Why the Surrogacy Screening Process Is SO Important: A Look Behind the Scenes

02 Apr Why the Surrogacy Screening Process Is SO Important: A Look Behind the Scenes

When it comes to surrogacy, it’s not just about finding someone to carry a baby. There’s a lot more going on behind the scenes to make sure the process is safe for everyone involved—the surrogate, the baby, and the intended parents. In the beginning, it might seem like a lot of steps, and can often seem overwhelming, but each part of the screening process plays a key role in ensuring everything goes smoothly and safely. So why is it all so thorough? Let’s break it down:

1. The Health of the Surrogate

The health of the surrogate is absolutely the top priority. Pregnancy can be tough on the body, so it’s crucial that the woman chosen is in great shape physically. Before she’s even considered for surrogacy, her medical history gets a thorough review. This helps identify any conditions—like heart disease, diabetes, or autoimmune disorders—that might make pregnancy riskier for her.

But it doesn’t stop there. Surrogates go through a bunch of tests, including blood work, ultrasounds, and physical exams to make sure her body is ready for the challenge of pregnancy. After all, surrogacy isn’t just about getting pregnant—it’s about carrying the pregnancy safely and delivering a healthy baby. Most fertility clinics also require that the surrogate checks in with her obstetrician before moving forward to confirm she’s fit for the job.

2. Previous Pregnancies as a Predictor of Future Pregnancies

It’s not just about whether a woman can get pregnant—it’s about whether she can carry the pregnancy to term without complications. That’s why a surrogate’s history with previous pregnancies is super important.

To qualify, surrogates must have had at least one successful pregnancy in the past. This ensures she’s got the experience and know-how to handle a pregnancy with minimal risks. Medical records are carefully reviewed to make sure there are no issues, like preterm labor or frequent miscarriages. A healthy track record with past pregnancies generally means fewer risks down the road.

3. Protecting the Baby’s Health

Of course, while the surrogate’s health is critical, the baby’s well-being is just as important. The screening process includes testing for any infections or conditions that could affect the fetus—things like STIs, blood diseases, or genetic disorders.

The goal is to ensure the surrogate’s body is a safe and nurturing environment for the baby. By addressing potential issues early on, everyone can rest easy knowing that the baby’s in good hands from the start.

4. Mental and Emotional Readiness

Surrogacy is more than just a physical journey—it’s emotional too. Carrying a baby for someone else is a big deal, and it’s important for surrogates to be mentally prepared for the experience. Psychological screenings help evaluate how ready they are emotionally and whether they truly understand what the process involves, like the potential attachment to the baby and the emotional aspects of handing the baby over after birth.

Surrogates are also asked about their support system—family, friends, partners—and whether they have a strong network to help them through the ups and downs of pregnancy. Having a solid support group makes the whole experience easier for the surrogate and helps her stay emotionally healthy throughout the journey.

5. Lifestyle Factors and Health Habits

Gestational carriers undergo lifestyle screenings to make sure they are living healthy lives that will support a successful pregnancy. Surrogates are asked about habits like smoking, alcohol consumption, and drug use. Any of these behaviors can put both the carrier and the baby at risk, so they need to be addressed upfront, and surrogates aren’t cleared to proceed if they have a history of drinking or smoking during pregnancy, or if they’ve only recently stopped smoking or vaping.

A healthy lifestyle is a cornerstone of the surrogacy process. Surrogates are expected to maintain good nutrition, exercise, and a balanced routine throughout the pregnancy. This ensures the carrier remains in optimal shape, which in turn supports the development of a healthy baby.

7. Ensuring Commitment and Motivation

Becoming a gestational carrier is a big commitment. The process can take months, even years, to complete, and it requires a deep level of emotional and physical investment. That’s why assessing a surrogate’s motivation is an important part of the screening process.

Surrogates are asked about why they want to pursue surrogacy and whether they truly understand the emotional and physical demands it will place on them. Surrogacy is not just about the pregnancy—it’s about carrying someone’s future child with care, respect, and commitment. Ensuring that the surrogate is in it for the right reasons can help create a more positive experience for everyone involved.

The Bottom Line

Surrogacy is a beautiful and complex journey, and the rigorous screening process helps ensure that it’s safe, healthy, and emotionally fulfilling for everyone involved. By focusing on the health, well-being, and emotional readiness of the surrogate, as well as addressing the legal, lifestyle, and motivational aspects, the screening process helps set up a successful and positive surrogacy experience. It isn’t an exaggeration to say that for many IPs, they are being asked to trust a stranger with their hopes and dreams, at great emotional and financial risk. The surrogacy screening is in-depth and intrusive and intense, but it is well worth it for everyone involved. At the end of the day, this approach makes sure that the surrogate is well-prepared for the responsibility at hand and that the intended parents can welcome their child with confidence, knowing that they’ve taken every step to ensure a safe and smooth journey.