What Is Preeclampsia in Surrogacy?

Last updated: ยท ยท Based on data from 196+ surrogacy agency compensation packages

Preeclampsia is a serious pregnancy complication characterized by high blood pressure and signs of organ damage, most commonly affecting the liver and kidneys. It typically develops after 20 weeks of pregnancy and requires close medical monitoring.

Why Preeclampsia Matters for Surrogates

Preeclampsia can develop in any pregnancy, including surrogate pregnancies. It's more common in first-time pregnancies (which is rare for surrogates) and in multiple pregnancies. Understanding the signs โ€” sudden swelling, severe headaches, visual changes โ€” means you can seek care quickly if needed. All medical costs for complications like preeclampsia are covered by intended parents under the contract.

How Preeclampsia Works in Surrogacy

Blood pressure is monitored at every prenatal appointment. Warning signs to report immediately: sudden severe headache, visual disturbances, upper right abdominal pain, sudden significant swelling (especially in the face and hands). Severe preeclampsia may require hospitalization or early delivery. Your contract's lost wages and bed rest provisions would apply.

Real-World Example

A surrogate who develops preeclampsia and requires hospitalization and early delivery would be covered under the intended parents' medical cost obligations. Bed rest and lost wages provisions would also apply. This is why comprehensive contract language around complications matters.

Frequently Asked Questions

What is preeclampsia in surrogacy?
Preeclampsia is a pregnancy complication involving high blood pressure and potential organ damage, typically developing after 20 weeks. It can occur in any pregnancy, including surrogate pregnancies, and may require bed rest, early delivery, or emergency medical intervention.
Are surrogates at higher risk for preeclampsia?
Surrogates are not inherently at higher risk for preeclampsia โ€” risk factors include first pregnancies (but surrogates must have prior pregnancies), age, BMI, and carrying multiples. Thorough medical screening before matching helps identify and manage risk factors.
What happens if a surrogate develops preeclampsia?
If preeclampsia develops, the surrogate receives specialized medical care covered by the surrogacy insurance or intended parents. Bed rest pay and additional medical provisions in the contract apply. In severe cases, early delivery may be necessary for the surrogate's safety.

Related Surrogacy Terms

Gestational Diabetes Bed Rest Pay Lost Wages Surrogacy Contract Medical Clearance
Make sure your contract covers medical complications โ†’

Source: SurroScore's proprietary database of surrogate-reported compensation data and agency compensation packages, collected from direct agency outreach, public filings, and verified surrogate reviews. Data current as of March 2026.