Showing posts with label Surrogate Pregnancy Cost. Show all posts
Showing posts with label Surrogate Pregnancy Cost. Show all posts

Monday, 3 November 2014

Who Should Opt for Surrogacy?


1. In Vitro Fertilisation IVF in Raipur


When a woman fails to conceive a baby due to some reasons, she requires the help of another woman, who carries her baby in her uterus through the process called surrogacy. The carrier woman is known as a surrogate and she has to undergo In Vitro Fertilisation (IVF) in order to place the fertilized egg into the surrogate's uterus. Before opting for surrogacy in India, couples are screened for,

a) Congenital absence of uterus (Mullerian agenesis)

b) Surgical removal of the uterus (hysterectomy) due to cancer, severe hemorrhage in Caesarian section or a ruptured uterus.

2. A woman whose uterus is malformed (unicornuate uterus, T shaped uterus, bicornuate uterus with rudimentary horn) or damaged uterus (T.B of the endometrium, severe Asherman’s Syndrome) or at high risk of rupture, (previous uterine surgeries for rupture uterus or fibroid uterus) and is unable to carry pregnancy to term can also be recommended IVF surrogacy.

3. Women who have repeated miscarriages or have repeated failed IVF cycles may be advised IVF surrogacy in view of unexplained factors which could be responsible for failed implantation and early pregnancy wastage.

4. Women who suffer from medical problems like diabetes, cardio-vascular disorders, or kidney diseases like chronic nephritis, whose long term prospect for health is good but pregnancy would be life threatening.

5. Woman with Rh incompatibility.

Is Surrogacy for you?

For some couples opting for surrogacy is a very straight forward decision, while, for others there are lots of things to be considered and thought about before taking the decision. There are lots of complex issues involved. It is an emotional roller coaster ride for the couple, the families and friends. It is a decision where the 'right' and the 'wrong' are very individual things. An infertility specialist or a counselor can help the couple seeing things in the right perspective. Other options such as, adoption or further infertility treatment can also be considered.

Traditional Surrogacy

1. Sometimes, the intended mother fail to produce mature eggs, that is, ovaries do not produce normal follicles due to ovulatory dysfunction. In such situations, the IUI procedure is followed on surrogate mother. In this procedure, the infertility specialist will transfer sperm that is taken from the biological father and will subsequently transfer that sperm into the surrogate's uterus so that fertilization may take place naturally.

2. A traditional surrogate will undergo insemination at the time of her natural ovulation, occasionally necessitating medication prescribed by her doctor to make sure that she does ovulate.

3. The child will have a genetic link to his father, since the father's sperm was used in creating the baby. There is no genetic link to the intended mother; which is a primary difference between traditional and gestational surrogacy.

4. Therefore, with traditional surrogacy, the surrogate is also the biological mother of the child. This type of surrogacy is typically only used if the biological mother's egg and/or the biological father's sperm are unable to be used.

5. Generally, people over the age of 50 or women who are unable to use their own eggs use traditional surrogacy since the option frees the intended parents from age-related limitations.


In gestational surrogacy, the egg and sperm of the intended parents are used to form an embryo through a process called in vitro fertilization and later it is transferred in surrogate’s uterus to carry it for pregnancy. In most of the cases, it will take between three and five days for the embryos to develop in the laboratory prior to transferring them to the surrogate. Then, once the embryo has successfully been placed into the surrogate's uterus, the surrogate will carry the embryo through the pregnancy term until its birth.

1. With gestational surrogacy, the surrogate's eggs are not used at all. Therefore, the child will not be related to the surrogate biologically.

2. It allows a couple to have a biologically related child by using a surrogate as the carrier for the couple's embryo.

3. The aid of a gestational surrogate is needed when a woman is unable to conceive naturally or through fertility treatments.

4. This option is explored after fertility drugs or in-vitro fertilization have proven unsuccessful, or if either party has irregularities in their reproductive organs that complicate conception.

5. The rate of success when using in vitro fertilization will depend upon several factors such as the age and health of the biological mother who is providing the eggs.

6. The process of gestational surrogacy can take several years including the amount of time to find an adequate surrogate, extraction of viable eggs and sperm can take several weeks from intended parents, preparation of surrogate for pregnancy with a hormone regimen that can take several months, implanting the embryos and additional nine months for the gestational surrogate to carry the baby.

