What Is India Doing to Regularise Surrogacy

Pregnancy involves the whole person, body and mind, at every conscious and unconscious moment for nine months. The act of procreation, the primal behavior of human beings, is a gift which has helped thousands of infertile couples through Surrogacy in India. It is often termed as womb-renting, which represents the final conquest of the couples, who have failed to conceive despite several attempts.

Unending quest for a child has been answered by surrogate mothers. However, becoming a surrogate mother is often looked down as a way for women in socially vulnerable positions to sell fundamental human rights. But, in 12 years of its legal existence in India, surrogacy has emerged as the most preferred option for couples to complete their families. Surrogacy has not only given an answerto fertility problems but also has harnessed the technology to enhance reproductive freedom.

Woman undergoes enormous emotional challenges posed by the unrequited desire to have a child of one's own. Even the surrogacy in Raipur has witnessed a positive boast from all directions.

However, some social workers and feminist organization have condemned surrogate motherhood. They have argued that surrogacy exploits the woman’s body and her reproductive organs, and violates poor women’s human rights. The industry has been criticised for operating in a regulatory vacuum, and while there are some rules for people who take the journey to India, it is still a minefield for many unsuspecting parents.

If we consider the feminist approach, we would have to think that surrogacy means exploiting a woman’s body and her rights. Surrogacy has always been debated on ethical and legal issues. Even the argument from equality, specifically LGBT equality, has denied dying.

Recently, the Australian couple's move to abandon one of their twins born via a surrogate mother in India has raised new controversy for surrogacy in India. The case dates back to 2012 although it came to light recently after a report by the Australian Broadcasting Corporation. The report said the couple returned home with the baby girl while her brother was left behind.

Taking a strict cognisance, the Health Ministry has proposed new moves to regulate surrogacy and in-vitro fertilization (IVF) in India. The new rules will make couples mandatory to take custody of their child born through surrogacy. The bill also seeks to address issues like how many pregnancies can be allowed for a surrogate mother, the age of the mother and due compensation to be paid to her.

However, the new rules may bar foreigners from having surrogate babies in India. The Bill will also allow single parents to have children through surrogates. The Bill states that health insurance and regular tests will be make mandatory for surrogates. The proposed Assisted Reproductive Technology (Regulation) Bill is likely to be introduced in the Winter Session of Parliament.

India is taking a move to regularise the industry for convenience of both surrogate mother and commissioning parents.

Dr Neeraj Pahlajani

Obstetrician & IVF Specialist

(MS, DNB, FMAS, DRM - Germany)

MBBS - Lady Harding Medical College - New Delhi

MS - Obstetrics and Gynecology (PGI - Rohtak)

DNB - Obstetrics and Gynecology

FMAS - World Association of Laparoscopic Surgeons

DRM - Diploma in Reproductive Medicine (Germany)

Fellow in IVF & Embryology – (USA)

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Pahlajani Test Tube Baby Centre

(Mata Laxmi Nursing Home)

Anupam Nagar, Near T.V. Tower, Raipur (Chhattisgarh) India

Phone:  +91- 771- 4052967, +91- 771- 4053285 Mobile:  +91- 9873083334, +91- 9329630455

Email - contact@raipurivf.com

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Pahlajani Test Tube Baby Centre - Raipur

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Pahlajani Critical Pregnancy Care Centre - Raipur

Raipur - Steadily Emerging as Fertility Destination

How surrogacy became popular in Chhattisgarh? 

The journey of infertile couples end in Raipur to seek surrogacy assistance after Pahlajani Test Tube Baby Center provided services fertility assistance with in-house embryologist and IVF/ICSI services. With rare combination of state-of-the-art medical infrastructure and potential IVF and surrogacy options in Raipur, it has gradually fueled the international demand. Raipur can be termed as a bastion for couples wanting to ply their gametes at cheaper rates. With low traffic frequency rates, uber medicinal and infrastructural at hospitals, Raipur has become one of the favorite destinations for foreigners wanting to undergo fertility treatment.

