Pehea e holo pono ai ke Surrogacy?

Anter

• He aha ka Surrogacy?
• No ke aha e alualu ai i ka Surrogacy?
• Pehea ʻoe e ʻike ai i kahi surrogate?
• Pehea ke ʻano o nā kānāwai a puni ka Surrogacy?
• Pehea e hāpai ai ka mea pani?
• He aha nā kumukūʻai o ka Surrogacy?
• Pehea ʻoe e lilo ai i pani pani?
• ʻO nā hopena o ke ola kino noʻonoʻo o ka Surrogacy
• Nānā no

Ua hana ʻo Kim Kardashian. Pēlā ʻo Gabrielle Union. A i kēia manawa, ʻo Lance Bass ke hana nei kekahi.

Akā ʻoiai ʻo kāna pili A-papa inoa a me ke kumu kūʻai nui, ʻaʻole no nā hōkū wale nō ka surrogacy. Huli nā ʻohana i kēia ʻaoʻao hoʻopunipuni ʻaoʻao ʻekolu no nā ʻano kumu like ʻole - akā he mea pohihihi ka hoʻopiʻi ʻana i ka poʻe i alualu ʻole ʻia.

Akā, pehea, pololei, hana surrogacy? Ma mua, ʻo nā pane i kāu mau nīnau pili i ka surrogacy, e like me ka poʻe loea.

He aha ka Surrogacy?

"ʻO Surrogacy kahi huaʻōlelo maʻamau no kahi hoʻonohonoho ma waena o ʻelua ʻaoʻao: ʻAe ka mea pani e hāpai i kahi hāpai no nā mākua a makua paha i manaʻo ʻia. Aia ʻelua ʻano o ka hakahaka: ka hakahaka hakahaka a me ka hana kuʻuna," wahi a Barry Witt, MD, ka luna lapaʻau ma WINFertility.

"Hoʻohana ʻo Gestational surrogacy i ka hua manu o ka makuahine i manaʻo ʻia (a i ʻole he hua manu hāʻawi) a me ka sperm o ka makua kāne i manaʻo ʻia (a i ʻole sperm donor) e hana i kahi embryo, a laila hoʻoili ʻia i loko o ka kōpū o kahi pani," wahi a Kauka Witt.

Ma ka ʻaoʻao ʻē aʻe, "kahi hānai kuʻuna kahi e hoʻohana ai nā hua ponoʻī o ka mea pani, e hoʻolilo ana iā ia i makuahine makuahine o ke keiki. Hiki ke hoʻokō ʻia i ka lawe ʻana i ka mea lawe i ka sperm mai ka makuakāne (a i ʻole ka mea hāʻawi manawaleʻa) nāna e hāpai, a ʻo ka he keiki na ka makua i manaʻo ʻia, "wahi a Kauka Witt.

Akā ʻoi aku ka lōʻihi o ka hana kuʻuna ma mua o ka maʻamau i 2021, e like me kā Dr. Witt. "Hana ʻia kēia manawa he kākaʻikahi loa ka hana no ka mea ʻoi aku ka paʻakikī, ma ke kānāwai a me ka naʻau," wehewehe ʻo ia. "Ma muli o ka like o ka makuahine genetika a me ka makuahine hānau, ʻoi aku ka paʻakikī o ke kūlana kū kānāwai o ke keiki ma mua o ke kūlana kūpikipiki ʻōpū kahi o ka hua manu mai ka makua i manaʻo ʻia." (Related: He aha ka makemake o Ob-Gyns i ʻike nā wahine e pili ana i ko lākou hānai ʻana)

No laila, ke lohe ʻoe e pili ana i ka surrogacy (inā ma ke ʻano o Kim Kardashian a i ʻole kou hoalauna) ʻo ia paha ka surrogacy gestational.

No ke aha e alualu ai i ka Surrogacy?