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)
---------------------------------------------------------------------------------
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- 9770997645, +91- 9329630455
Email - contact@raipurivf.com

Visit Our Websites




Thursday, 9 October 2014

Improving Relationship with Surrogate Mother


A surrogate mother should be looked upon as person who is helping you bring a new life to earth, you child. . A surrogate and her family carry great respect for their intended parents and typically begin their long term relationship with high regard. Rather than considering surrogacy as purely a business arrangement, intended parents should try to build a relationship with the surrogate to make her journey beautiful. It represents an all-encompassing personal commitment on behalf of the fulfillment of one’s highest goals and family ideals.  

Remember your surrogate mother is in want of nothing more than to make you, the intended parent, happy and feeling good and secure about the choice they made in contracting with her to carry your baby.

The process of choosing surrogacy as a family building option as well as selecting and psychologically evaluating a surrogatecarrier are critical items that we know have come before in this process. The couple has major considerations that the surrogate ought to understand and value.  Increasing the understanding on both sides is the single most effective approach to work together with a strong level of success and satisfaction. Honest, consistent communication is necessary as the basis for a successful relationship. A surrogacy arrangement is a financially huge commitment.  Even so, it is important throughout the relationship, to show acts of kindness and thoughtfulness.

When you select a gestational surrogate to carry a baby on your behalf you are going to be forging a lifetime relationship. It’s important for you to think about the type of personal involvement you visualize with your surrogate mother – during the IVF cycle, throughout the pregnancy and of course after your baby is born and as your child grows older.

Sometimes, in this process is an understanding of the key emotional elements, intended parents overlooks the importance of a satisfying and positive surrogacy relationship.  The emotional commitment and willingness to accommodate to these important understandings are vital to the success ofthe surrogacy arrangement.  Therefore, they need to be addressed and reviewed at the very beginning of the decision making process when the expectations for the arrangement are being considered.

Exploring the long-term implications of surrogacy for each partner in the relationship and coming together on a decision to work together is the most important step.  Try to video chat with your surrogate to make her feel your concerns. Bring her a small gift, hug her, and send her a card. Let her know how appreciative of her you are. Its super important you are compatible with her and feel comfortable exchanging information and communicating with her.

Show your support. There is a lot of trust that goes into this process. You have to trust her regarding what she eats, how much she sleeps, her overall health, her ability to make her OB appointments and other medical testing that goes with pregnancy.

Respect the surrogate carrier’s schedule when planning medical appointments. Allow the carrier private time with the physician at a medical appointment. Remember that the woman carrying the pregnancy does so with the entire family supporting her commitment. Show trust that the surrogate carrier can make good choices regarding the pregnancy and consult with her when possible regarding ongoing decision making.

There would be no better way to build a successful relationship than to be attentive in this way. Kindness and thoughtfulness can be shown in small ways which carry meaningful feelings. 

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)
---------------------------------------------------------------------------------
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:  +91-9770997645, +91- 9329630455
Email - contact@raipurivf.com

Visit Our Websites




Tuesday, 30 September 2014

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
Email



Monday, 29 September 2014

Changes in Surrogacy Tourism in India and Raipur

Commercial surrogacy is a booming industry in India and in recent years ranks of childless foreign couples looking for a low-cost, legally simple route to parenthood have been joined by gay couples and singles.

India was a popular destination for gay couples seeking children till the year 2011 when Indian decriminalised consensual sex between homosexuals.

However, in 2012, the rules were revised and reformulated for foreign couples. It said that foreign couples seeking to enter into a surrogacy arrangement in India must be a "man and woman (who) are duly married and the marriage should be sustained at least two years".

While the government has been pushing the country as a medical tourism destination, the issue of wealthy foreigners paying poor Indians to have babies has raised ethical concerns in many Indian minds. Hundreds of couples visit India every year to undergo IVF in Raipur.

More than 3,000 fertility clinics operate across India, and some can be quite flashy. Surrogacy Laws in India are also undergoing an immense change lately. The Union of India is taking steps to position India as a legally risk-free destination when it comes to international surrogacy arrangements. 

The Indian Government is implementing legal mechanisms to ensure that the child born out of surrogacy arrangement in India would have a safe passage back home. Though such measures have affected few nationals, it could be considered legally safe in the long run for surrogacy in India.

The measures, circulated to Indian missions abroad in late 2012, which only came to light in the Indian media on Friday, mark the first step to the regulation of "surrogacy tourism" in India.

