The Pregnancy Experience of Gay Couples Expecting a Child Through Overseas Surrogacy

This study aims to analyze the emotional experience of pregnancy for gay couples who turn to overseas surrogacy and face a geographical distance from the pregnancy. In-depth interviews were conducted with 16 gay intended fathers, mean age 35.5 years, most of whom expected a child through surrogacy in India. The unborn children's gestational age ranged from 10 weeks to 32 weeks. A qualitative thematic analysis of the interviews shows that the interviewees felt frustration and anxiety due to their distance from the physical pregnancy and, specifically, their inability to experience the physical presence of the fetus. The resulting emotional disconnect from the developing fetus impacted the development of their parental sense during the pregnancy. The results highlight the importance for the intended parents of establishing a close relationship with the surrogate mother, as is customary in the United States but generally not in countries such as India. The findings support the value of establishing international guidelines for cross-border reproductive services.