Dedicated team of doctors and devoted surrogate mothers attracted more and more couples every year to Raipur for IVF. Slowly but steadily, Raipur has emerged as a destination for fertility tourism. It is among one of the rapidly developing cities in country, the burgeoning idea of medical tourism parallelly has caught the imagination fertility tourists living in geographically dispersed cities towards the state.

It was observed that medical tourists were more liberal than ever for undergoing treatment in Raipur, after several infertile couples from USA, Europe, Africa and even neighboring countries like Bangladesh and Afghanistan came here it to find the cure. Success stories of the IVF and surrogacy in Raipur has put the doubts of couples to rest, who are otherwise skeptical about the treatment because of the obvious complications associated to it. Also, the cheap IVF treatment offered in Raipur has warded off the discomfort of pocket burning fees demanded in the first world countries. Visit counts of tourists tripping Raipur has multiplied in past one decade, with most of them returning with assured pregnancy results. The city has won an international recognition after high ratio of infertile couples was blessed with children.

The day commercial surrogacy was declared legal in India it also opened the flood gates of all the inhibitions related to surrogacy and IVF in the country. After facing a tough rebound from less liberal countries, medical tourism has emerged as a successful intersection of inexpensive and medical infrastructure in Raipur. In years, the city has witnessed high influx of tourists seeking medical care willing to travel the tribal land. Skewed population distribution in metros, and commercialized health care has locomoted the infertile tourists towards Raipur. The infertility hospitals have been able to preserve their appeals for assuring best treatment to patients. A taboo associated with IVF and surrogacy is dying a fast death after Raipur was appended to the list of best known IVF and surrogacy destinations.

Fertility problems can have a devastating emotional impact on couples. Some couples will conceive naturally, in time, but for those who do not, the pain and loss can be immense, and have a sudden and significant negative impact on relationships. Infertility is a multi-layered and complex phenomenon, and a number of issues are involved for the people living with it, as it spans the biological, emotional, physical, social, financial and psychological aspects of lives and relationships. Couples going through the treatment journey can feel stigmatised because of their infertility, that it is still a taboo subject, which makes them feel somehow they have failed.

Their reasons for not having children are varied, often deeply personal – and sometimes, circumstantial. Around 20 per cent of pregnancies end in miscarriage – and yet most women never reveal they have had one. We find out how couples have tried to deal with their grief and meet a pioneering doctor who is looking for solutions to recurrent problems.

Pahlajani Test Tube Baby Center is committed to bring world-class services in assisted reproduction including IVF in Raipur and IVF for Odisha people and other adjoining states. For low cost IVF in Raipur, comparatively higher surrogacy rate Pahlajani IVF Center provides comprehensive services in IUI, IVF-ET, ICSI, Blastocyst, IVF treatment, egg donation, surrogate motherhood, male infertility treatment, semen banking, embryo freezing, sexual psychological problem, PCOS, MESA, PESA, TESA, Hormone Analysis, Laproscopic surgery, Hysteroscopy surgery, laser assisted hatching, and embryo biopsy.

Dr Neeraj Pahlajani

Website

http://www.raipurivf.com/

http://www.pahlajanipregnancycare.com/

http://lowcostivfindia.com/

Email

drpahlajaniraipur@gmail.com

Surrogacy and Adoption in India

Surrogacy 

Adoption and surrogacy are the two options to bring a child into the family.

The desire for a genetic link and increasing desire of prospective parents to monitor the child's prenatal care and medical history has made surrogacy a more preferred option.

The parents wanting a child through surrogacy need to go through a few steps,

1. Locating the surrogacy clinic,
2. Screening and working with an appropriate surrogate mother,
3. Medically and psychologically examination of surrogate,
4. Establishing a legal contract, and
5. Finally transferring embryos to the surrogate's uterus and confirming the pregnancy.