ʻO ka mea mua: E haʻalele i ka manaʻo ʻo ka hoʻopiʻi no nā mea waiwai āpau. Nui a hewahewa nā hanana i hoʻolilo i kēia i mea e pono ai ka lāʻau. (Related: He aha ka Secondary Infertility, a he aha kāu e hana ai no ia?)

Hoʻohana ka poʻe i ka surrogacy ma muli o ka loaʻa ʻole o kahi kōpū (ma ka wahine ola i loaʻa i ka hysterectomy a i ʻole kekahi i hāʻawi ʻia i ke kāne i ka hānau ʻana) a i ʻole ka mōʻaukala o nā ʻoki ʻoki ʻana (e laʻa me ka hōʻoki ʻana i ka fibroid a i ʻole nā ​​​​kaʻina hana dilation a me ka curettage, i hoʻohana pinepine ʻia. e hoʻomaʻemaʻe i ka ʻōpū ma hope o ka hāʻule ʻana a i ʻole ka haʻalele ʻana), wehewehe ʻo Sheeva Talebian, MD, he endocrinologist reproductive ma CCRM Fertility ma New York City. Nā kumu ʻē aʻe no ka pani ʻana? I ka wā ma mua i ʻike ai kekahi i nā hāpai hāpai huikau a kiʻekiʻe paha, nā hāʻule ʻana i hōʻike ʻole ʻia he nui, a i ʻole nā ​​hopena IVF i holo pono ʻole; a, ʻoiaʻiʻo, inā he kāne kāne like ʻole a he kāne hoʻokahi ʻaʻole hiki ke halihali ke ʻimi makua.

Pehea ʻoe e ʻike ai i kahi surrogate?

Nā moʻolelo o kahi hoaaloha a ʻohana paha e hāʻawi manawaleʻa ana e halihali i kahi keiki no kahi mea aloha? ʻAʻole ia wale nā ​​mea o nā kiʻiʻoniʻoni a i ʻole nā ​​poʻomanaʻo viral. ʻO kekahi o nā hoʻonohonoho pani, i ka ʻoiaʻiʻo, lawelawe kūʻokoʻa ʻia, e like me kā Janene Oleaga, Esq. ʻO ka mea maʻamau, ʻoiai, hoʻohana nā ʻohana i kahi ʻoihana pani e ʻike i kahi lawe.

ʻOiai e hiki ke hoʻololi i ke kaʻina hana mai kēlā me kēia ʻāpana i kahi ʻē aʻe, ma Circle Surrogacy, no ka laʻana, "hana pū nā kime like a me nā loio e hoʻoholo i nā koho kūpono kūpono kūpono loa e pili ana i nā ʻano like ʻole," wahi a Jen Rachman, LCSW, hoa hana hoʻolaha ma Circle. ʻO Surrogacy. Hoʻopili kēia i ka mokuʻāina kahi e noho ai ka mea pani, inā he ʻinikua kā lākou, a me nā makemake like mai nā mākua ʻelua a me ka mea pani, e wehewehe ʻo ia. "I ka manawa e loaʻa ai kahi pāʻani, e hoʻololi ʻia nā ʻikepili i hōʻemi ʻia o nā mākua i manaʻo ʻia a me nā mea pani (me ka ʻike ʻole o ka ʻike.) e launa pū. "

A inā ʻae nā ʻaoʻao ʻelua e alualu i kahi pāʻani, ʻaʻole pau ka hana ma laila. "ʻO kekahi kauka IVF e nānā i nā mea lapaʻau ma hope o ka hana ʻana i kahi pāʻani," wahi a Rachman. "Inā no kekahi kumu ʻaʻole i hele ka mea pani i ka nānā ʻana i ka lāʻau lapaʻau (ʻo ia ka mea kakaʻikahi), hāʻawi ʻo Circle Surrogacy i kahi pāʻani hou me ka uku ʻole." (Pili: Pono ʻoe e hoʻāʻo i kou momona ma mua o ka noʻonoʻo ʻana e pili ana i nā keiki?)

