Surrogacy Centre in Mumbai

Surrogacy in Mumbai

Surrogate mother is in possession of an eligibility certificate issued by appropriate authority

Following are the conditions:

Ever married woman having a child of her own
23 to 35 years on the day of implantation
Surrogacy has to be done on altruistic grounds, and not for commercial purpose
Not donating her egg or oocyte or otherwise;
No woman shall act as a surrogate mother by providing her own gametes

A certificate of medical & psychological fitness from RMP

What is Surrogacy?

Surrogacy is a method where a woman (surrogate) carries a baby for intended parents who may be unable to conceive or carry a pregnancy. The surrogate agrees to undergo pregnancy and childbirth on behalf of the intended parents. It offers hope to couples facing infertility issues. If you’re considering surrogacy, at Ankoor fertility clinic, a reputable surrogacy centre in Mumbai can provide guidance and support throughout the process.

The intended parent(s) are person or persons who become the legal parent(s) of a child born through surrogacy.

Types of Surrogacy:

1. Traditional Surrogacy: This is a pregnancy where a surrogate mother is artificially inseminated, either by the intended father or an anonymous donor and carries the baby to term. The child is thereby genetically related to both the surrogate mother, who provides the egg and the intended father or anonymous donor. This type of surrogacy is PROHIBITTED according to Indian government guidelines.

2. Gestational Surrogacy: This is a pregnancy where, IVF is used, either with the eggs of the intended mother, or donor and sperms of intended father or donor. The surrogate mother therefore does not use her own eggs, and is genetically unrelated to the baby

There are three stages to ‘host’ surrogacy:

1. Egg donation

The female intended parent, or an egg donor, undergo special procedures to extract a number of eggs.

2. Fertilization

The eggs are fertilised with sperms of intended father or donor in the laboratory, resulting in embryos.

3. Embryo Transfer

The embryo is transferred into the womb of the surrogate mother. The embryos can be transferred into the surrogate either ‘fresh’ or after having been thawed from the stock (frozen embryo transfer- FET). For a fresh embryo transfer the cycles of the surrogate and the egg donor must be synchronised, and this is done using hormone medications and injections. In cases, where embryos have been frozen already and the thawed embryos are being transferred, the surrogate mother is provided with hormone medications for preparing her endometrial lining, in a planned cycle.

For Intended Parents:

A couple who will raise the child once it is handed over to them by the surrogate is known as a commissioning couple or intended parent. The commissioning couple may both be the genetic parents, or just one or neither of them may be genetically related to the child.

1. Indications for surrogacy

Below are a few listed medical conditions wherein it may be difficult or sometimes impossible to bear a child in your own womb:

Absence of her uterus since birth which is a congenital abnormality. Such women will never have menses/periods.
Conditions like cancer, severe bleeding in the previous childbearing which could not be controlled or Rupture (tear) uterus leading to obstetric hysterectomy (removal of the uterus) in order to save the mother’s life.

Damaged r thin uterine lining especially in INDIA:

Tuberculosis (these women may not have cough or fever but may experience very less bleeding during menses) OR
Women who have repeated miscarriages (Recurrent miscarriage is defined as two or more spontaneous pregnancy losses)
Women who have repeated failed IVF cycles (Recurrent implantation failure (RIF) refers to cases in which women have had three failed in vitro fertilization (IVF) attempts with good quality embryos)
Any medical condition that would endanger the life of the mother.
A severe case of Rh isoimmunisation.
Repeated cleaning of the uterus (D&C) – The inner lining of the uterus is damaged because of which the embryo would not be able to implant in it.

2. Success rates of Surrogacy

The success rate of surrogacy in Mumbai, like here at Ankoor Fertility Clinic is very good with an implantation rate of around 80% and a carry home baby rate of around 60%.

3. Legal Aspects

An eligibility certificate for intending couple is issued separately by appropriate authority.

Age of intending couple – Greater than 21 years and Less than 50 Years (Female) & Greater than 21 years and Less than 55 Years (Male) on the day of Certification

Married for at least 5 years & Indian citizens
Have not had any surviving child biologically /adoption / through surrogacy earlier
Provided a child who is mentally / physically challenged / suffers from life threatening disorder / fatal illness with no permanent cure and approved by the appropriate authority with due medical certificate from a District Medical Board.

Surrogate mother is in possession of an eligibility certificate issued by appropriate authority

Ever married woman having a child of her own
23 to 35 years on the day of implantation
Surrogacy has to be done on altruistic grounds, and not for commercial purpose
Not donating her egg or oocyte or otherwise;
No woman shall act as a surrogate mother by providing her own gametes
A certificate of medical & psychological fitness from RMP

Prohibition of conducting surrogacy

No person including a relative or husband of a surrogate mother or intending couple shall seek or encourage to conduct any surrogacy or surrogacy procedures on her except for the purpose specified

Written informed consent of surrogate mother

No person shall seek or conduct surrogacy procedures unless he has—
(i) explained all known side effects & after effects of such procedures to the surrogate mother concerned;
(ii) Obtained in prescribed form, written informed consent of surrogate mother to undergo such procedures in the language she understands.
Surrogate mother shall have an option to withdraw her consent for surrogacy before implantation of human embryo in her womb.

Prohibition to abandon child born through surrogacy

Intending couple shall not abandon the child, born out of a surrogacy procedure, for any reason whatsoever, including genetic defect, birth defect, medical condition, defects developing subsequently, sex of child or conception of more than one baby
Child born out of surrogacy, shall be deemed to be a biological child of intending couple & be entitled to all the rights & privileges

4. Breastfeeding and other mother care after surrogacy

It is very much possible that the intending parent can feed her baby in spite of not carrying her in her womb.