The cost factor has made India a favourite destination for medical tourism, especially the quest for a child. The low cost surrogacy has attracted lot of infertile couples from globe to India. Surrogacy in India is an attractive option for couples who wish to have their names on the birth certificate; want to have a professional or limited relationship with their surrogate, but have the benefit of excellent healthcare. Surrogates in India have no parental rights and cannot change their mind about handing over a child to the intended parents.

Dr Neeraj Pahlajani

Website
Email




Tuesday, 23 September 2014

Life of Surrogates at Pahlajani Test Tube Baby Center


Referring to one of the news publishing about social activists demanding to ban commercial surrogacy and to regularise it like egg donation. In the article, the data of three states are cited in reference to illiteracy, poverty and unemployment of women, who are mostly unaware of the contract terms and agree to become a surrogate mother mainly for funding the education of their children.

However, the scenario is different for women agreeing to assist infertile couples for surrogacy in Raipur. Although, Chhattisgarh has high women illiteracy rate but women who agree to become surrogate mothers for interfile couples at 

Pahlajani Test Tube Baby Center are given best understanding of the contract to ensure transparency and safeguard of the rights of both surrogate and infertile couple. 

To ensure that a surrogate does not feel exploited, a better understanding of her expectations from the process is taken. Considering that surrogacy is “commercial” in India, the balance in cost of surrogacy in India and remuneration to the surrogate mother is maintained.

At Pahlajani Surrogacy Care, the surrogates are kept under best medical care. They live in an environment of peace and sisterhood under the roof of Pahlajani Surrogacy Home, where they are given best medical assistance.
Indian surrogacy is often targeted about the authenticity of contract signed between commissioning parents and surrogates. The fact cannot be denied that there are several clinics which do not adhere to the provisions of remunerations. However, Pahlajani Surrogacy Care ensures that the rights of a surrogate, who is assisting a childless couple to complete their family.

Pahlajani Test Tube Baby Center is the only center in Chhattisgarh having an in-house embryologist and does not conduct IVF/ICSI in batches. With the number of successes in helping the childless couples in having their babies by providing best medical assistance to both surrogate and commissioning couple, we have climbed another step in the ladder of human connection. Knowing that giving birth for someone else is a job only a selfless human being with most giving heart can perform, Pahlajani Surrogacy Care derives its confidence from surrogates for showing their faith and performing commendable jobs for couples.

Along with the celebration of different festivals with the surrogates, we celebrate Mother’s Day, Women’s Day and even organise plantation drives for surrogates. Surrogates are made to feel like home in our surrogacy homes. The reports about the violation of laws and shortchanging the surrogates are baffling. Rights of surrogates should be safeguarded and they should be given best medical care.

Dr Neeraj Pahlajani




Friday, 15 August 2014

Are You Willing to Become a Gestational Surrogate?


To become a gestational surrogate for a couple is a decision that requires huge amount of emotional investment. The whole phase of 10-12 months and even the period after that is life changing. For a woman, who wants to become a gestational surrogate, she might be surrounded with certain reservations. Some of those frequently asked questions are answered below,

1. Should a woman have had a previous pregnancy and delivery before becoming a gestational surrogate?

Yes. Before becoming a surrogate for someone else, you need to have gone through it once for yourself before you decide you are willing to go through same for someone else. Women who have healthy, strong, bodies that provide safe and nourishing places for an embryo to grow into a fetus and be delivered as a baby are selected for gestational surrogacy process. You would be medically examined and asked whether you have completed a pregnancy without any serious medical conditions.

2. Are gestational surrogates genetically related to the baby?

No. It is because the gametes, i.e., the egg and sperm used to make that embryo are of intended parents or donors and you are required to carry the embryo formed from those gametes. Therefore, the child would not be genetically related to the gestational surrogate.

3. What are the age requirements for gestational surrogates?
A woman must be at least 21 years of age and below 40.

4. Is there anything required from surrogate’s partner?
Yes. Your partners needs to assist you in,

  • Emotional support


  • Infectious Disease Testing. In medical screening (HIV, Hepatitis B and C, CMV, and any other sexually transmitted diseases or disorders) to avoid any high risk behaviors is also important for your partner (no tattoos with unsterile needles, new sexual partners, etc.).


  • Participation in psychological meeting.


