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| Out of State Birth |  Sometimes if the surrogacy is not allowed in the state where the intended couple and/or the surrogate live, they have to think over the plan for an out of state birth. Delivering out of state to get the birth certificate and/or surrogacy legalities is very important, and it is also essential to consider a few aspects if you decided to go on with this type of arrangement.
The first aspect to think over when deciding if an out of state birth is what you need is how you plan to deliver. If you prefer a natural delivery with few invasions then you have to discuss with your attorney and your intended couple your plans.
You have to decide if it will be a natural delivery, letting labor start unexpectedly or will it be an induction? If you prefer a natural birth then it’s very important to plan the state where the delivery will happen beforehand. Consider also the time when you will have to be in that state. Overlook your past delivery history and consult with your OB to help you make a decision. Though be ready to come to the state earlier than you would expect if your intended parents ask you. If you are afraid to deliver earlier than anticipated, it may add complications to planning the time when you will actually have to be in the delivery state. Plan this delivery independently and don’t fully rely on your previous pregnancy results as you must know that every pregnancy, labor and delivery is different and it doesn't guarantee that this time everything will be the same.
If you have already agreed the time when you would be "in state" the next step is to consider whether you will go there alone or somebody will take you there. What will your children, if any, do while you are away? Or will you take them with you? What about their daycare and school? Will your spouse come with you? You’ll have to discuss with your intended parents. With this in mind it is important to speak with the intended parents whether they will cover your expenses connected to the trip to another state.
If you factor in all of these issues, deciding the time when to go to the delivering state and how to arrange it can be complex. You must also keep in mind the emotional stress caused by your being away from home for an long period of time, especially if you are going by yourself and leaving your family.
If your intended parents and you choose to induce labor there are also many aspects to consider with this option as well. You must know that most clinics will not induce a pregnancy earlier than you are on 38th or 39th week without medical reason. An amniocentesis will be required if the induction is elective. Keep in mind that even if all the components of induction are successful it doesn't always mean that your body is ready to deliver. Be prepared for possible complications that the induction may cause including a surgical birth.
The second aspect to think over is the probability of pre-term labor. If pre-term labor happens what will your actions? Will you go to the state of delivery at the beginning of pre-term labor and wait? And how will you feel away from your family for an extended period of time? What will your family do with out you? What will be the influence on your and your family’s psychological condition?
Or will you give up the idea to deliver in another state and stay home? How will you get the birth certificate and what about the legal issues if you stay to deliver in your state? Will you and your intended parents have legal troubles? Or will it just be a matter of time and money to amend the certificate? What do your intended parents think about this?
Pre-term labor has another aspect such as the possibility of unexpected complications that require instant delivery, for example the beginning of pre-eclampsia, toxemia or if your water breaks unexpectedly. Will you give up the idea of the out of state birth and deliver in your state or will you try to go to the other state anyway? Weigh all the safety points when you contemplate this possibility.
In conclusion you must consider what will happen when the time for the birth comes. You’ll have to plan whether your husband will attend the birth? Will his lost wages be covered by the intended parents? Keep in mind that an out of state birth will mean more missed work than a natural birth in your state, because you must include time for traveling.
You’ll have to think over a few more points concerning the birth, like what may occur if there are complications with delivery. What will you do if you are asked to stay for an extended period of time in the clinic after giving birth to the child? Will your husband and/or children stay with you the whole time? Will they have to get back home without you? How will you manage to return home if they leave earlier than you do? Don’t forget that you will have just delivered a baby and probably will not be in good condition to travel. What way to get home will you choose – plane, car or train? Will you be traveling alone?
As you’ve already noticed, planning an out of state birth is a devastating and stressful task. It is important to receive help from and to discuss everything with the intended parents. It is implicit that all sides communicated openly and reached an agreement on these points beforehand. And remember that even if you’ll plan everything carefully there is always a chance for different complications to happen.
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