The different ways of breastfeeding-

Just because the baby is born through surrogacy does not mean he or she cannot receive breast milk and the many health benefits it provides.

The commissioning/intending mother can give her own breast milk to the baby, in spite of not carrying the baby in her womb. This can be done by ‘induced lactation’.

Induced lactation has been embraced by the nursing community as a welcome method to enhance the bonding relationship between a new mother and baby born through surrogacy. We at Ankoor Fertility Clinic, a leading surrogacy centre in Mumbai, start preparing the intending mother for this induced lactation from the 6th month of gestation itself. This has given us very good results.

For Surrogate Mother:

A women who carries the child in her womb, for couple who are unable to conceive due to specific reasons is a surrogate mother. As a surrogate, you have the chance to make parenthood possible for someone who otherwise would not have the opportunity.

Criteria for Surrogate Mother

Surrogates are selected only in the early reproductive years (up to 35 years) of her life and she should have already proven her fertility by giving birth to her own child.

The surrogate and her partner are screened for the following. A detailed history of the surrogate and her husband is taken.

DETAILED CASE HISTORY OF SURROGATE:

21 – 35 years of age – Shall be eligible to act as a surrogate mother
Should have her own children.
ART bank – may advertise to seek surrogacy
No details relating to caste, ethnic identity or descent of any of the parties
No ART clinic shall advertise to seek surrogacy for its clients.
No surrogate mother shall undergo embryo transfer more than three times for same couple.
Birth certificate of a baby born through surrogacy shall bear name(s) of individual / individuals who commissioned surrogacy
All information about the surrogate shall be kept confidential. Except by an order of a court of competent jurisdiction.
Surrogate shall not act as an oocyte donor for the couple seeking surrogacy
Consent of her spouse shall be required before she may act as such surrogate
In case of a relative acting as a surrogate, she should belong to same generation as women desiring surrogate.
Not have the service of more than one surrogate at any given time.
Not have simultaneous transfer of embryos in woman & surrogate.
Menstrual & Obstetric history (how many pregnancies she has had, when was the last pregnancy, any history of recurrent abortions, etc. to determine fertility potential)
Family history (history of any genetic/congenital abnormalities in any family member)
Personal history(habits like using tobacco, smoking, drinking, what is the contraceptive being used)
Any history of blood transfusion
A drug intravenously administered into her through a shared syringe
Last coital date
The couples extramarital relationship status in the last six months
Psychological counselling done to inform surrogate, her husband and her family members about all the procedure, diet, follow up, financial and legal aspects.

We at Ankoor Fertility Clinic, also carry out blood tests and screen for any hormonal abnormality in the surrogate, any major blood disorder, and infections that can be transmitted to the baby. Detailed pelvic sonography is done to ensure maximum chances of success. We also do blood tests of the surrogate’s husband to screen for any infectious diseases that may be transmitted to the baby.

PRACTICAL ASPECTS OF SURROGACY TREATMENT FOR SURROGACY CENTRE IN MUMBAI

What is Gestational surrogacy?

Woman carries a pregnancy created by the egg and sperm of the genetic couple
Egg of the wife is fertilized in vitro by husband’s sperms by IVF/ICSI procedure
Embryo formed is the genetic child of the infertile couple
Transferred into the surrogate’s uterus
Surrogate carries the pregnancy for nine months and delivers the baby
Child is not genetically linked to the surrogate.

Indications for surrogacy

Congenital absence of uterus (Mullerian agenesis)
Hysterectomy – Cancer, Hemorrhage in prev Cesarean section /Rupture uterus.
Uterine malformations – Unicornuate uterus, Bicornuate uterus with rudimentary horn
TB endometrium – severe adhesions, Asherman’s Syndrome
High risk of rupture – Previous uterine surgeries for rupture uterus or fibroids
Repeated miscarriages / failed IVF cycles – Unexplained factors
Medical problems – Diabetes, heart or kidney diseases like chronic nephritis
Woman with Rh incompatibility

Different combinations of IVF with surrogacy

Wife’s egg + Husband’s semen = Embryo transferred in the surrogate
Wife’s egg + Donor’s semen = Embryo transferred in the surrogate
Donor’s egg + Husband’s semen = Embryo transferred in the surrogate
Donor’s egg + Donor’s semen = Donor Embryo transferred in the surrogate

What is the surrogacy procedure ?

Matching of cycles of genetic mother & surrogate – OCP
GnRh analogue (lupride depot 3.75mg IM) Luteal phase day 21-22
Surrogate is put on estrogen tablets to prime uterus
OI protocol used for genetic mother – Agonist / antagonist

What is the surrogacy procedure?

When the follicle reaches an 17-18 mm size hCG trigger is given
TVOR is done 34-36 hours later
Surrogate is started on progesterone – Day of hCG injection / oocyte retireval
On the same day, the genetic father gives semen sample
Eggs of genetic mother are fertilized with sperms
Embryo – transferred into womb of surrogate under ultrasound guidance
Surrogate is then put on luteal support using progesterone tablets/injections
Pregnancy is confirmed using a simple blood test done 2weeks later

Ankoor Fertility Clinic, renowned as one of the best IVF clinics in Mumbai, specializes in comprehensive fertility treatments. Discover expert care at our fertility clinic in Mumbai.