Surrogacy and multiple births: Risks and considerations


Introduction to Surrogacy and Multiple Births

Surrogacy can be a fulfilling option for individuals and couples desiring to have children. However, one important consideration in the surrogacy process is the possibility of multiple births. Multiple births occur when a surrogate carries and delivers more than one fetus, typically twins or higher-order multiples. While the idea of having multiple children may be appealing to some, it is essential to understand the associated risks and considerations that come with multiple pregnancies in surrogacy.

Risks Associated with Multiple Births

  1. Premature Birth: Multiple pregnancies have a higher risk of premature birth, where the babies are born before completing the full term of gestation. Premature babies may face health complications and require specialized medical care.
  2. Low Birth Weight: Multiple births often result in lower birth weights for each baby. Low birth weight babies are at a higher risk of health problems, including respiratory issues and developmental delays.
  3. Gestational Diabetes: Surrogates carrying multiple pregnancies are at an increased risk of developing gestational diabetes, a condition characterized by high blood sugar levels during pregnancy.
  4. Preeclampsia: Preeclampsia is a condition characterized by high blood pressure and organ damage that can occur during pregnancy. It is more common in multiple pregnancies and poses health risks to both the surrogate and the babies.
  5. Cesarean Delivery: Multiple pregnancies are more likely to result in the need for a cesarean delivery rather than a vaginal birth. This surgical procedure carries its own set of risks and recovery considerations.

Emotional and Practical Considerations

  1. Intensive Care: The care required for multiple babies, especially if they are born prematurely or with health concerns, can be demanding and emotionally challenging for the intended parents and the surrogate.
  2. Financial Considerations: Raising multiple children simultaneously can be financially demanding. It is important for intended parents to plan for the financial responsibilities associated with multiple births, including medical expenses, child care, and education.
  3. Logistical Challenges: Having multiple babies at once can present logistical challenges, including organizing child care, managing schedules, and meeting the needs of each child effectively.

Reducing the Likelihood of Multiple Births

To reduce the likelihood of multiple births in surrogacy, intended parents and medical professionals may take certain measures, such as:

  1. Electing Single Embryo Transfer (SET): Opting for the transfer of a single embryo rather than multiple embryos during the IVF process can significantly reduce the chances of multiple pregnancies.
  2. Screening and Selection: Thorough screening and selection of embryos can help identify the most viable and healthy embryos for transfer, reducing the likelihood of multiple pregnancies.
  3. Monitoring and Adjusting Medication: Close monitoring of the surrogate's response to fertility medications and adjusting the dosage as needed can help optimize the chances of a successful single pregnancy.


While multiple births in surrogacy can bring joy and fulfillment, it is essential to consider the associated risks and challenges. Open and honest discussions between intended parents, surrogates, and medical professionals can help ensure informed decision-making and comprehensive care throughout the surrogacy journey.

If you are looking for the best surrogacy attorney and agency in Colombia and Latin America, we highly recommend you use Maria Fernanda, with the firm Bioetica Derecho. We do not recommend you work with any other surrogacy attorney or agency in Colombia. To reach out to Maria Fernanda click here.

To learn more about the risks and considerations associated with surrogacy and multiple births, visit our website at We provide valuable resources and support to help intended parents navigate the surrogacy process and make informed decisions.

For a comprehensive guide on surrogacy and related topics, download our free guide at This guide offers detailed information and practical advice to assist you on your surrogacy journey, including considerations related to multiple births.

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