PSYCHOSOCIAL HEALTH AMONG SURROGATE MOTHERS

Authors

  • A Jutharat Faculty of Health, Charles Darwin University, Sydney, Australia
  • B Mark School of Law, Faculty of Arts and Society, Charles Darwin University, Darwin, Australia
  • H Yuri College of Philosophy in Interdisciplinary Science, Kanazawa University, Kanazawa, Japan

DOI:

https://doi.org/10.17501/24246735.2023.8208%20%20

Keywords:

surrogate, surrogacy, commercial surrogacy, psychosocial health, surrogacy law

Abstract

This study investigates the psychosocial health of Thai surrogates with a focus on advancing the development of surrogacy health promotion and policy at both national and international levels. Employing semi-structured telephonic interviews with fifteen Thai women who had served as surrogates within the previous seven years, the research identified four thematic dimensions—mental, environmental, social, and spiritual health—unveiling various aspects of surrogates' psychosocial well-being. Despite generally positive sentiments and the absence of perceived health risks, the study uncovered a noticeable impact on psychosocial health outcomes. The conclusion underscores the complexity of surrogates' psychosocial well-being, emphasizing their understanding of roles, spiritual fulfillment, and familial support. Additionally, it sheds light on unforeseen consequences of surrogacy bans, advocates for regulatory reform, and stresses the imperative for international cooperation to safeguard the well-being of all involved in surrogacy.

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References

Akbari, M., & Hossaini, S. M. (2018). The relationship of spiritual health with quality of life, mental health, and burnout: The mediating role of emotional regulation. Iranian journal of psychiatry, 13(1), 22.

Attawet, J. (2021). Mapping transnational commercial surrogacy arrangements in South and Southeast Asia. Medico-Legal Journal, 89, 128 - 132.

Attawet, J., Wang, A., & Sullivan, E. (2022). 'Womb for work' experiences of Thai women and gestational surrogacy practice in Thailand. Human fertility (Cambridge, England), 25(5), 912-923. https://doi.org/10.1080/14647273.2021.1937716

Bharti, B. K., & Verma, K. K. (2018). Qualities of a spiritual person and spiritual living. Indian Journal of Positive Psychology, 9(1), 117-120.

Blazier, J., & Janssens, R. (2020). Regulating the international surrogacy market:the ethics of commercial surrogacy in the Netherlands and India. Medicine, Health Care and Philosophy, 23(4), 621-630. https://doi.org/10.1007/s11019-020-09976-x

Boddy, C. R. (2016). Sample size for qualitative research. Qualitative Market Research: An International Journal, 19(4), 426-432.

Braun, V., & Clarke, V. (2021). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Research in Sport, Exercise and Health, 13(2), 201-216. https://doi.org/10.1080/2159676X.2019.1704846

Brittiza, S. (2023). ‘The state says our kids don’t exist’ - how LGBT life is changing in Italy. BBC News. Retrieved 26 Sep from https://www.bbc.com/news/world-europe-66860266

Cohen, E. (2015). Surrogacy as international business and national disgrace of Thailand. Asian anthropology, 14(2), 115-132.

Creswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. SAGE Publications, Incorporated.

Dickenson, D., & van Beers, B. (2020). Surrogacy: New Challenges to Law and Ethics. The New Bioethics, 26(4), 293-297. https://doi.org/10.1080/20502877.2020.1835205

Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443-455.

Ellenbogen, A., Feldberg, D., & Lokshin, V. (2021). Surrogacy: A worldwide demand. Implementation and ethical considerations. Gynecol Reprod Endocrinol Metab, 2, 66-73.

Fisher, J. W., Francis, L. J., & Johnson, P. (2000). Assessing spiritual health via four domains of spiritual wellbeing: The SH4DI. Pastoral psychology, 49(2), 133.

Gezinski, L. B., Karandikar, S., Levitt, A., & Ghaffarian, R. (2017). “We want to offer you peace of mind”: Marketing of transnational commercial surrogacy services to intended parents. Health marketing quarterly, 34(4), 302-314.

Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field methods, 18(1), 59-82.

Guzman, V. R. (2016). A comparison of surrogacy laws of the US to other countries: should there be a uniform federal law permitting commercial surrogacy. Hous. J. Int'l L., 38, 619.

Hibino, Y. (2020). Non-commercial Surrogacy in Thailand: Ethical, Legal, and Social Implications in Local and Global Contexts. Asian Bioethics Review, 12(2), 135-147. https://doi.org/10.1007/s41649-020-00126-2

Husain, W. (2022). Components of psychosocial health. Health Education, 122(4), 387-401. https://doi.org/10.1108/HE-05-2021-0084

Klock, S. C., & Lindheim, S. R. (2020). Gestational surrogacy: medical, psychosocial, and legal considerations. Fertil Steril, 113(5), 889-891. https://doi.org/10.1016/j.fertnstert.2020.03.016

Marinelli, S., Del Rio, A., Straccamore, M., Negro, F., & Basile, G. (2022). The armed conflict in Ukraine and the risks of inter-country surrogacy: the unsolved dilemma. European Review for Medical & Pharmacological Sciences, 26(16).