5. Are gestational surrogates allowed to have sex?

If you are sexually active, you can generally continue your intimate relationship without restrictions. A healthy sex life is beneficial to your relationship and can reduce stress. However, some IVF clinics may place restrictions on intercourse around the time of the embryo transfer or if you are pregnant and experiencing bleeding. The medical provider at the clinic would be the person to make the final recommendation about intercourse.

6. Does any part of the gestational surrogacy process hurt?

Becoming pregnant as a surrogate does involve a number of vaginal ultrasounds and speculum exams. These exams are not pleasant and if they are painful, you should let the medical provider seeing you. There are modifications that can be made to make the experience less uncomfortable.
The embryo transfer often requires the surrogate to have a full bladder. It may sound odd, but that is one of the most common things people complain about! The actual embryo transfer, at most would be a little bit crampy, for most clients.

7. Can I continue the medications I regularly take during the process?

Yes, most medications are safe during pregnancy. Pahlajani Surrogacy Care 
will review each medication you take and discuss it in the context of becoming pregnant. The fertility medical provider you will be seeing at the IVF clinic is the person who will make the final decision about which medications you can take, which ones may need to be switched, and if any medicines need to be stopped. Your health and well being is a top priority, so no changes will be made without your agreement.

As a gestational surrogate, you would be expected to take prenatal vitamins and possibly some supplements, based on the vitamin you are taking. These costs would be reimbursed, per your Gestational Surrogacy Agreement.




Wednesday, 6 August 2014

Life of Surrogates in India


India is emerging as a leader in international surrogacy. Indian surrogates are becoming increasingly popular with couples from all over the world because surrogacy in India is much simpler as well as less costly. Few particular reasons are low cost surrogacy assistance, detachment of Indian females from drug and alcohol activities. 

Also, Indian IVF Clinics are becoming more competitive in low cost surrogacy assistance and hiring of Indian females as surrogates. Gestational surrogacy is very popular choice of infertile couples from abroad. A number of couples fly to India to get a baby of their own genes.

In India surrogacy was legalized in 2002, considering that it would be helpful for those women who are naturally not in a position to become a mother. At the same time, this practice helps those families with lack of financial stability and those families which are having the problem of lack of peace due to absence of child. Women in India, generally, become surrogates with dual aim, to assist the infertile couple and also to assist her family and children. Such women dream to give proper education to their children.

However, even after 12 years since the surrogacy was legalized, surrogate mothers face certain levels of social stigma and ostracism. As a practice surrogacy involves the bodies of poor women, which in India’s socially conservative culture, is cause enough for derision.

Butthe point is what the ethical issues are as to commercial surrogacy. Many argue that surrogate arrangements depersonalize reproduction and create a separation of genetic, gestational, and social parenthood. Others argue that there is a change in motives for creating children. According to them children are not conceived for their own sakes, but for another’s benefit.

Surrogates in India are bound around certain limitations. Few of those are no woman may act as a surrogate more than thrice in her lifetime, she and her husband has had no extramarital relationship in the last six months to ensure that the person would not come up with symptoms of HIV infection during the period of surrogacy, no drug abuse, and not undergo blood transfusion excepting of blood obtained through a certified blood bank.

Thus, commercial surrogacy continues to be highly stigmatized in India. Surrogates are spending the term of their pregnancy in surrogate homes in India and try to keep it a secret because reproduction is regarded as acceptable only within marriage; taken outside the domestic sphere of family, childbearing for economic achievement may be seen as ‘dirty work,’ ‘baby-selling’ or ‘womb-renting.’

People should know that the right to reproduce is a fundamental human right and surrogacy helps to conquer both biological and social infertility. It provides medically infertile couples to have a child of their own. Legalization of gestational surrogacy aims to protect the surrogate’s interests as well as those of the intended parents and the baby born after the surrogacy.


Dr Neeraj Pahlajani 

Sunday, 3 August 2014

Surrogacy in India Mythology


It was from the period of Mahabharat that surrogacy was practiced started. Not commercial though, but practice of carrying child for intended mother. There are references in Indian mythology to surrogacy, most notably in the legend surrounding Lord Krishna.

Notably, before the advent of modern assisted conception techniques, natural surrogacy was the only means of helping childless women to have children. Later as artificial insemination was accepted, this became the usual means of achieving pregnancy in cases of infertility, being more socially acceptable than the natural way. When assisted conception methods such as invitro fertilization (IVF) become available, it was a method to use the eggs of the women wanting the baby/donor woman and the sperm of her husband/donor male, to create their embryos in vitro and transfer these to a suitable host.

