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Posted on March 9, 2026

By Dr. Kulsoom Baloch

Why Surrogacy Agencies Require Surrogates to Have Prior Pregnancy

One of the most common questions women ask when exploring surrogacy is:

“Why do I need to have had a baby before becoming a surrogate?”

This requirement exists for several important reasons related to pregnancy safety and medical success.

Understanding Pregnancy Experience

Women who have already experienced pregnancy understand:

  • physical changes
  • emotional challenges
  • medical appointments

This experience helps prepare them for the surrogacy journey.

IVF Success Rates

Fertility clinics prefer surrogates who have already had a healthy pregnancy because:

previous successful pregnancies often indicate a healthy uterus.

This improves the chances of a successful embryo transfer.

Emotional Readiness

Women who have had children typically feel more comfortable with the pregnancy process and understand what to expect.

Parenting Responsibilities

Most surrogacy programs require that surrogates currently be raising their child.

This ensures that they understand the responsibilities of parenthood.

Final Thoughts

The requirement for prior pregnancy is designed to protect everyone involved in the surrogacy process — the surrogate, the intended parents, and the baby.

Dr. Kulsoom Baloch

Dr. Kulsoom Baloch is a dedicated donor coordinator at Egg Donors, leveraging her extensive background in medicine and public health. She holds an MBBS from Ziauddin University, Pakistan, and an MPH from Hofstra University, New York. With three years of clinical experience at prominent hospitals in Karachi, Pakistan, Dr. Baloch has honed her skills in patient care and medical research.