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Neelesh Bhandari MD MBBS, PGP\nDr. Neelesh is the founding member and chief mentor of the Registered Society for Knowledge and Health Activitites (RAKSHA) in India, and a business Consultant with EDdRC Educational Technologies, in Hyderabad, India. Educated in Dubai, and Poona, he is a graduate of the Armed Forces Medical College in Poona and completed a post-graduate program in Human Rights from the Indi....immunohematology, laboratory medicine and transfusiton medicine. He has published several papers and posters and presented many case studies at national and state medical conferences in India

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Surrogacy itself calls up a lot of moral and ethical concerns, mostly because of the money that is involved. Also the fact that a childless couple are asking, sometimes, a complete stranger to become pregnant for them and then give them the child after the birth. Depending on the infertility problems of the intended couple, the surrogate mother will become pregnant in some very different ways. Firstly there is the traditional method, which is where the intended fathers sperm is used to artificially inseminate the surrogate mother. This is using the surrogate mothers egg, so she will be the legal and the biological mother which may cause some people problems, ethically and morally. Then we have where both of the intended parents are infertile, so a sperm donor is used to make the surrogate mother pregnant, and thirdly we have the gestational surrogate method. This is where the intended mothers egg is fertilized with the intended fathers sperm in a laboratory and then it is placed into the surrogate mother to grow until ready for birth. This method is used because the intended mother either can not carry a baby full term, has had a part hysterectomy, or has other medical reasons that prevent her from becoming pregnant. In the majority of these cases, the surrogate mother will be giving this service due to altruistic reasoning. She will still receive reimbursement for her and her family for any out of pocket expenses she may incur in the 9 months while she is carrying the child'. This amount of money is called the base fee. This is an amount of money that is usually split up into 9 monthly payments. The amounts are never equal in their amounts because of the fact that a miscarriage is more likely in the first three months than at any other time during the pregnancy. So, understandably, the first couple of payments will be less than offered later in the pregnancy so that the intended parents will not have to pay too much for a failed pregnancy but the surrogate mother

Surrogate pregnancy is a process in which another woman will carry a baby for nine months and then will relinquish the baby to the couple. This is meant for women or couples that are unable to have children for whatever reason, be it infertility, age, or medical problems. Another option is adoption, which is a legal process to create a new, permanent relationship between a child and an adult. A woman that decides to be a surrogate may be family, friends, or may be a complete stranger. Surrogate pregnancy can be arranged through agencies that help find the couple a woman who will be their surrogate mother for a fee. If the agency arranges for surrogacy, careful inspection is done to make sure the health of the surrogate is guaranteed to avoid possible pregnancy risks. Surrogacy may also be set up without the help of an agency. Surrogate pregnancy can be done in one of two ways. The first way is by artificial insemination, in which a sperm is injected into the surrogate mother's body. The surrogate is the baby's biological mother, but after the birth of the child, he/she is given to be raised by the biological father and his partner or spouse. This is known as traditional surrogacy. The second way is to have a woman's eggs (usually about five eggs) and a man's sperm injected into the surrogate mother. In this case, the surrogate is not the biological mother. This is known as gestational surrogacy. The fees paid for a surrogate pregnancy will be anywhere from ten-thousand to sixty-thousand dollars. The average price for a surrogate mother is anywhere from ten-thousand to thirty-thousand dollars, but other fees such as medical fees, egg donors (if one is used), lawyer fees, or fertility clinics can, of course, up the price. Gestational surrogacy tends to cost more than traditional surrogacy because more medical complications arise in pregnancy. Surrogate mothers that carry babies for members of their family may do it for expenses only, or may get no rewards

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