Monday 17 November 2014

Couples look forward to Surrogacy Regularization in India



In Oct 2008, the Supreme Court ruled that "commercial surrogacy is legal and an industry in India", making it a legally protected and viable option for international couples. Now after 12 years, surrogacy in India has become a debatable sector.

Compensation, age and consent of the surrogate mother – the three major factors to be considered in surrogacy bill. Winter session of parliament is close and everyone has crossed fingers for a benchmark decision on surrogacy in India. Surrogacy in India has always been a controversial subject with activists blaming foreigners for exploiting poor women.

Recently, Department Of Health Research (Health Ministry) V M Katoch said to a leading newspaper that the final draft bill is now lying with the law ministry and, after being cleared, will be presented before the cabinet for approval.

It is a clear hint that the most debated practice in India is on the lines of regularization. In past 12 years, India helped thousands of couples to have children but the recent turn of events has put the practice under the scanner. Tightening of laws is suggested by activists and doctors to make the process transparent. India now has only the guidelines the Indian Council for Medical Research (ICMR) released in 2002.

The Assisted Reproductive Technology (Regulation)Bill, 2013, it 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. The bill will also provide a framework for letting foreigners use Indian surrogate mothers.

In 2012, an Australian couple left behind one of the twins born to an Indian surrogate mother because they could not afford to bring up two children back home. Earlier in 2010, a German couple, Jan Balaz and Susan Lohle, had to wait for two years before they could take their twin babies home. Their twin sons, Nikolas and Leonard, were trapped in a citizenship limbo ever since an Indian surrogate mother gave birth to them in February 2008. The boys were refused passports by their parents` homeland because German nationality is determined by the birth mother. The issue was finally settled after a prolonged court battle.

According to a 2012 study by the Confederation of Indian Industry (CII), an estimated 10,000 foreign couples visit India for reproductive services and nearly 30 percent are either single or gay. In earlier versions - in 2008 and 2010 - the bill relied on contract law to establish a relationship between the commissioning parents and the clinic. In the current version, the bill states that a professional surrogate will be hired by a government-recognized ART Bank and not private fertility clinics, which is the current practice. The compensation, as per the 2013 draft, will be a private negotiation between the surrogate mother and commissioning parents.

-       The Bill addresses all issues pertaining to ethics in commercial surrogacy.
-       The Bill is only to help infertile couples and should act as a deterrent to commercial surrogacy.

The CII study estimated that nearly 10,000 foreign couples visit India for reproductive services and nearly 30% are either single or homosexual.
-        However, the Surrogacy Bill will disqualify homosexual couples, foreign single individuals and couples in live-in relationships from having children through surrogate mothers in India. The law also imposes age restrictions on surrogate mothers.
-        Homosexuals and foreign single individuals are barred from seeking surrogacy assistance in India.
-       Other than this, many restrictions imposed are not encouraging for business.

In earlier versions—in 2008 and 2010—the ART Bill relied on contract law to establish a relationship between the commissioning parents and the clinic. In the current version, the Bill states that a professional surrogate will be hired by a government-recognized ART Bank and not private fertility clinics, the current practice.
-         The compensation, as per the 2013 draft, will be a private negotiation between the surrogate mother and commissioning parents. Currently, IVF clinics decide the amount and pay the surrogate mother a portion. 

Last year, Home Ministry laid down certain norms on surrogacy as an immediate attempt to define the contours ofsurrogacy activities in India,
-        Home Ministry lays down conditions for grant of visa to foreign couples commissioning surrogacy in India
-        Home Ministry has already announced that it will not give tourist visas to foreigner nationals coming to India for commissioning surrogacy, of which several cases have been reported.
-        In order to ensure that the surrogate mother’s interests are protected, the Ministry said, such a visa may only be granted if certain conditions are fulfilled — the foreign man and woman must be duly married for at least two years.
-         The Ministry will also insist that the Indian embassy or Foreign Ministry of the country concerned enclose an acknowledgement, along with the visa application, that the country recognises surrogacy and that the child/children to be born to the commissioning couple through the Indian surrogate mother will be permitted entry into their country as a biological child/children of the couple.
-        Besides, the couple should produce a duly notarised agreement between the applicant couple and the prospective Indian surrogate mother. The Ministry has informed the Indian missions abroad that the commissioning couple needs to be told that they must obtain “exit” permission from the Foreign Regional Registration Offices before leaving India for their return journey.

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

Visit Our Websites







Thursday 6 November 2014

Cross Border Surrogacy


Cross-border legal and ethical problems has recently become a concern for Indian surrogacy sector especially after a Thai surrogate mother bore twins and the Australian parents took the healthy child and left the one with Down syndrome behind in Thailand.

