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September 18, 2025Open Access

A Systematic Review of Surrogacy in Policy and Practice: Fragmented Commissioning, Global Inequities, and the Case for Evidence-Based Reform (KATHERINE Project)

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Authors

GDGayathri DelanerolleMHMohammad HaddadiNRNeha Raghuraman

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Overview

This review demonstrates global disparities in surrogacy policy in women’s health, highlighting urgent evidence-based reforms.

Key Points

  • Surrogacy policies demonstrate global fragmentation, creating inequities in access and protections for women and children.
  • Countries like the US and Canada have varied approaches to surrogacy, while Europe often prohibits commercial arrangements.
  • The systematic review followed PRISMA guidelines to analyze publicly accessible surrogacy policies across multiple countries.
  • Lack of harmonized frameworks exacerbates health risks and legal ambiguities in cross-border surrogacy arrangements.

Cite This Study

Delanerolle et al. (2025) studied this question.

synapsesocial.com/papers/68d463db31b076d99fa62b4dhttps://doi.org/10.20944/preprints202509.1286.v1
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