Ma ka laulaha, "e hui ka mea pani hiki ke hana me kahi loea hānau e hana i nā hoʻokolohua kikoʻī e loiloi i ka loko o ka kōpū (ʻo ka maʻamau he sonogram saline i loko o ke keʻena) ), a me kahi ultrasound transvaginal e nānā i ke ʻano o ka uterus a me nā ovaries, "wahi a Dr. Talebian. "Pono ka mea pani i ka Pap smear hou a inā ʻoi aku kona mau makahiki he 35, [a] breast mammogram. E hui pū ʻo ia me ke kauka obstetrician nāna e mālama i kona hāpai ʻana." ʻOiai ke hoʻomaka nei ka nānā ʻana i ka lāʻau lapaʻau, ua haku ʻia kahi ʻaelike kānāwai no nā ʻaoʻao ʻelua e kau inoa.

Pehea ke ʻano o nā kānāwai a puni ka Surrogacy?

ʻĀ, pili ia i kou wahi e noho ai.

"[He ʻano ʻokoʻa loa] mai kēlā mokuʻāina a i kekahi mokuʻāina," wahi a Oleaga. "ʻO kahi laʻana, ma Louisiana, ʻaʻohe ʻae ʻia ka hakahaka no ka uku [ʻo ia hoʻi ke uku nei ʻoe i kahi mea pani.] Ma NūIoka, ʻaʻole kū kānāwai ke kuleana hānai a hiki i kēia Pepeluali i hala. kānāwai, akā ʻo ia ka ʻokoʻa o nā mokuʻāina."

ʻO nā kumuwaiwai e like me ka Legal Professional Group of the American Society for Reproductive Medicine (LPG) a me Family Inceptions, kahi lawelawe hānau keiki, hāʻawi ʻelua i nā haʻihaʻi piha o nā kānāwai surrogacy o kēia manawa ma kā lākou pūnaewele. A inā ʻoe e noʻonoʻo e hele i kahi ʻē no ka mea pani, makemake pū ʻoe e heluhelu e pili ana i nā ʻōlelo hoʻoholo a ka lāhui e pili ana i ka hoʻokahuli aupuni ma ka pūnaewele o ka US Department of State.

No laila, he paʻakikī paʻakikī nā kikoʻī pili kānāwai. Hōʻike ʻo Oleaga i ka hui ʻana me kahi ʻoihana a ʻimi paha i kahi kūkā kūkā kū kānāwai mai kekahi e hoʻomaʻamaʻa i ke kānāwai ʻohana e aʻo hou aʻe. ʻO kekahi mau lawelawe, e like me Nā Manaʻo ʻohana, he koho nō hoʻi ma kā lākou pūnaewele e hoʻopili aku i ka hui lawelawe loio o ka hui me nā nīnau e kōkua ai i ka hoʻomaka ʻana o nā mākua. ʻO ka mea e hoʻomanaʻo ai, ʻo ia nō nā mākua i manaʻo ʻia a me ka mea pani e pono ai i kahi kū kānāwai i mea e hoʻomaka ai i ke kaʻina o ke kanu ʻana i ka embryo i loko o ka uterus o ka hakahaka. Pale kēia i nā hanana hōʻehaʻeha mai ka pāʻani ʻana i lalo o ka laina.