Adoption

For those parents who simply yearn for a child—genetically related or not—adoption can be both a compassionate and enriching experience. In fact, many parents choose adoption precisely so that they might provide a better family life not only for themselves, but also for the adopted child whose need, after all, is apparent.

Below are the seven stages of adoption in India as defined by Central Adoption Resource Authority, Ministry of Women and Child Development,

1.  Registration
2.  Pre-adoption Counselling and Preparation of the PAP(s)
3.  Home Study and Other requirements
4.  Referral and Acceptance
5.  Pre-adoption foster care
6.  Legal Procedure
7.  Follow up visits and post-adoption services

Dr Neeraj Pahlajani

Embryo Donation and Adoption

Embryo Donation is a method of family building, which combines assisted reproductive technology with adoption, so that instead of adopting a baby, infertile couples adopt an embryo. It is a form of third party reproduction, in which couples give their embryos to another couple after successful IVF. This embryo is transferred to recipient mother’s uterus to facilitate pregnancy.

At Pahlajani Test Tube Baby Center, when we perform IVF, young women often produce many eggs. These can be stored, and we do this by freezing them in liquid nitrogen at -196 degree Celsius. If the parents get pregnant they often agree to donate their embryos to other infertile couples, to help them start families.

Therefore, when you undergo in-vitro fertilization, conceive a child and find yourself left with extra embryos, then you can donate your embryos to couples in need.  Couples often freeze their embryos in case they want to expand their family more someday. But, if they decide not to expand their families further, they can donate the remaining embryos to infertile couples.

Embryo donation can be done anonymously or on an open basis. Occasionally, a "semi-open" arrangement is used in which the parties know family and other information about each other, but their real names and locating information are withheld, in order to provide a layer of privacy protection.

Couples who want to donate embryos have two options: They can go through a fertility clinic or an agency, and the experiences are quite different. Interested recipients undergo physical and psychological screening. If it’s a match, the embryos change hands anonymously.

Embryo donation can be carried out as a service of an individual infertility clinic (where donor and recipient families typically live in the local area and are both patients of the same clinic) or by any of several national organizations. The process described below is typical of an "adoption-agency-based" national program.

Genetic parents entering an embryo adoption program are offered the benefits of selecting the adoptive parents from the agency's pool of prescreened applicants. Embryo ownership is transferred directly from the genetic parents to the adoptive parents. Genetic parents may be updated by the agency when a successful pregnancy is achieved and when a child(ren) is/are born. The genetic parents and adoptive parents may negotiate their own terms for future contact between the families.

Dr Neeraj Pahlajani

Surrogacy for International Patients

Pahlajani Test Tube Baby Center assists the international patients from start to end of their journey of Surrogacy in India. It provides complete fertility package for patients from all around the world with infertility assistance, in vitro fertilization services, providing egg donors and surrogacy options as well.

How to go about surrogacy in India?

Generally, the couples considering surrogacy option are not sure how to go about the process, from where to start or who to consult. They might find it difficult to list down authentic surrogacy clinics from the list of numerous faux and dead links all over the internet which might lead them nowhere. For them, there are few things they should consider before selecting a particular clinic.

1.      Ensure that you establish a direct contact with the doctor and not through any agencies.

2.    Read the success stories of the particular clinic you are considering for surrogacy assistance.

3.    Find out whether the doctor writes blogs for the patients.

4.    Try to resolve your queries and question everything before deciding. (Ask about how surrogate would be arranged? Egg donation process?)

5.     Calculate the cost and compare it with other clinics.

Coming to Pahlajani Test Tube Baby Center

After multiple surrogacy and IVF successes, Raipur has become a new destination for couples to seek surrogacy assistance. Many patients from across the world come to Raipur, capital of state Chhattisgarh in India for surrogacy and IVF, come for easy surrogacy and IVF assistance.

1.      You can book tickets online, and find the best deals by asking Indian travel agents in your city.

2.    Your husband can accompany you, or you can hand-carry his frozen sperm in a dry shipper (which you will need to borrow from your local infertility clinic) or in a dry ice box packed with dry ice.