Another story of embryo transfer was regarding the seventh pregnancy of Devaki, by the will of the Lord, the embryo was transferred to the womb of Rohini, the first wife of Vasudev, to prevent the baby being killed by baby Kamsa. Therefore, surrogacy is practiced in India from the time of Mahabharat. 

Surrogacy has been a sensitive issue in India and there is constant controversy over Indian laws to regularise surrogacy sector.
However, unlike countries like Germany and Canada, where surrogacy is outlawed, India has maintained that the surrogacy beneficial for both surrogate mother and intended parents. In United Kingdom, surrogacy is highly regulated and very expensive while in Germany, there have been a few controversial cases.

Raipur, the capital of Chhattisgarh has dominated its presence by constantly making news about increasing ‘surrogacy tourism’. Surrogacy in India has benefited couples from the world to have babies. Pahlajani IVF Center ensures extraordinary surrogacy journeys of both surrogate mother and intended parents.

Despite knowing that surrogacy is practiced in India since Mahabharat age but still people let the inhibitions grow and attach unnecessary doubts to the entire process. It cannot be ruled out that surrogacy requires having confidence in third person sometimes you meet for the first time but reputed IVF Clinics in India ensure resistance free surrogacy journey in India.

Dr Neeraj Pahlajani




Tuesday, 29 July 2014

IVF for Surrogacy and Egg Donation



For assisted reproduction purposes, egg donation typically involves the process of in vitro fertilization as the eggs are fertilized in the laboratory; more rarely, unfertilized eggs are frozen and stored for later use by the intended parents. Egg donation is part of the process of third party reproduction as part of ART (Assisted Reproductive Technology).

After egg donation, In vitro fertilization (IVF) is performed for gestational surrogacy. In the process, eggs are removed from an egg donor or from the intended mother and fertilized with sperm in a lab to create embryos. The resulting embryos are grown in laboratory conditions for 3-5 days. In a surrogacy arrangement, these embryos are then implanted into the uterus of a gestational surrogate. In an egg donation arrangement, they are transferred into the intended mother.

For the IVF procedure, surrogates and egg donors undergo medical treatments. An egg donor will be injected medications to stimulate the production of eggs. A surrogate takes medications to prepare her body for the embryo implantation.

Intended parents need to make a variety of choices in conjunction with the medical team at your IVF clinic. These decisions directly affect not only the success of the procedure, but also the number, health, and the biological makeup of the prospective children. The quality of the resulting embryos may affect the number that is recommended to be implanted. You may also have legal agreements in place that stipulate the number of embryos that can be transferred. You will also need to determine what to do with any remaining frozen embryos following the procedure.

The egg retrieval and IVF procedures are brief. Following the embryo transfer, your surrogate will require a period of bed rest. At any point in the process, you should feel free to reach out to your IVF clinic for any medical questions or to Circle with any questions about your contract, travel, or any other related issues.


Dr Neeraj Pahlajani

Monday, 21 July 2014

What Gestational Surrogate Needs to Know


Serving as gestational surrogate for an infertile couple to create a family is a something not everyone can do. It requires investment of emotions and few other complexities to deal with. 

There are certain things a gestational surrogate needs to know,
First, any woman serving as surrogate needs to that there is great range of medical information available.  

1. Eggs of surrogate are not used in gestational surrogacy

The eggs, or oocytes, come from either the intended mother or a third-party egg donor. This is why we call it “gestational surrogacy,” not “traditional surrogacy.”

2. Necessary routine tests

Gestational surrogate would need to undergo vaginal ultrasound that allows the physician to examine the uterus. There are chances the surrogate may be asked to have a hysteroscopy — in which a tiny camera painlessly examines your uterus — or other procedure to determine the general health of your uterus. Routine blood tests will be given to rule out the presence of communicable diseases such as AIDS, herpes, and hepatitis. You will be asked to provide an up-to-date pap smear, and might be requested to have a mammogram done.

3. Embryo formation

As a gestational surrogate, you will be given several medications to help prepare your uterus to receive the embryo. These medications may include standard birth control pills (at the beginning of your menstrual cycle). You will be started on estrogen at about the time the intended mother or the egg donor is being induced to ovulate if the embryo transfer cycle is a coordinated or “fresh,” one. Then, just before her eggs are harvested, you will begin on another hormone — progesterone — to further prepare for implantation. 

