Postpartum depression (PPD) is often associated with new mothers who are adjusting to life with a newborn, but it’s important to recognize that gestational surrogates can also experience PPD. The emotional and hormonal changes that come with pregnancy and childbirth can still contribute to the onset of postpartum depression for gestational surrogates.

Why Postpartum Depression Happens in Surrogacy

Several factors contribute to PPD in gestational surrogates. The emotional journey of carrying a child for another family is complex and emotionally taxing. Even when a gestational surrogate is fully prepared for the journey to end, there can be feelings of sadness or loss that emerge after the birth. These emotions combined with the hormonal shifts experienced after delivery, may make gestational surrogates vulnerable to PPD.

Gestational surrogates often feel a deep sense of purpose throughout the surrogacy journey. Once the pregnancy ends, they may experience a sense of emptiness or loss, as they transition from a focused and meaningful role back to their everyday life. Additionally, the relationship between the gestational surrogate and the intended parents may shift after the birth, and this change in dynamic can lead to feelings of isolation or even grief.

How to Prevent Postpartum Depression in Surrogacy

While there’s no guaranteed way to prevent PPD, taking proactive steps can reduce the risk. Pre-
surrogacy counseling plays a key role in emotional preparation. By addressing potential challenges and discussing emotional boundaries, gestational surrogates can build coping mechanisms that will support them throughout the process and after delivery. Understanding that these emotions may arise helps surrogates be better prepared.

After the surrogacy journey, a strong support system becomes essential. Whether it’s friends, family, or a mental health professional, having people around to offer post-surrogacy support can be invaluable. Staying connected with the intended parents, if mutually agreed upon, can also help gestational surrogates feel reassured and maintain a bond with the family.

Engaging in a healthy lifestyle post-delivery can also contribute to overall well-being. Regular physical activity, a balanced diet, and sufficient sleep are important aspects of maintaining both physical and mental health during this transition. These small self-care practices can make a significant difference in reducing the risk of PPD.

Symptoms of Postpartum Depression to Watch For

Recognizing the signs of PPD early is essential to seeking the help needed. Emotional symptoms can include persistent sadness, irritability, or feelings of emotional numbness. A gestational surrogate might struggle to bond with her own loved ones or experience overwhelming sadness and feelings of inadequacy.

Physical symptoms may present as changes in appetite, sleep disturbances, or constant fatigue that doesn’t seem to improve with rest. In terms of behavior, withdrawing from social activities or losing interest in hobbies and responsibilities can signal that something is wrong.

When to Seek Professional Help

If any of the symptoms mentioned above persist for more than two weeks or interfere with daily life, it’s critical to seek professional support. Professional mental health support is especially important for gestational surrogates because their emotional experience can sometimes be misunderstood. A therapist who specializes in postpartum depression and surrogacy can offer personalized support and provide guidance on how to manage the emotions that come with the end of the surrogacy journey.

How Intended Parents Can Support Gestational Surrogates

Intended parents also play a critical role in supporting gestational surrogates through their emotional journey, both during and after the pregnancy. Open, empathetic communication is key. Checking in on how the gestational surrogate is feeling and maintaining a relationship post-birth can make a big difference. Offering emotional support and understanding will help surrogates process their emotions and navigate the post-surrogacy transition with greater ease.

At the same time, intended parents should be mindful of their own emotional well-being. The surrogacy journey can be emotionally challenging for them as well, and taking care of their own mental health will put them in a better position to support the gestational surrogate effectively.

Support for Gestational Surrogates through the Postpartum Period

If you’re a gestational surrogate experiencing symptoms of postpartum depression, know that help is available, and you don’t need to go through this alone. Postpartum depression is a common but treatable condition, and gestational surrogates, like all those who give birth, deserve understanding and care during this vulnerable time. Acknowledging the emotional complexities of surrogacy and seeking support when needed is crucial for mental well-being.

At Hawaii Surrogacy Center, we offer comprehensive support throughout your surrogacy journey, from emotional preparation to post-birth care. Contact us today to learn more about how our dedicated team can support you through every stage of your surrogacy experience.