Surrogacy

Surrogacy involves a woman becoming pregnant and giving birth to a baby for a couple who want to have a child but can’t. The surrogate is the woman who carries and gives birth to the child for the intended parents (sometimes called the commissioning couple).

Examples of medical conditions that might make surrogacy necessary include absence or malformation of the womb, recurrent pregnancy loss, or repeated IVF implantation failures.

Full surrogacy (also known as Host or Gestational)

Full surrogacy involves the implantation of an embryo created using either:

• the eggs and sperm of the intended parents
• donated eggs fertilised with sperm from male intended parent
• eggs from the female commissioner fertilised with donated sperm
• embryos created using both donor eggs and donor sperm

Partial surrogacy (also known Straight or Traditional)

Partial surrogacy involves sperm from a male intended parent and an egg from your surrogate. Here fertilisation is usually done by intrauterine insemination however the surrogate can also undergo IVF.

It isn’t allowed for couples or individuals to advertise for surrogates, or for surrogates to advertise their services. However, there are introduction agencies who can help with practical advice and support:

Brilliant beginnings  www.brilliantbeginnings.co.uk

COTS – Surrogacy in the UK www.surrogacy.org.uk

Surrogacy UK www.surrogacyuk.org

Your surrogate must be over 18 years old, in good health with a normal body mass index (BMI) i.e. less than 35, and no previous health or pregnancy problems.

Ideally, your surrogate would already have a family of her own, and have the support of her partner if she’s in a relationship. Your surrogate, and her partner if she has one, must fully and carefully consider all aspects of the process including emotional, medical, legal and practical matters – you can only reimburse your surrogate reasonable expenses.

Surrogacy is legal in the UK, but certain aspects of the process are subject to specific legal constraints:

• Advertising
  Surrogates are not allowed to advertise their services.
• Commercial brokering
  It’s illegal for anyone to make a profit from matching surrogates with intended parents.
• Parenthood
  Parenthood of the child involves complicated legal issues, and we recommend that you seek your own legal advice before making any decisions. It’s important to know that surrogacy arrangements are unenforceable in the UK – they are not legally binding.

You should bear in mind that:

• The surrogate has the legal right to keep the child, even if it is not genetically related to her. Although this is rare, when it does happen it is difficult for everyone, and that is why it’s vital that you trust each other and are clear about what’s going to happen. Familiarise yourself with the wording of the Surrogacy Arrangements Act, 1985, and discuss its implications with your lawyer before proceeding.
• Surrogacy arrangements are not legally enforceable, even if a contract has been signed and the expenses of the surrogate have been paid.
• Your surrogate will be the legal mother of the child unless or until parenthood is transferred to you through a parental or adoption order granted after the birth of the child. This is because, in law, the woman who gives birth is always treated as the legal mother.
• Your surrogate’s husband or civil partner surrogate may be the child’s other legal parent to begin with. They will need to complete the appropriate forms, prior to treatment, which state that they agree not to be named as a legal parent of the surrogate child.

At Nurture Fertility we have a legal responsibility to consider the possibility of a breakdown in the surrogacy arrangement. We need to consider whether this would cause serious harm to any child born as a result of the surrogacy arrangement, or to any existing children of you or your surrogate. An appointment with our specialised counsellor is strongly recommended for all parties involved.

To become the legal parents of a child born through surrogacy, you may either apply to adopt, or apply for a parental order.

If you can’t apply for a parental order because the above conditions cannot be made e.g. both donor eggs and sperm, or donor embryos, were used in treatment, then adoption of the baby is the only option available to you. If adoption is the path you need, then a registered adoption agency has to be involved in the surrogacy process. This is why it’s important to get legal advice before you decide to embark on surrogacy.

This transfers the rights and obligations from the surrogate to the intended parents providing certain conditions are met. To obtain a parental order:

• The surrogate must give consent at least six weeks after the birth and within six months
• The intended parents must be husband and wife, civil partners or two persons who are living as partners and both are over 18 years of age
• At least one of the intended parents must be genetically related to the child
• At least one of the intended parents must be domiciled in the UK, Channel Islands or Isle of Man
• The child must be in the care of the intended parents when the application is made
• The court must be satisfied that the surrogate has received no more than ‘reasonable expenses’

• If the surrogate is not married or in a civil partnership, the genetic father can automatically be named on the birth certificate as the second legal parent.
• If the surrogate is married or in a civil partnership, then her husband or civil partner will be the second legal parent unless it is shown that they did not consent to treatment.
• In some circumstances in Scotland the genetic father can be on the birth certificate despite the surrogate being married or in a civil partnership.

1. Counselling
   Discussions with a counsellor are required for you, your surrogate, and you and your surrogate together. There are lots of emotional and practical issues surrounding surrogacy for all parties, and couples have indicated that counselling is very helpful in identifying potential issues that they hadn’t previously considered. The joint session for you and your surrogate will include discussions around the agreement between the surrogate and commissioning couple.

2. Legal Advice
   It is highly recommended that legal advice is taken by all surrogacy parties to fully explore their individual circumstances and the issues explained above.

3. Screening Tests
   All parties have to undergo screening tests. They help to ensure that infection risks are minimised for everyone, and that some common genetic risks are identified, if they’re present. Overall, these tests are undertaken to protect the welfare of everyone involved in the surrogacy arrangements, and importantly any child that may be born. For details of the tests required for surrogacy arrangements, please contact the clinic. An individualised requirement table will be provided at surrogacy consultation appointments.

4. Welfare of the child check
   The background and health of the intended parents is considered in an assessment of a future child’s welfare.

5. Quarantine of Sperm
   All sperm to be used in treatment must be quarantined for 180 days (6 months) whilst screening is done. The donating male has tests at the beginning of the quarantine period, which are repeated after 180 days. If the results of the tests are satisfactory, then the sperm can be released from quarantine for use in treatment. Sperm from altruistic donors is subject to these measures as a matter of course. The quarantine period can be reduced to 4 weeks by use of specialised blood tests, called NAT tests, following the quarantine period.

“Having undergone IVF treatment at other clinics we finally came to the Nurture Wessex due to its proximity to our surrogate and we couldn’t have been happier with our treatment there. All of the staff, from the receptionists to the consultants and everyone in between, were friendly, helpful, efficient and professional. We felt very comfortable whenever we were there and found the standard of care far exceeded that which we’d experienced at our other clinics. We will be forever grateful to Sue and her team for helping our dreams come true.” Surrogacy Commissioning Couple”

“It really felt as though our consultant and fertility nurse were with us every step of the way, supporting us all and sharing the highs and lows of our journey. The care we received was exemplary and we were left feeling that the team was as excited and pleased by the news of our daughter’s birth as we were! Thank you, you made a difficult time of our lives much easier to navigate than we expected.”