Normally, you will be required to continue to take hormones, usually by injection, even if the embryo transfer is what we call a “frozen” cycle, where the embryos have already been created and are frozen for future use by the intended parents. Remember, this is meant to be general guidance here, and is not meant in any way to be giving medical advice or instruction.


In this, hormones are given to the intended mother or the egg donor to induce ovulation, and her eggs are harvested via aspiration guided by vaginal ultrasound. Then, from 50,000 to one million sperm are mixed with the eggs and incubated, so that fertilization can occur. When the timing is right, the resulting embryos are transferred into your uterus, as the gestational surrogate. 

5. Embryo transfer

The embryo is carefully flushed in the liquid medium for transfer through your cervix into your uterus. Sometimes, the doctor will use ultrasound to help with placement of embryos, and afterward you may be asked to remain lying-down for a period of time.

6. Blood tests

After two weeks of embryo transfer, a simple blood test will be performed to confirm pregnancy — at which point both estrogen and progesterone medication may be continued.


Dr Neeraj Pahlajani

Saturday, 14 June 2014

Surrogacy - Laws and Rights

Employment Rights for Surrogate Parents

Legal landscape surrounding surrogacy in India is cultivated on child-protection perspective. It was the day in 2002 on which surrogacy was legalized in India, when legal authorities started striving to push the sector on legal tracks.

India is abode for thousands of surrogate mothers, who are bearing children for Indian as well as foreign childless couples. The sector has widened its horizon in years, adding new criterion to safeguard the rights of surrogate mothers in India, recipient couples and the children born through surrogacy.

In a stride to ensure rights to them, the Madras High Court held that a woman who had had a child through surrogacy was entitled to maternity leave on March 5, 2013.

It was when a mother, who had child through surrogacy with the consent of her husband, after her 20-year-old son was killed in a road accident in 2009.  She applied for maternity leave to look after the new born after the surrogate mother gave birth to a girl baby in February 2011.  She also applied to include the child under the family medical insurance scheme. However, her employer rejected the application, on the ground that there was no provision in the rules for granting leave to those who have a child through surrogacy. 
Later, the Judge, Justice K Chandru said, "Even in the case of adoption, the adoptive mother does not give birth to the child, but yet the necessity of bonding of the mother with the adoptive child has been recognized by the Central government, therefore, the petitioner is entitled for leave.”
"This court does not find anything immoral and unethical about the petitioner having obtained a child through surrogate arrangement," the Judge observed.
The mother was granted leave on the same terms applicable to those who had become parents via adoption. Also, the employers were ordered to add the child to the insurance scheme.    

Rights of Children Born Through Surrogacy in India

In surrogacy, the rights of child/children born are to be respected without discrimination of any kind including birth or other status.  While this provision was originally intended to protect illegitimate children, its inclusiveness suggests a generous and expansive application, including children born of surrogacy.

Under one of the seven guidelines issued by Ministry of Home Affairs, New Delhi pertaining to surrogacy in India, the foreign couple would require ‘exit’ permission before their return journey from India and would need to carry a certificate from concerned ART clinic regarding the fact that child/children have been duly taken custody by the foreign couple and the liabilities toward the India surrogate mother are fully discharged as per agreement. A copy of birth certificate(s) of surrogate child/children will be retained by Foreigner Regional Registration Office (FRRO)/Foreigners Registration Office (FRO) along with photocopies of the passport and VISA of the foreign parents.

Adoption of child under Indian Laws

Also, the intended parents can apply for adoption under the Guardian and Wards Act. As per the provisions the foreign citizens and NRIs are subject to the Guardian and Wards Act of 1890. Under this act, the adoptive parent is only the guardian of the child until she reaches 18 years of age. Foreign citizens and NRIs are supposed to formally adopt their child according to the adoption laws and procedures in the country of their residence. This must be carried out within two years of the individual becoming a child’s guardian.

But as per Indian Laws pertaining to adoption the parents can’t chose a specific child for adoption. Also the ICMR guidelines under Guideline 3.10.1 require the intended parents to adopt the child if through genetic fingerprinting they can’t establish the biological link between the child and the intended parents.

Dr Neeraj Pahlajani 

Wednesday, 31 July 2013

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