What Surrogates Should Know About the Labor and Delivery Process
- teaminclusives
- May 30
- 2 min read

Labor and delivery as a surrogate is a meaningful and unique experience—one that balances your own health and well-being with the hopes and expectations of the intended parents. While the physical aspects of childbirth are similar to any pregnancy, surrogacy births come with distinct considerations, including hospital procedures, customized birth plans, and a different recovery process. Understanding what to expect can help ensure that the experience is smooth and positive for everyone involved.
Hospital Procedures for Surrogacy Deliveries
Hospitals typically follow specific protocols when handling surrogate births. It's essential to review these policies with your medical team well in advance. Additional paperwork—such as the legal surrogacy agreement and parentage documentation—is often required to streamline the baby’s care transition to the intended parents after birth.
In terms of delivery room access, most hospitals will accommodate the presence of the intended parents, provided this is agreed upon ahead of time. Surrogacy-friendly hospitals may also offer separate spaces—one for you to recover and another for the baby and the intended parents—supporting privacy and comfort for all parties.
Developing a Birth Plan in Surrogacy
Creating a clear and collaborative birth plan is a vital part of the surrogacy process. This plan should outline:
Who will be in the delivery room (intended parents, support person, doula, etc.)
Your preferences for pain management (such as an epidural or natural birth)
Post-delivery arrangements, including whether the intended parents will have immediate skin-to-skin contact with the baby
Hospital accommodations to ensure comfort for both you and the intended parents
Open communication is key. Be sure to review the birth plan in advance with the intended parents, your doctor, and the hospital team to avoid any last-minute surprises.
Postpartum Recovery for Surrogates
Though surrogates do not take a baby home, the postpartum recovery period is still a critical time of healing and adjustment.
Physical Recovery: Prioritize rest and follow your doctor’s guidance regarding recovery, whether from a vaginal birth or C-section. Proper hydration and nutrition also support healing.
Hormonal Changes: Like all new mothers, surrogates experience hormonal shifts that can affect mood, energy levels, and emotional well-being. Give yourself grace and seek support if needed.
Medical Follow-Ups: Attend all postpartum appointments to monitor your recovery and address any concerns.
Being a surrogate during labor and delivery is a powerful and selfless act. With thoughtful preparation, clear communication, and compassionate care, it can be a deeply fulfilling experience. If you have questions or need support, the team at Inclusive Surrogacy is always here to guide you through each step of this extraordinary journey.
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