Surrogate Doctor: Who Gets to Choose?

DNA, HIPPA, and OB/GYN

Surrogate doctor: the doctors and medical choices involved in a surrogate pregnancy are many, and need to be decided on in advance. These surrogacy issues regarding DNA, HIPPA, and the choice of an OB/GYN should be resolved before signing a commercial surrogacy contract.


Please note: This site is not intended to be legal council. No portion of the ideas and concepts represented on this website should be used as a substitute for a surrogacy attorney's advice. Make sure you consult your lawyer on all issues regarding surrogacy.

As you enter into a surrogacy arrangement, surrogate doctors should be discussed and placed into the contract. For most, these surrogacy issues will be very simple and easy to work through with the assistance of a surrogacy lawyer. Much of it is standard in every contract, but unique circumstances might cause a surrogate mother or the intended parents to choose a different course of action.

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Doctors

The choice of an IVF clinic, in the case of gestational surrogacy, should be the intended parent's decision alone.

The surrogate mother generally has no say in the clinic choice.

After a surrogate is released from the IVF clinic, she will then go to see her own OB.

This is usually quite early in the surrogate pregnancy.

The following questions should be asked regarding surrogate doctors for the contract:

Are the surrogate and intended parents comfortable with the surrogate's current OB?

Who gets to make the decision on what OB the surrogate will see?

What if the surrogate mother prefers a midwife?

Are the intended parents comfortable with that?

What if the surrogate will want to have a home birth, or a birth at a birthing center or clinic instead of a hospital birth?

Do the intended parents have any objections to that?

In some situations, the surrogate birth will be in a different state than the one the surrogate mother lives in.

Often, neighboring states have more favorable surrogacy laws.

In this situation, it needs to be clearly stated in the contract where the surrogate needs to give birth.

Alternately, if the surrogate resides in a surrogacy friendly state, the contract should specify that she is to remain residing in that state until the birth of the baby.

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HIPPA Release

Most commercial surrogacy contracts have a page designed for surrogates to release her medical records, and information pertaining to the surrogate pregnancy, to the intended parents.

This gives the intended parents the ability to contact the surrogate doctor directly to get questions answered or just general information about the pregnancy itself.

Without this document, the intended parents would not be able to discuss anything with the surrogate's doctor due to HIPPA regulations. 

HIPPA regulations are federal laws designed to protect the privacy of the patient.

Discuss in advance the need for the intended parents to contact the surrogate's doctor directly.  If everyone feels it would be in the best interest of the surrogate arrangement, then make sure the appropriate forms are signed.  If it would be better for the surrogate to relay the information directly to her intended parents, then this form may prove unnecessary.

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DNA Testing

After birth, it is common for intended parents to request a DNA test of the baby.

Some states require this for legal reasons, and even some insurance companies require it.

Though rare, it does happen sometimes that a surrogate inadvertently becomes pregnant with her own child instead of the intended parents' baby.

This only happens if the surrogate is intimate with her partner against contractual and clinic regulations.

If this happens, the contract needs to clearly state what will happen.

Who will keep the child?

What portions of the monetary investments that the intended parents paid for the journey need to be refunded to them?

Just the surrogate's fees, or all fees including IVF clinic fees, surrogacy lawyer's fees, etc?

These surrogacy issues do need to be brought up during the contract phase. No matter how uncomfortable.

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