Abstract
BackgroundGestational surrogacy is one of the options for women whom pregnancy is contraindicated. Despite of increasing demand for gestational surrogacy, its various aspects are controversial. The unique nature of surrogacy causes surrogate mothers to face a variety of problems such as, ethical confusion, psychological disturbance and reproductive health matters. Therefore, it is necessary to develop a comprehensive care program for reproductive and sexual health providing specific care at prenatal and pregnancy as well as delivery and postpartum period in socio- cultural context of Iran.MethodsThis research is an exploratory study with the qualitative-quantitative sequencing design (mixed) that is consisted of three sequential phases. In the first phase, following a qualitative approach, the researcher will explain needs of reproductive and sexual health in surrogate mothers. In the second phase, a primary reproductive and sexual health care program is designed for surrogate mothers in which, in addition to using the qualitative study results, related papers and texts will be also used. In the third phase of the study, reproductive and sexual health care program will be evaluated by RAND method (RAM).DiscussionThe results of this mixed method study are expected to lead to the development of a reproductive and sexual health care program meeting the needs of surrogate mothers and are in accordance with the cultural conditions of the research community, ultimately leading to improvement in reproductive and sexual health of surrogate mothers.
Highlights
Gestational surrogacy is one of the options for women whom pregnancy is contraindicated
In the third phase, validating of the reproductive and sexual health care program will be investigated by RAND method
Surrogacy is one of the methods for building a family, in which a third party takes part for carrying the pregnancy; so a woman would become pregnant for a commission couple [21]
Summary
Gestational surrogacy is one of the options for women whom pregnancy is contraindicated. Humans have made various efforts to overcome infertility These methods have been found in response to the needs of infertile couples [2]. Wherever the conditions or diseases lead to inability to gestate a pregnancy, third party reproduction could be considered as an option. This option is called as gestational surrogacy [5]. Gestational surrogacy could be one of the methods for treating infertility This method is in the form of an agreement, in which the woman agrees to carry a pregnancy and relinquish the child to the intended couple at the birth time [6]
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