"No kekahi manawa lōʻihi, makaʻu nā poʻe āpau i kahi mea pani e hoʻololi i kona manaʻo. Manaʻo wau he nui nā mokuʻāina i loaʻa kēia mau kānāwai no kahi kumu," wahi a Oleaga. "[Ma ke ʻano he pani hakahaka], kau inoa ʻoe i kahi kauoha hānau mua e ʻōlelo ana" ʻAʻole wau he makua i manaʻo ʻia, "kahi e hāʻawi ai i nā mākua i manaʻo ʻia i ka palekana me ka ʻike e ʻike ʻia nā kuleana kū kānāwai ma ke ʻano he mākua ʻoiai pēpē i utero. " Akā, eia hou, pili ia i kou wahi e noho ai. Hana kekahi mau mokuʻāina ʻaʻole ʻae i nā kauoha hānau ma mua a ʻae nā poʻe ʻē aʻe i nā kauoha ma hope o ka hānau ʻana (ʻo ia mau mea like me kā lākou counter "pre" akā hiki ke kiʻi ʻia ma hope o ka lawe ʻana). A i kekahi mau mokuʻāina, ke ala e hiki ai iā ʻoe ke hoʻopaʻa i kou mau kuleana makua (ka wā hānau mua, ke kauoha hānau ma hope o ka hānau ʻana, a i ʻole ka hānau hānau ma hope o ka hānau ʻana) pili i kāu kūlana male a inā he ʻāpana o ka wahine hetero a homosexual paha, i waena o nā mea ʻē aʻe. nā kumu, e like me ka LPG.

Pehea e hāpai ai ka mea pani?

ʻO ka mea nui, hoʻohana ka hakahaka pani i ka vitro fertilization; ʻohiʻohi ʻia nā hua manu (huki ʻia) mai kahi mea hāʻawi a i ʻole kahi makua i manaʻo ʻia a momona i loko o kahi hale hana IVF. Ma mua o ka hoʻokomo ʻia ʻana o nā embryos i loko o ka ʻōpū o ka mea lawe hānai, pono e "hoʻomākaukau ʻia no ka loaʻa ʻana o ka embryo no ka hoʻokomo ʻana," wahi a Kauka Witt.

"Hoʻokomo [kēia] i ka lāʻau e kāohi i ka ovulation (no laila ʻaʻole [ʻo ia] e hoʻohua i kāna hua ponoʻī i ka wā o ke pōʻaiapuni), ukali ʻia e ka estrogen i lawe ʻia ma kahi o ʻelua mau pule e hoʻomāhuahua ai ka uhi ʻana o ka uterine," wehewehe ʻo ia. "I ka manawa e mānoanoa pono ai ka ʻōpū o ka ʻōpū, lawe ka [gestational carrier] i ka progesterone, nāna e hoʻomaʻamaʻa i ke kapa i hiki ke hoʻokipa i ka embryo i hoʻokomo ʻia i loko o ka ʻōpū ma hope o ʻelima mau lā o ka progesterone. ke hele nei i kēlā me kēia mahina i nā wahine e haʻalele ana i ka wahine." (E pili ana: E like me ka loli ʻana o nā pae o kāu Hormone i ka wā hāpai)

"I nā manawa he nui, hana nā mākua i manaʻo ʻia i ka hoʻāʻo ʻana i nā kūpuna ma luna o nā embryos e koho i nā embryos i loaʻa nā helu chromosome maʻamau i mea e hoʻonui ai i ka hopena o ka hana ʻana a hoʻoliʻiliʻi hoʻi i ka pilikia no ka hānau ʻole ʻana i ka wā hāpai hāpai hāpai hāpai," wahi a Dr. Witt.

He aha nā kumukūʻai o ka Surrogacy?

Nānā Spoiler: Hiki i nā helu ke kiʻekiʻe kiʻekiʻe. "Hiki i ke kaʻina hana ke lilo i mea pāpā ʻole i nā mea he nui," wahi a Dr. Talebian. "Hiki ke hoʻololi i ke kumukūʻai IVF akā ma ka liʻiliʻi loa ma kahi o $ 15,000 a hiki ke hoʻonui i kahi kiʻekiʻe he $ 50,000 inā pono nā hua manu hāʻawi." (E pili ana: Pono maoli ke kumukūʻai o IVF no nā wahine ma ʻAmelika?)