Patel, N. H., Jadeja, Y. D., Bhadarka, H. K., Patel, M. N., Patel, N. H., & Sodagar, N. R. (2018). Insight into Different Aspects of Surrogacy Practices. J Hum Reprod Sci, 11(3), 212-218. https://doi.org/10.4103/jhrs.JHRS_138_17

Piersanti, V., Consalvo, F., Signore, F., Del Rio, A., & Zaami, S. (2021). Surrogacy and “Procreative Tourism”. What Does the Future Hold from the Ethical and Legal Perspectives? Medicina, 57(1), 47. https://www.mdpi.com/1648-9144/57/1/47

Reznik, O. M., & Yakushchenko, Y. M. (2020). Legal considerations surrounding surrogacy in Ukraine. Wiadomości Lekarskie, 73(5), 1048-1052.

Ruiz Robledillo, N., & Moya-Albiol, L. (2016). Gestational Surrogacy: Psychosocial Aspects. Psychosocial Intervention, 25. https://doi.org/10.1016/j.psi.2016.05.001

Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., Madsen, K. R., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public Health, 5(1), e62-e70.

Saran, J., & Padubidri, J. R. (2020). New laws ban commercial surrogacy in India. Med Leg J, 88(3), 148-150. https://doi.org/10.1177/0025817219891881

Saravanan, S. (2013). An ethnomethodological approach to examine exploitation in the context of capacity, trust and experience of commercial surrogacy in India. Philosophy, Ethics, and Humanities in Medicine, 8(1), 10. https://doi.org/10.1186/1747-5341-8-10

Socci, V., Talevi, D., Stratta, P., Rossi, A., Pacitti, F., Lucaselli, A., Gregori, E., Quarta, E., & Rossi, R. (2021). Personal values in mental disorders: an exploratory analysis. Humanities and Social Sciences Communications, 8(1), 103. https://doi.org/10.1057/s41599-021-00780-3

Stasi, A. (2017). Protection for children born through assisted reproductive technologies act, BE 2558: the changing profile of surrogacy in Thailand. Clinical Medicine Insights: Reproductive Health, 11, 1179558117749603.

Terry, G., Hayfield, N., Clarke, V., & Braun, V. (2017). Thematic analysis. The SAGE handbook of qualitative research in psychology, 2, 17-37.

Tough, H., Siegrist, J., & Fekete, C. (2017). Social relationships, mental health and wellbeing in physical disability: a systematic review. BMC Public Health, 17(1), 414. https://doi.org/10.1186/s12889-017-4308-6

Trowse, P. (2011). Surrogacy: is it harder to relinquish genes? J Law Med, 18(3), 614-633.

Unterrainer, H.-F., Lewis, A. J., & Fink, A. (2014). Religious/spiritual well-being, personality and mental health: A review of results and conceptual issues. Journal of religion and health, 53, 382-392.

Upton, J. (2020). Psychosocial Factors. In M. D. Gellman (Ed.), Encyclopedia of Behavioral Medicine (pp. 1795-1797). Springer International Publishing. https://doi.org/10.1007/978-3-030-39903-0_422

Welch, A., & Jirojwong, S. (2011). Data Collection: Qualitative research. In S. Jirojwong, M. Johnson, & A. Welch (Eds.), Research Methods in Nursing & Midwifery (2nd ed.). Oxford University Press.

Whittaker, A. (2011). Cross-border assisted reproduction care in Asia: implications for access, equity and regulations. Reproductive Health Matters, 19(37), 107-116. https://doi.org/10.1016/S0968-8080(11)37575-1

Whittaker, A. (2014). Merit and money: The situated ethics of transnational commercial surrogacy in Thailand. IJFAB: International Journal of Feminist Approaches to Bioethics, 7(2), 100-120.

Zaami, S., Del Rio, A., Negro, F., Varone, M. C., Marinelli, S., & Montanari Vergallo, G. (2022). The March 2021 Italian constitutional court ruling on surrogacy: a prelude to common European legislation for the sake of reproductive health? The European Journal of Contraception & Reproductive Health Care, 27(1), 61-66.

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Published

2024-02-29

How to Cite

Jutharat, A., Mark, B., & Yuri, H. (2024). PSYCHOSOCIAL HEALTH AMONG SURROGATE MOTHERS. Proceedings of the International Conference on Public Health, 8(02), 70–84. https://doi.org/10.17501/24246735.2023.8208