3.    We can help arrange accommodation.

4.    You only need to make 4-6 visits to clinic in entire cycle. (You will need to spend 10 to 20 days at our clinic to complete an IVF cycle of treatment.)

5.     After embryo transfer, you can fry back to home.

6.    To make the process resistance free, we have protocols to establish direct contact of patient with us through emails.

7.     After going back home, you can have preliminary testing and care performed by your own doctor.

Over half of our patients come to us from Raipur, and other quarter of patients come from overseas, therefore we have experience to meet special needs of our patients.

Dr Neeraj Pahlajani

How Pahlajani Surrogacy India is different from other one

Infertility, Intended Parents and Surrogate mothers

Infertility is a big problem now a day’s because of the urban population becoming too westernized and problem of modern society living culture; both male and female are more prone towards career building and especially female skipping their most fertile period till mid thirties. Sometimes for the sake of career building they sign a contract in which the clause of maternity leave is not there, thus the problem of infertility sets in. This gives an opportunity for the infertility treatment or if not conceive finally survive for surrogacy. Thus the demand for Infertility treatment and surrogacy gets its top most priority in India. We understand that infertility is not about being unable to conceive it is also the trauma individual or the couple passes through. India is the cheaper destination and low cost treatment provider with quality medical procedure and high success rate. The cheaper availability of surrogates in India is attracting a lot of couples from all over the world who are unable to have children.

Pahlajani Surrogacy India is a centre where Doctor and Experts implant an embryo into the womb of a surrogate mother. If everything goes well then in nine months time surrogate mother will deliver a baby. A team of doctors, lawyer’s medical professionals and support staff work in assisting the birth of babies by surrogacy to Indian and International intended parents to see smiles in the face of childless couples.

Pahlajani Surrogacy India has very detailed and rigorous criteria for choosing surrogate mothers. The surrogate should be between 21 to 35 years of age. They are married with previous normal deliveries and healthy babies. Detailed medical history, surgical history is looked and only a few are chosen. The hospital authorities maintain a record so that the same woman will not take the same task within a stipulated period of time.

In our surrogacy centre, many childless couples from India and abroad are coming with hope of getting a child through a surrogate mother. The couples prefer surrogacy than adoption; the parent can find their own identity with the child.

How Pahlajani Surrogacy India is different from other one.

Dr. Neeraj Pahlajani is an experienced infertility specialist of Pahlajani test tube baby centre who offers patients a combination of excellent clinical expertise, strong experience and warm personal care. Dr Neeraj Pahlajani and her team are among the most experienced IVF - Surrogacy providers in India with High success rates. Our Professionals has hands-on experience to perform all donor/client scans, egg collections and embryo transfers under one roof. Pahlajani Surrogacy India’s embryology team is experienced and sought after by IVF and surrogacy centres across India. We enjoy a higher than normal positive pregnancy results with 75% of donor egg/surrogacy clients achieving pregnancy on their first try. 90% of clients are pregnant on their second efforts, very few clients need to try a third time. Our miscarriage rate is lower than national and international averages.

Pahlajani Test Tube Baby Centre is brand new and equipped with the latest medical equipment. We are proud of the modern facilities we have created for the comfort of our surrogates, donors and clients. Our centre is the best among the hospitals in the world in terms of medical care and comfort. Pahlajani Surrogacy India follows the guidelines for IVF and Surrogacy practice recommended by the Indian Council of Medical Research. In the absence of Indian legislation regulating surrogacy agreements, ICMR guidelines set out code of ethical standards our practitioners closely observe.

We understand how difficult it can be place your dreams of a family in the hands of a clinic in a foreign country. Most of our clients start the surrogacy process feeling alone and overwhelmed, but unwilling to give up what is, for them, a basic human need – to love and nurture a child. Every single client, past and present, has walked a difficult path in their pursuit of creating a family; most of our clients have suffered years of infertility, or had repeated miscarriages and failed IVF treatment. We understand how difficult it is to have your baby growing so far from home. We provide regular test results throughout your treatment and pregnancy. 

