, willingness to hand over the child born to the commissioning parent(s), etc. But such an arrangement should not be for commercial purposes.
  2. A surrogacy arrangement should provide for financial support for surrogate child in the event of death of the commissioning couple or individual before delivery of the child, or divorce between the intended parents and subsequent willingness of none to take delivery of the child.
  3. A surrogacy contract should necessarily take care of life insurance cover for surrogate mother.
  4. One of the intended parents should be a donor as well, because the bond of love and affection with a child primarily emanates from biological relationship. Also, the chances of various kinds of child-abuse, which have been noticed in cases of adoptions, will be reduced. In case the intended parent is single, he or she should be a donor to be able to have a surrogate child. Otherwise, adoption is the way to have a child which is resorted to if biological (natural) parents and adoptive parents are different.
  5. Legislation itself should recognize a surrogate child to be the legitimate child of the commissioning parent(s) without there being any need for adoption or even declaration of guardian.
  6. The birth certificate of the surrogate child should contain the name(s) of the commissioning parent(s) only.
  7. Right to privacy of donor as well as surrogate mother should be protected.
  8. Sex-selective surrogacy should be prohibited.
  9. Cases of abortions should be governed by the Medical Termination of Pregnancy Act 1971 only.
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In boost to infertility treatment, govt allows import of frozen embryos

India has allowed the import of human embryos for artificial reproduction, opening up what is expected to be a huge segment of the medical tourism market.

The decision will allow foreign couples to bring in frozen human embryos and rent a surrogate womb in India for the baby to be born. The relaxed rules will also apply to other infertility-related treatment such as IVF.

The decision was announced through separate notifications by the Central Board of Excise and Customs and the Directorate General of Foreign Trade over the last one month. To ensure quality control, such imports will have to carry a no-objection certificate from the Indian Council of Medical Research (ICMR).

“It is not only for foreign nationals but also Indian couples settled abroad if they want to bring frozen embryos to India for infertility treatment or surrogacy,” Hrishikesh Pai, president-elect of the Indian Society of Assisted Reproduction and head of the IVF unit at Lilavati Hospital, Mumbai, told The Indian Express.
“This was not permitted earlier but the new guidelines have streamlined the process and cleared grey areas on their import.”

Although ICMR had recognised the import of human embryos frozen in liquid nitrogen containers for artificial reproduction techniques as proper medical procedure to be conducted in India, doctors said customs and DGFT rules did not permit such imports.

India is a rising global healthcare player with the ability to provide inexpensive but top quality medical care and a large percentage of foreign patients come for treatment of problems linked to fertility.
The medical tourism business is expected to grow by 30 per cent cumulatively to about $2 billion (Rs 12,000 crore) by 2015.

But surrogacy has had to deal with conflicting guidelines and had not taken off. Experts said since the government has built in a case-by-case approval procedure, it would ensure that human embryos are not brought into the country for research purposes or for the exploitation of surrogates.

According to estimates, even now there are between 400 to 500 surrogacy cases in the country every year of which nearly 70 per cent are from Indian patients. “Import of human embryos has been restricted and only with permission from the ICMR,” said R Muralidharan, executive director, PricewaterhouseCoopers.

ICMR officials said the conditions for granting NOC are stringent. “The draft Assisted Reproductive Techniques Bill, which is still under consideration of the ministry of health, clearly disallows export of embryo gametes etc unless for personal therapeutic purposes. Imports are allowed so long as there is no sale. There is no restriction on implantation of a imported frozen embryo in a surrogate either but the conditions for granting of NOC are stringent,” one official said.

The documents required for an NOC include a certificate of registration of the ART clinic recommending transfer of embryos/gametes and the clinic in India where the infertility treatment will happen along with name and address of its in-charge.

The foreign clinic has to certify that the infertile woman cannot conceive or that such conception may lead to undesirable medical implications. There has to be certification that at least one of the gametes was from the infertile couple.

The Indian ART clinic has to give a certificate saying which foreign clinic has referred the couple and from which country, including name and address of the couple, while its foreign counterpart has to certify that the embryo was generated in their clinic and there was no sex selection. The couple has to furnish identification documents and proof of marriage.

Re-produced from ‘The Indian Express’ online website.  Photo credit ‘Reuters’

surrogacy patients from Nigeria

surrogacy parents from Nigeria

I had tried IVF process in Nigeria for three times but their was no successful result. A friend who had assisted pregnancy from Dr. Kaberi Banerjee, suggested me about Surrogacy Services India. I had started communication with Dr. Kaberi Banerjee who assured me that before I complete my cycle with them, I will smile. They have a healthy environment and friendly staff who are ready to be with you at all moment.

Today I am mother of a beautiful baby girl. Thanks to Dr. Kaberi Banerjee. We will always cherish the memory of being in SSI and definitely recommend it to others.

Thanks a lot!!

Surrogacy services india patient feedback

Couples share their experience with surrogacy services india

As rightly said by someone “success usually comes to those who are too busy to be looking for it”, that’s how I feel when I first met Dr. Kaberi Banerjee. Her conviction, willingness and positive attitude towards her work is commendable.

Before the delivery of our baby we were very nervous because parenthood is always a learning experience especially if it is first time. But she made it very enriching and memorable. We are blessed with twins, a daughter and a son.

We will pray for u and your loving family also. Thanks is not enough to god but I dare to say thanks to god also. No words to express our feelings and thnx.

surrogacy services india

Patients from USA share their experience with Surrogacy services India

Dr. Banerjee :
My sincere regrets at not being able to write to you earlier. As you can imagine live is very hectic with 4 new born babies.

Firstly, thank you four times over for your outstanding work through our surrogacy process. I am sure luck and fate did their part in us having four babies but this would not have happened without your competent work through the surrogacy. I had found you based on your education background and training as also reading reviews about you on the Internet. You have certainly lived up to my lofty expectations and I am very fortunate that I was able to work with you. The results certainly testify to that. The clarity of communication and the precise relevant information that I got from you kept me very comfortable through the entire process. I hope to stay in touch with you. Please do visit us and stay with us in the U.S. if you come to New York.

Best Regards,
Sanjay Goel