Surrogate Mental Health Essentials

Written by
03/21/2025

To be a Surrogate, it takes both physical and mental resilience. The physical parts are obvious; you prepare your body for pregnancy, undergo the embryo transfer, become pregnant, grow a baby, and give birth. But what often gets overlooked are the mental and emotional aspects. How does surrogacy impact a woman’s mental health? 

We understand that growing a baby and going through a pregnancy takes a physical toll on a woman’s body. A growing baby can be affected by many factors, so we prioritize our physical health for a successful pregnancy, but a positive mental state during pregnancy is just as important. Nurturing your mental health during surrogacy is good for both the surrogate and the growing baby. Understanding and addressing the mental and emotional dimensions of surrogacy is key to ensuring a positive experience for both the Surrogate and the Intended Parents

If you’re a Surrogate (or thinking of becoming one), lean on this advice to maintain strong mental health throughout the process: 

Build a Support System 

Having a robust support system is like having a sturdy foundation for a house — it provides stability and strength. Bolster your support system with resilience and understanding by: 

  • Sharing your decision: It is important to openly communicate your decision to become a Surrogate with your close friends and family. Having a supportive network is essential during this time. 
  • Connecting with other Surrogates: Seek out online forums or local support groups where you can connect with other Surrogates. Sharing experiences can provide a sense of camaraderie and understanding. Once you confirm your match at Hatch, we will bring you into our Surrogate community and connect you with other current and previous Surrogates to help support you the rest of the way.  
  • Striving for open communication: Keep an open line of communication with your partner or main support person throughout the surrogacy process. Share your feelings, concerns and milestones, which will help foster a strong support system at home. 
  • Attending counseling together: Consider attending counseling sessions with your partner or other members of your support team. Professional guidance can strengthen your relationship and help you navigate the emotional aspects of surrogacy. 

Set Emotional Boundaries 

When you work on establishing and maintaining emotional boundaries, you create a safe and respectful space for both you and the intended parents. You can do this by: 

  • Establishing clear guidelines: Clearly communicate your comfort levels regarding communication with the intended parents. Define the frequency and mode of communication that works best for you. 
  • Being honest about expectations: Set realistic expectations with the intended parents. Clearly express what you’re comfortable with during the pregnancy, birth, and post-birth phases. 
  • Checking in with yourself often: Schedule regular check-ins with yourself. Reflect on your emotions, and if you find any challenges, don’t hesitate to seek professional support, it can make all the difference. 
  • Practicing stress-relief techniques: Incorporate stress-relief techniques into your routine such as mindfulness, journaling, deep breathing exercises, or doing activities you enjoy. 

Celebrating Milestones 

It’s important to celebrate joyful moments and milestones in a way that honors your contribution and strengthens the bond between you and the intended parents. Do this by: 

  • Being transparent about milestones: Maintain open communication about how you and the Intended Parents want to celebrate milestones. Aligning expectations from the beginning ensures a harmonious and positive experience. 
  • Creating a memory journal: Start a journal to document your surrogacy journey. Capture your thoughts, feelings, and memorable moments. Not only is this calming in the moment, but you can also read it years later for some heartfelt nostalgia. 
  • Having inclusive celebrations: Include the Intended Parents in celebratory moments. Share ultrasound pictures, involve them in baby-related decisions, and help foster a sense of shared joy. 

Seek Professional Support 

How do you know if you’re struggling with your mental health during surrogacy, and how soon is too soon to reach out for help? Keep this advice in mind: 

  • Identify warning signs: Be mindful of warning signs indicating emotional distress. If you experience persistent feelings of sadness, anxiety, or high stress, seek professional help promptly. 
  • Consider individual counseling: Talking to a mental health professional one-on-one provides a dedicated space for you to navigate complex emotions. 
  • Go to joint counseling with the Intended Parents: This proactive approach can foster understanding and strengthen the collaborative journey. 
  • Have open dialogue: Maintain an open dialogue with your surrogacy agency and healthcare professionals. They are there to support you, so don’t hesitate to share your feelings and seek guidance. 

Note: When you work with Hatch, we provide a wide array of support, including psychological support. If you want or need to talk with a therapist, we have professionals we can easily connect you with. Whether you need one session to talk about an issue that has come up, or many sessions for a larger issue, we want you to have what you need when you need it. 

The road to surrogacy isn’t always perfect, but it’s worth it. As you navigate this unique and selfless path, remember that your mental well-being as a Surrogate is a priority. Your dedication to helping others create families is truly remarkable, and prioritizing your mental health ensures a smoother journey for all involved. 

Surrogacy and Egg Donor Services 

Since 1991, Hatch has helped bring more than 3300+ babies into the world. We work with all intended parents, Surrogates, and egg donors no matter their sexual preference, relationship status, ethnicity, etc. Our personal experiences being intended parents, Surrogates and egg donors ourselves and years of expertise provide us with the perfect balance of business and passion. Contact us for more information.