Ma waho aʻe o nā lilo IVF, kuhikuhi ʻo Kauka Talebian aia kekahi aia a me nā uku kū kānāwai. No ka poʻe e hoʻohana ana i nā hua manu hāʻawi, aia kekahi kumukūʻai e pili pū ana me ia, a mālama pinepine nā mākua i nā kumukūʻai āpau i ka wā o ka hāpai ʻana a me ka hānau ʻana. Ma luna o nā mea āpau, aia ka uku o ka mea pani, i hiki ke loli ma muli o ka mokuʻāina kahi a lākou e noho ai, inā he ʻinikua kā lākou, a me ka ʻoihana a lākou e hana pū ai a me kāna uku i hoʻonohonoho ʻia, e like me Circle Surrogacy. E like me ka mea i ʻōlelo ʻia ma luna, ʻaʻole ʻae kekahi mau mokuʻāina e uku ʻia nā mea pani. No ka poʻe e hana nei, akā naʻe, ʻo nā uku hoʻolimalima mai kahi $ 25,000 a i $ 50,000, wahi a Rachman - a ʻo ia ma mua o kou helu ʻana i ka uku no nā uku nalowale (manawa i lawe ʻia no nā koho, post-delivery, etc.), mālama keiki (no nā keiki ʻē aʻe. ke hele ʻoe i, e ʻōlelo, nā hoʻokohu), huakaʻi (noʻonoʻo: i a mai nā wā lapaʻau, lawe, no ka mea pani e kipa, a me nā mea ʻē aʻe).

Inā ua kuhi ʻoe ua hoʻohui a pau i kahi huina nui, pololei ʻoe. (Pili: nā koina kiʻekiʻe o ka hānau ʻole: hoʻoweliweli nā wahine i ka panakalupa no kahi pēpē)

"ʻO ke kaʻina hana hoʻopiʻi [holoʻokoʻa] hiki ke kaʻawale mai $ 75,000 a i $ 100,000," i ʻōlelo ʻo Dr. Talebian. "ʻO kekahi mau 'inikua e hāʻawi ana i nā pono momona e uhi i nā ʻano like ʻole o kēia kaʻina hana, e hoʻemi ana i nā lilo o waho." ʻO kēlā ʻōlelo, inā ʻo surrogacy ke ala kūpono a maikaʻi loa, hiki i nā kānaka ke loaʻa ke kōkua kālā ma o nā haʻawina a i ʻole nā ​​​​loina mai nā hui e like me Gift of Parenthood. (Hiki iā ʻoe ke ʻike i kahi papa inoa o nā hui e hāʻawi nei i kēia mau manawa kūpono a me kā lākou noi noi ma ka pūnaewele, e like me nā pūnaewele hana hānau.) "Ua ʻike wau i ka poʻe i hana i nā ʻaoʻao GoFundMe e kōkua e loaʻa kālā no ke kaʻina hana," hoʻohui ʻo Dr. Talebian.

Nui nā ʻano like ʻole e pili ana i ka mea a ʻaʻole i uhi ʻia e kāu ʻinikua, akā naʻe, e like me Rachman. Heʻuʻuku ka uhi ʻana a he nui nā kumukūʻai i nā lilo ma waho o ka ʻeke. ʻO ke ala maikaʻi loa e aʻo ai i ka mea e uhi ʻia a ʻaʻole e uhi ʻia ʻo ia ke kamaʻilio pololei me kahi ʻinikua e hiki ke wāwahi i kēia no ʻoe.

Pehea ʻoe e lilo ai i pani pani?

ʻO ka hana mua e hoʻopihapiha i kahi noi me kahi ʻoihana pani, kahi āu e ʻike ai ma ka pūnaewele o kahi ʻoihana.Ma waena o 21 a 40 mau makahiki paha ka Surrogates, he BMI ma lalo o 32, a ua hānau ʻia i hoʻokahi keiki (i hiki i nā kauka ke hōʻoia i nā mea hiki ke hāpai i kahi hāpai maikaʻi i kēia manawa), e like me kā Dr. Talebian. Ua ʻōlelo pū ʻo ia ʻaʻole pono e hānai ka mea pani a i ʻole ʻoi aku ma mua o ʻelima mau hānau keiki a ʻoi aku paha ma mua o ʻelua mau ʻāpana C; ua loaʻa iā lākou i nā hāpai ma mua o ka wā ma mua, kahi moʻolelo o ka hāʻule ʻole o hoʻokahi hānau ʻana, i ke olakino maikaʻi, a pale i ka puhī a me nā lāʻau.

