Surrogacy arrangement is usually well defined. Surrogacy arrangement meets the changing needs of the population, and is no longer exclusively an infertility treatment option for a traditional medically infertile heterosexual couple, but has become a way of building a family for people who are in a new relationship when they are of a reproductively incompetent age, and may have been reproductively capable at some point.
Surrogacy arrangement is one of the most unusual forms of human reproduction. The aim of surrogacy arrangement to overcome involuntary childlessness for this innumerable number of potential parents, first of all, depends on their needs, less so the needs of the surrogate mother and not at all that of the surrogate child (-ren) resulting from such surrogacy agreement. An immediate family experiencing the loss and growth of a surrogate child, as well as an extended family of grandparents, aunts and uncles, and a wider community, may or may not welcome the addition (in the intended parents) or the loss (in the surrogate mother) of the surrogate-born person to the network. These issues seem to be secondary or assumed to be issue free.
When people come to surrogacy arrangement, they need to set a number of goals, since surrogacy arrangement can be an extremely difficult process. It is obvious to consider a number of factors, including fetal anomaly found during pregnancy, miscarriage or medical abortion, the birth of a disabled infant, stillbirth and neonatal death. Similarly, the surrogate mother may be seriously compromised during pregnancy, psychologically or medically, and the surrogate mother may even die because of the treatment, or the birth of a surrogate child. Finally, one or both of the intended parents may die after the surrogacy agreement was concluded, but before a parental order was given to them. Although in Ukraine lawyers often act as an intermediary in such surrogate agreement, they are not legally binding.
Despite this, it is usually recommended to conclude the surrogacy agreement. If nothing else, the surrogacy agreement prepares both parties for the possibility that things can go wrong. Given the increase in gestational surrogacy over the past few decades, it is somewhat surprising that surrogacy is usually not mentioned in obstetrics textbooks, also clinical guidelines specific to surrogacy arrangement are rare.