Surrogacy is having another woman bear a child for someone else. Surrogacy in India and its increasing popularity has increased the movement of couples towards the country for assistance. However, the thriving business comes with risks of to devious online brokers, questionable private clinics, thriving underground market.

Why cross-border arrangements are risky?

In different countries, laws are different even medical practices, customs or codes of ethics. Looking at the positive aspects of surrogacy, it empowers women to choose whether to participate and gain financial compensation for their valued service. Surrogacy also permits otherwise childless men and women to have children.

In vitro fertilization is fertilization in a laboratory by mixing sperm with eggs surgically removed from an ovary followed by uterine implantation. IVF in Raipur offers assistance to the couples with egg donation, IUI and other fertility techniques.

Most common are two types of “traditional surrogacy” where the surrogate is the biological mother and the sperm is from the intended father or a donor. The other four types are “gestational surrogacy” where the surrogate is unrelated to the baby with the egg coming from the intended mother or donor, and the sperm is from the intended father or donor. When both the egg and sperm are from donors, the baby is genetically unrelated to the surrogate, the intended mother or the intended father. In addition, the actual parentage is often undisclosed or unknown.

Australia and the United States, relevant laws vary by state or province and type of surrogacy. For example, while New Jersey, Pennsylvania and Virginia permit altruistic surrogacy and Arizona, Michigan and Nebraska forbid surrogacy— California, Connecticut and Massachusetts are surrogate-friendly, making them magnets for couples from other places with stringent anti-surrogacy laws.

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.

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



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




Pahlajani Surrogacy India: Surrogacy Regularization in India

Pahlajani Surrogacy India: Surrogacy Regularization in India: Couples across the world, be it India or Australia, wish to expand their progeny. If infertile, they would consider In Vitro Fertilisati...

Surrogacy Regularization in India


Couples across the world, be it India or Australia, wish to expand their progeny. If infertile, they would consider In Vitro Fertilisation, Surrogacy or Adoption as the three options have a child. While thousands of couple journey miles and miles to find the most apt surrogacy clinic that matches their criteria, the surrogacy industry bloats with both right and wrong constraints. My opinion is not contrary to those who criticise the unregulated surrogacy sector in India. Anything unregulated is dangerous. Voids in surrogacy laws are filled with exploitation of surrogate mothers, reaping wrongful advantage of commercialized sector and compromising quality of medical procedure. Such voids are harmful even for the doctors who are genuinely helping couples with infertility are suspected of bending the laws. These reputed doctors have repeatedly become the victims to calumny.

Recently, Union Minister for Health, Dr Harsh Vardhan's wrote an editorial, published on The Hindustan Times, about surrogacy titled 'Right to motherhood, right to a mother'. In his article, he discusses how the unregulated surrogacy industry in India poses a great threat to the country's poor, disenfranchised women, who are compelled to become surrogate mothers to battle poverty. He writes: 

"A woman’s body goes hormonal change as she is prepared for intrauterine insemination or intra-cervical insemination or, less commonly, intra-cytoplasmic sperm injection or in-vitro fertilisation. She is also put through many other risks. For instance, under the jungle raj that prevails in this trade, the testing of the donor for various diseases is mostly absent. Also, there is wide ignorance of the fact that the chances of conception through artificial insemination are at best 35% and that too for women under 30."

My thoughts echo with Dr Vardhan’s on surrogacy. There are human rights activists, who have spontaneously displayed their rage over the issue. We, at Pahlajani Surrogacy Care, not only obey the rules but ensure that every surrogate mother gets the best care.

Surrogacy Regularization in India
Surrogacy homes ensure monitored care of surrogate mothers throughout the pregnancy, for them to incubate the fertilized eggs of infertile couples. The day surrogacy care opened the doors of commercialization in India that added gross benefit to countries exchequer. However, the lucrative trend bought addition responsibilities for doctors to ensure finest services to both medical tourists and surrogate mothers. Unlike other clinics, which were brought under the legal scanner for scrimping on surrogate pay,Pahlajani IVF Clinic ascended towards safeguarding the rights of surrogate under the legal norms of the country.  

Sizable surrogacy programmes in Pahlajani IVF Clinic recruits women suitable to become a carrier for infertile couples. The clinic ensures legitimate incentive to surrogates against a yearlong benevolence of a surrogate. In the latest crafted legislation of Ministry of Home Affairs, New Delhi ensures notarized agreement between prospective surrogate and applicant couple to ensure the safeguard of interests of both. With monitored nurturing to assure smooth pregnancy, Pahlajani Test Tube Baby Center ensures after pregnancy checkups for healthy living of a surrogate.

We wait for the surrogacy bill to be tabled this winner session of parliament.

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- 9873083334, +91- 9329630455
Email - contact@raipurivf.com

Visit Our Websites