ʻO nā hopena o ke ola kino noʻonoʻo o ka Surrogacy

A ʻoiai he mea maʻamau ka noʻonoʻo e pili ana i ka hopena o ka lawe ʻana i kahi pēpē āu e hānai ʻole ai, loaʻa i ka poʻe loea kekahi mau ʻōlelo hōʻoluʻolu.

"Ua hōʻike aku ka nui o nā poʻe hoʻopiʻi ʻaʻole i like ka pilina a lākou i kūkulu ai i ka wā o ka hāpai ʻana me kā lākou mau keiki ponoʻī a ʻoi aku ka like me kahi ʻike hānai pēpē koʻikoʻi," wahi a Kauka Witt. "ʻIke ka poʻe pani i ka hauʻoli kupaianaha i ko lākou hiki ke kōkua i nā mākua e hoʻokō i kā lākou mau pahuhopu ʻohana a ʻike mai ka hoʻomaka ʻana ʻaʻole na lākou ke keiki. (Pili: Pehea wau e aʻo ai e hilinaʻi hou i kuʻu kino ma hope o ka hana hewa ʻana)

ʻOiai ʻo ke kākoʻo i loaʻa no nā poʻe pani e pili ana i ke keʻena, "ua pili nā mea pani a pau i kā mākou papahana i kahi limahana limahana kākoʻo e nānā pū me ka surrogate i kēlā me kēia mahina e ʻike i ke ʻano o kāna hana/manaʻo i ka surrogacy," wahi a Solveig Gramann. , Luna Hoʻokele o nā lawelawe pani ma Circle Surrogacy. "E launa ka mea hana kaiaulu kākoʻo me ka mea pani a hiki i ka hala ʻana o ʻelua mau mahina ma hope o ka hoʻomaʻamaʻa ʻana i ke ola post post, akā hiki iā mākou ke noho me nā mea pani ʻoi aku ka lōʻihi ma mua o ka mea inā makemake lākou i ke kākoʻo (ʻo kahi laʻana, Ua pilikia ʻo ia i ka hānau ʻana a i ʻole ka ʻike ma hope o ka hānau ʻana a makemake ʻo ia e hoʻomau i ka nānā ʻana i kekahi mau mahina ma hope o ka hānau ʻana).

A no nā mākua i manaʻo ʻia, ua ʻōlelo ʻo Rachman he hana lōʻihi kēia e hiki ai ke hoʻopuka i kekahi mau manaʻo paʻakikī, ʻoi aku hoʻi no ka mea i ʻike mua i ka ʻike ʻole a i ʻole ka nalowale. "ʻO ka maʻamau, e hele nā ​​​​mākua i manaʻo ʻia ma kā lākou keʻena IVF e hōʻoia i ko lākou noʻonoʻo ʻana ma o kā lākou hoʻolālā surrogacy a aia ma ka ʻaoʻao like me kā lākou surrogate i hoʻohālikelike ʻia," wahi āna. (E pili pū ana: Hāʻawi ʻo Katrina Scott i kāna mau mea aloha i ka nānā ʻana i ke ʻano o ka ʻike ʻole ʻana o ke kula lua)

"Ke paipai nei au i nā mākua i manaʻo ʻia e nānā i ka mākaukau o ka naʻau a me ke kālā e neʻe i mua me kahi surrogacy," wahi a Rachman. "He marathon kēia kaʻina hana, ʻaʻole he sprint, a he mea nui ia e mākaukau e lawe i kēlā.

Nānā no