I have no problem with surrogacy so long as it is tightly regulated to prevent exploitation of surrogate mothers and/or the resultant children. I do believe that women are fully capable of giving informed consent to be a surrogate and that the ethics/morality of surrogacy should be left to each individual woman to decide, not the State.
There is a lot of speculation in this thread with unfounded generalised statements about psychological harm to the children of surrogacy as well as surrogate mothers. Anecdotal stories of surrogacy gone well or wrong are just snap shots of evidence, but not the full picture of what most children of surrogacy or surrogate women experience.
I think it is therefore important to look at the scientific studies to date on the overall impact of surrogacy. And the studies to date show that there are often no significant differences in psychological outcomes and adjustment between children conceived naturally and their families and those children born through third-party reproduction, their families and those individuals serving as surrogates:
Psychological Outcomes and Adjustment of Children
Soderstrom-Anttila et al (1) conducted a systematic review to summarize current knowledge of the medical and psychological outcomes of surrogate mothers, intended parents and the children born of surrogacy. Results indicated no major psychological differences between the children from 1-10 years of age. However, one study found that at 7 years of age, children born via surrogacy showed higher levels of adjustment difficulties than children born via gamete donation; however, this difference disappeared at 10 years of age.
Psychological Outcomes and Adjustment of Adolescents and Young Adults
Golombok and colleagues (2) assessed the psychological health of adolescents (age 14) between those born through reproductive donation (donor insemination, egg donation and surrogacy) and natural conception. Overall, there were no significant differences found in quality of mother-adolescent relationships.
Based on parental ratings, differences were found in regards to gestational link, with surrogacy families exhibiting lower levels of negative parenting and family relationship difficulties and greater parental acceptance, than in gamete donation families. Also, greater family relationship difficulties and lower parental acceptance were found in egg donation versus donor insemination families. Interestingly, per adolescent report, there were no differences found in adjustment, wellbeing or self-esteem between any family types.
In a recent study by Zadeh et al,(3) directly assessing the perspectives of adolescents (age 14) raised in heterosexual two-parent families conceived using surrogacy or gamete donation (egg or sperm), when asked about their feelings regarding their conception, the majority of respondents described feeling indifferent; reported an interest in contact with the surrogate or donor; and positive feelings about the surrogate or donor. None of the adolescents reported feelings of distress concerning their conception.
Psychological Outcomes and Adjustment of Intended Parents and Families
In a recent study, Van Rijn-van Gelderen et al (4) found no differences in parental well-being, namely parental stress, psychological adjustment and partner relationship satisfaction, between gay-father families with infants born through surrogacy, lesbian-mother families with infants born through donor insemination and heterosexual-parent families with infants born through IVF.
Soderstrom-Anttila et al (1) found no difference in parents’ psychological states or mother-child interactions between mothers using a surrogate, mothers receiving oocyte donation and mothers who conceived naturally. There were differences in marital quality and parenting stress noted in two studies, but these differences disappeared over time.
Psychological Outcomes and Adjustment of Donors and Surrogates
In their systematic review, Soderstrom-Anttila et al (1) found no significant psychopathology noted among surrogate mothers. Concerning contact, the majority of studies indicated regular and harmonious contact during pregnancy and after birth.
The frequency of contact decreased while relationship quality maintained, even after 10 years. Some relinquishing difficulties were noted in one study. This review also included one study examining the wellbeing, family relationships and experiences of the surrogate mothers’ own children. Results indicated no negative consequences as a result of the mother’s role as a surrogate.
References
- Soderstrom-Anttila V, Wennerholm U, Loft A, Pinborg A, Aittomaki K, Romundstad, L, et al. Surrogacy: Outcomes for surrogate mothers, children and the resulting families-a systematic review. Human Reproduction Update. 2016;22(2):260-276.
- Golombok S, Ilioi E, Blake L, Roman G, Jadva V. A longitudinal study of families formed through reproductive donation: Parent-adolescent relationships and adolescent adjustment at age 14. Developmental Psychology. 2017;53(10):1966-1977.
3.Zadeh S, Ilioi EC, Jadva V, Golombok S. The perspectives of adolescents conceived using surrogacy, egg or sperm donation. Human Reproduction. 2018;33(6):1099-1106.
4.Van Rijn-van Gelderen L, Bos HWM, Jorgensen TD, Ellis-Davies K, Winstanley A, Golombok S, et al. Wellbeing of gay fathers with children born through surrogacy: A comparison with lesbian-mother families and heterosexual IVF parent families. Human Reproduction. 2018;33(1):101-108