Surrogacy and Postpartum Depression: Clinical Implications for Feminist Practice

Abstract Given the increased use of surrogacy as a means of having a child, more research is needed on the experience of Postpartum Depression (PPD) among surrogates. This article presents case studies from qualitative interviews with surrogates to develop an initial understanding of the lived experience of Postpartum Depression (PPD), as well as to highlight a number of unique factors that might contribute to and buffer against the experience of PPD and related symptoms among this group of women. These case studies are selected to explore the personal narratives of a small sample to investigate phenomena in unique or complex situations in which little research has been conducted. Several factors emerged with regard to the experience of PPD in surrogate pregnancies. These factors spanned psychological, interpersonal, financial, and medical aspects of the surrogacy and postpartum experience. The factors included: relationships with the intended parents, finances, pressures to be mentally healthy, and self-care post-delivery. The article will include presentation of the extant literature, several case studies, and findings with regard to experiences of PPD among surrogates. Clinical implications for feminist practice based on the results are also discussed.