The purpose of this study was to explore surrogate women’s experiences of stress during the surrogacy process in India. We interviewed 15 women who had been a surrogate for an international couple at least once in their lives. The following themes emerged: stress regarding (1) physical health, (2) psychology well-being, and (3) the well-being of surrogates’ families and children. Transnational surrogates may experience more physical and psychological stress during pregnancy because their children and families continue to depend on them for support. Social workers must minimize the physical and emotional effects of surrogacy through counseling and psychosocial support.
AllemanB.LugerT.S. ReisingerH.MartinR.HorowitzM.D.CramP. (2011) ‘Medical Tourism Services Available to Residents of the United States’, Journal of General Internal Medicine26(5): 492–7.
2.
American Medical Association (2006) Withholding Information from Patients (Therapeutic Privilege). Chicago, IL: American Medical Association.
3.
BaslingtonH. (2002) ‘The Social Organization of Surrogacy: Relinquishing a Baby and the Role of Payment in the Psychological Detachment Process’, Journal of Health Psychology7(1): 57–71.
4.
BlythE. (1994) ‘“I Wanted to Be Interesting. I Wanted to Be Able to Say “I’ve Done Something with My Life””: Interviews with Surrogate Mothers in Britain’, Journal of Reproductive and Infant Psychology12(3): 189–98.
5.
BoivinJ.BuntingL.CollinsJ.A.NygrenK. (2007) ‘International Estimates of Infertility Prevalence and Treatment-Seeking: Potential Need and Demand for Infertility Medical Care’, Human Reproduction22(6): 1506–12.
6.
ChangM. (2009) ‘Womb for Rent: India’s Commercial Surrogacy’, Harvard International Review31(1): 11–2.
7.
CiccarelliJ.C. (1997) ‘The Surrogate Mother: A Post-Birth Follow-Up Study’, PhD Dissertation, California School of Professional Psychology, Los Angeles, CA.
8.
CiccarelliJ.J.BeckmanL.J. (2005) ‘Navigating Rough Waters: An Overview of Psychological Aspects of Surrogacy’, Journal of Social Issues61(1): 21–43.
9.
CrockinS.L. (2013) ‘Growing Families in a Shrinking World: Legal and Ethical Challenges in Cross-Border Surrogacy’, Reproductive BioMedicine Online27(6): 733–41.
10.
DeonandanR.GreenS.van BeinumA. (2012) ‘Ethical Concerns for Maternal Surrogacy and Reproductive Tourism’, Journal of Medical Ethics38(12): 742–5.
11.
FischerS.GillmanI. (1991) ‘Surrogate Motherhood: Attachment, Attitudes and Social Support’, Psychiatry54(1): 13–20.
KirbyJ. (2014) ‘Transnational Gestational Surrogacy: Does It Have to Be Exploitative?’, The American Journal of Bioethics14(5): 24–32.
14.
KnocheJ.W. (2014) ‘Health Concerns and Ethical Considerations Regarding International Surrogacy’, International Journal of Gynecology and Obstetrics126(2): 183–6.
15.
NelsonE. (2013) ‘Global Trade and Assisted Reproductive Technologies: Regulatory Challenges in International Surrogacy’, The Journal of Law, Medicine & Ethics41(1): 240–53.
16.
PadgettD.K. (2008) Qualitative Methods in Social Work Research, 2nd edn.Thousand Oaks, CA: SAGE.
17.
PandeA. (2011) ‘Transnational Commercial Surrogacy in India: Gifts for Global Sisters?’, Reproductive BioMedicine Online23(5): 618–25.
18.
ParksJ. (2010) ‘Care Ethics and the Global Practice of Commercial Surrogacy’, Bioethics24(7): 333–40.
19.
RagoneH. (1996) ‘Chasing the Blood Ties: Surrogate Mothers, Adoptive Mothers and Fathers’, American Ethnologist23(2): 352–65.
ShenfieldF.de MouzonJ.PenningsG.FerrarettiA.AndersenA.N.de WertG.GoossensV. (2010) ‘Cross border Reproductive Care in Six European Countries’, Human Reproduction25(6): 1361–8.
22.
SparD.L. (2006) The Baby Business: How Money, Science, and Politics Drive the Commerce of Conception. Boston, MA: Harvard Business Press.
23.
StrausA.CorbinJ. (1990) Basic Qualitative Research. Newbury Park, CA: SAGE.
24.
StrausA.CorbinJ. (1997) Grounded Theory in Practice. Thousand Oaks, CA: SAGE.
25.
WhittakerA. (2011) ‘Cross-Border Assisted Reproduction Care in Asia: Implications for Access, Equity and Regulations’, Reproductive Health Matters19(37): 107–16.
