Surrogacy and Selective Reduction: Who Decides? Flexibility and Respect Explained
Surrogacy is a journey filled with joy, hope, and important decisions. One of the most sensitive topics in surrogacy is abortion and selective reduction, which can arise due to medical complications, ethical beliefs, or personal preferences of the intended parents (IPs) and the surrogate.
As a surrogate, you may wonder:
- Who makes the final decision in these cases?
- What are my rights and responsibilities?
- How can I ensure a match with parents whose views align with mine?
This article will help you navigate the legal, medical, and ethical aspects of selective reduction and abortion in surrogacy, ensuring that all parties approach the process with mutual respect, understanding, and flexibility.
Understanding Selective Reduction and Abortion in Surrogacy
Before moving forward, it is important to define these terms:
Selective Reduction
Selective reduction is a medical procedure used when a multiple pregnancy (twins, triplets, or more) presents health risks to the surrogate or the fetuses. A fertility specialist may recommend reducing the number of embryos carried to increase the chance of a healthy birth.
Abortion
Abortion is a decision made if the pregnancy endangers the surrogate’s health or if there are serious medical abnormalities diagnosed in the fetus. Intended parents and surrogates should discuss their stance on termination before starting a surrogacy journey.
Who Makes the Decision? Legal and Ethical Considerations
The decision-making process varies based on state laws, the surrogacy contract, and the agreement between the intended parents and the surrogate. Here’s how these factors come into play:
1. Surrogacy Laws and Legal Contracts
- In most surrogacy-friendly states, including Oregon, California, and Colorado, the intended parents typically have legal authority over these decisions.
- Surrogacy agreements must clearly outline whether a surrogate is willing to comply with an intended parent’s request for abortion or selective reduction.
- Some states prioritize the surrogate’s bodily autonomy, giving her the final say.
It is important for surrogates and intended parents to have an open conversation about their medical and ethical beliefs before beginning the process to ensure alignment.
2. Medical Reasons for Selective Reduction or Termination
There are several medical situations where abortion or selective reduction may be considered:
- Severe fetal abnormalities detected in prenatal screenings
- Life-threatening health risks to the surrogate
- Multiple pregnancies where carrying multiples could pose risks
Surrogates should ask their agency how these situations would be handled legally and medically before moving forward with a match.
3. Emotional and Ethical Considerations for Surrogates
Surrogacy is not just a physical journey—it is an emotional one as well. Surrogates should consider the following questions:
- How do I feel about abortion and selective reduction?
- Would I be comfortable carrying a high-risk multiple pregnancy?
- Am I willing to follow the intended parents’ wishes in these situations?
Some surrogates feel strongly against termination, while others prioritize the intended parents’ decisions. Either choice is valid, but it is important to find the right match.
Ensuring a Good Match with Intended Parents
Since selective reduction and abortion can be deal-breakers, discussing these views early in the process is crucial.
Questions to Ask Before Matching
- What are the intended parents’ views on selective reduction and abortion?
- Are they open to discussion if medical issues arise?
- What does the surrogacy contract specify about decision-making?
- Do the intended parents respect my personal beliefs?
A good surrogacy agency will ensure that intended parents and surrogates are aligned on major medical decisions before matching.
The Importance of Respect and Flexibility in Surrogacy
Even with the best planning, unexpected situations may arise. Respecting each other’s perspectives and having a well-drafted contract can prevent conflict or emotional distress during the journey.
- For Intended Parents: Understand that the surrogate is carrying the pregnancy and must be comfortable with the decisions made.
- For Surrogates: Recognize that the intended parents have deep personal stakes in the pregnancy.
Surrogacy works best when both parties support each other with open communication, flexibility, and respect.
Final Thoughts: Preparing for a Surrogacy Journey with Confidence
Decisions about abortion and selective reduction in surrogacy can be complex, but having clear expectations, open communication, and a legally binding agreement ensures a smooth and respectful journey.
If you are considering becoming a surrogate and want to find the right match, Family Creations is here to help.
Have Questions? Contact us today to learn more about finding intended parents who align with your values.