Surrogacy and their types

Traditional Surrogacy:

Traditional or Straight surrogacy is the simplest and least expensive form of surrogacy and is also known as artificial insemination.  The surrogate mother uses an insemination kit to become pregnant using the intended father’s semen.  The baby will therefore be conceived using the surrogate’s egg. Some people prefer to use a clinic for inseminations, but it can also happen at home and can therefore seem a more natural and less ‘medical’ way of becoming pregnant than host surrogacy.  It can, however, can be harder emotionally for both the surrogate and the intended parents.

Gestational Surrogacy:

Gestational or Host surrogacy is when IVF is used, either with the eggs of the intended mother, or with donor eggs.  The surrogate mother therefore does not use her own eggs, and is genetically unrelated to the baby.  It is physically more complicated and considerably more expensive than straight surrogacy and always takes place in a fertility clinic. Some Surrogates prefer this method as they may not be comfortable with using their own eggs in surrogacy.

There are three stages to gestational surrogacy:

1.       Egg donation:  The female Intended Parent, or the egg donor, undergo special procedures to extract a number of eggs

2.       Fertilisation:  The egg is fertilized with semen in the laboratory

3.       Transfer:  The fertilized egg is transferred into the womb of the surrogate mother

The fertilized egg can be transferred to the surrogate either ‘fresh’ or after having been de-frosted from egg storage.  For a fresh egg transfer the monthly cycles of the surrogate and the egg donor must be synchronized, and this is done using hormone medications.  In cases where embryos have been frozen already and the de-frosted embryos are being transferred some IVF clinics will insist on the surrogate mother taking hormone medications to ‘ready’ her womb lining.

The Complete Cost of Surrogacy in Pahlajani Surrogacy India:

Surrogacy costs in India may be less expensive than in your home country, the process is still expensive. Be aware that there are significant costs beyond those typically quoted in a surrogacy package, including travel costs, medical costs not covered by the package, and especially the cost of multiple tries. Because the full cost of having a baby through surrogacy includes much more than just the payment to the clinic, it's worth being clear on the full surrogacy costs at the outset. Listed below are approximate surrogacy costs at Pahlajani Surrogacy India.

Foreigners are attracted to India because it is cheaper than in the West to have a surrogate child. The 'package' for surrogacy can vary between Rs.9,00,000 to Rs.15,00,000, including the cost of doctors, legal fees, antenatal care, surrogate compensation, egg donor, drugs and consumables, IVF costs and other additional Charges in Pahlajani  Surrogacy India.

The price of surrogacy has been increasing. There are many factors driving the increased costs like life insurance for the surrogate, higher surrogate compensation, strengthening Rupee and they are likely to keep going up. Prevailing exchange rates also affect the cost, as most of the clinics charge in Rupees.

Each clinic quotes fees differently and can change their packages over time, so the fees listed may not be apples for apples comparisons. Use them as guidance only. Confirm with the clinic you select what is, and is not, included in the fees, and compare with other clinics. Often included but to be confirmed are the IVF procedure for the egg donor and surrogate, payment to the surrogate, the surrogates medical checks during pregnancy, any housing fees for the surrogate, and delivery fees. These criteria of fees are often structured as follows: 

IVF Procedure:

» Surrogate Recruitment

» Surrogate endometrial preparation

» IVF fees

Surrogate Pregnancy Cost:

» Surrogate compensation

» Antenatal care for surrogate

» Surrogate caretaker

» Surrogate housing

» Deposit for any required antenatal hospital fees

» Life insurance policy for the surrogate

» Delivery

Additional Fees:

During a cycle, there are many possible additional fees. Fees that may not be included in a standard price list include:

