top of page

What Happens If the Baby is Born with a Birth Defect?

Who is responsible?

One of the most common questions in surrogacy is: Who holds legal responsibility for a child born with a birth defect?

In most surrogacy agreements, the intended parents are legally recognized as the baby’s parents from the moment of birth. This includes both legal and financial responsibility for any medical care needed after birth, even if the baby is born with a birth defect. However, the specifics of legal responsibility can depend on a variety of factors, such as the type of surrogacy (gestational or traditional) and the legal jurisdiction in which the surrogacy takes place.

In gestational surrogacy, where the surrogate carries an embryo created using the egg and sperm of the intended parents (or donors), the baby is not genetically related to the surrogate. The intended parents are typically recognized as the legal parents, and they will be responsible for the child’s care, including medical treatments related to any birth defects. This responsibility is usually outlined in the legal contract between the surrogate and the intended parents before the pregnancy begins.


Emotional Impact

While the legal and financial aspects are clear, the emotional toll of dealing with a child born with a birth defect can be significant. Both the intended parents and the surrogate may experience a range of emotions, including shock, grief, guilt, or even relief, depending on the nature of the defect. It’s important for everyone involved to have a support system in place, including mental health professionals, counseling services, and support groups.


Financial Responsibility

The financial responsibility for a baby born with a birth defect typically falls to the intended parents. This includes all medical costs, such as hospital stays, surgeries, and long-term care. While some surrogacy agreements may have provisions for certain medical expenses (for example, complications arising during pregnancy), the intended parents are generally responsible for any post-birth medical costs. Before embarking on a surrogacy journey, intended parents should ensure they have adequate health insurance for the surrogate and the baby, as this can help offset the costs of medical care. Some insurance policies may not cover certain pregnancy-related expenses, so it’s important to discuss insurance coverage as part of the surrogacy planning process.


Conclusion

While no one wants to think about the possibility of a birth defect during a surrogacy pregnancy, it’s important to have a clear understanding of who is responsible if this situation arises. In most cases, the intended parents are responsible for the child’s care and medical expenses. A well-written surrogacy agreement can help clarify the responsibilities and expectations for both the surrogate and the intended parents, ensuring that everyone knows what to expect in the case of any complications.

Surrogacy is a life-changing experience for everyone involved, and the primary focus should always be on ensuring the health and well-being of the baby. By approaching the process with open communication, solid legal agreements, and thorough medical planning, intended parents and surrogates can navigate the complexities of surrogacy with confidence and care.



Birth Defects and Surrogacy: Understanding Risks and Support

Commentaires


bottom of page