» Egg donor fees, including housing for egg donors

» Medication, especially if you start your cycle at home

» HIV/STD screening for you and our partner before starting the program

» Additional medication

» Additional ultrasounds

» Additional blood tests

» ICSI

» Embryo freezing and thawing

» Amniocentesis

» Surcharges for twins

» Selective reduction

» Termination

» DNA testing

» Agency fees if a third party sources or assists in monitoring the surrogate

» Additional housing fees for the surrogate

» Hospital and medical charges for complications during delivery

» Neonatal care for premature delivery

» Delivery charges (check whether these are included or not)

Legal Facts in India

Single men, women and even gays and lesbians could soon get the legal sanction to have children using surrogate mothers. The draft Bill legalizing surrogacy in India - The Assisted Reproductive Technology (ART) Regulation Bill 2010 has provided for single parenthood by allowing “unmarried couples” and “single persons” from India and abroad to have children using ART procedure and surrogate mothers. The Bill, with potential to rewrite the social landscape, may be tabled in the monsoon session of Parliament if the Union Cabinet clears it.

Commercial surrogacy is legal in India. But it’s still unregulated in our country as we don’t have legislation controlling surrogacy. And although the Indian Council of Medical Research (ICMR) has set ‘national guidelines’ to regulate surrogacy, these are still simply guidelines. All that this means is that surrogate mothers need to sign a “contract” with the childless couple. There are no stipulations as to what will happen if this “contract’ is violated.

The Indian Council for Medical Research gave guidelines to help regulate Assisted Reproductive Technology procedures. 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:

Surrogacy arrangement will continue to be governed by a contract amongst parties, which will contain all the terms requiring consent of surrogate mother to bear the 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.

A surrogacy arrangement should provide for financial support for the 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. A surrogacy contract should necessarily take care of life insurance cover for surrogate mother. 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.

» 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.

» The birth certificate of the surrogate child should contain the name(s) of the commissioning parent(s) only.

» Right to privacy of donor as well as surrogate mother should be protected.

» Sex-selective surrogacy should be prohibited.

» Cases of abortions should be governed by the Medical Termination of Pregnancy Act 1971 only.

Home Ministry Guidelines 2012:

The Home Ministry has issued new Guidelines in July 2012 regulating visas of foreigners coming to India seeking surrogacy

» They must be on a 'medical visa'

» Only a heterosexual couple married for two years is eligible for the visa

» The home country's foreign ministry or embassy must certify they recognize surrogacy

» There should be an official assurance that the child/children will be allowed to enter the home country as a biological child of the couple

» The procedure must be done at an assisted reproductive technology clinic recognized by the Indian Council of Medical Research

Process of Surrogacy:

Surrogacy is an expensive and complex treatment option, which is best reserved for women without a uterus. Research shows that the reason for failed implantation is much more likely to be genetically abnormal embryos because of poor quality eggs, rather than a uterine problem. For women with repeated failed IVF cycle; repeated pregnancy losses; and older women, donor egg IVF or embryo adoption is a much better choice, because it's less expensive.

» Find out if your embassy will allow you to take your baby back with you after you surrogacy treatment.

» Our legal consultant can guide you.

» Our legal consultant will explain all the legal formalities you need to comply with and will get your signatures.

» Our legal consultant will explain all the legal formalities of your surrogate on your Surrogacy Agreement and Contract, so that it is legally.

» Pahlajani Surrogacy India is a world-class clinic for Surrogacy treatment which will maximize your chances of success and give you peace of mind you did your best.

» Treatment can be expensive, but a baby is priceless. Our charges are very cost effective because of our high success rates.

» Send your registration fees so we can start Surrogacy treatment process.

» Come to India for treatment.

» Have realistic expectations, Surrogacy has a high success rate.

» Once your surrogate gives birth, fly down to India; and then fly back with your baby.

Contact:               Dr. Neeraj Pahlajani:    +91 9770997645

     Dr. Sameer Pahlajani:  +91- 9329630455

Email:                 contact@raipurivf.com