Free guide for agencies · 3-page PDF

Why some gestational carriers emotionally check out

Good compensation is not enough if she feels invisible. This guide gives your team the words and moments that keep carriers connected through delivery.

What it looks like

The carrier

Disengaged

Shorter updates, fewer feelings shared, conversations limited to logistics.

The intended parents

Disconnected

Brief or delayed replies, avoiding emotional topics, assuming she is fine.

What she needs

To be seen

A clear signal that her role matters beyond the pregnancy: what you are doing is exceptional, and we see you.

From gift to help

Why connection matters more than it used to.

Research shows more carriers now describe their role as helping out rather than giving a gift. The shift reflects more diverse carriers, fewer close carrier and intended parent relationships, and a journey that can start to feel transactional when no one bridges the gap.

Carriers often keep emotional distance from the baby to protect themselves, and friends and family do not always celebrate the role. That makes feeling seen by the intended parents the strongest source of meaning. Not every intended parent knows how to show it, which is where your team can step in.

Based on ethnographic research with US carriers across clinics and cultural backgrounds (Guerzoni, Anuac, 2025).

What is in the guide

Use it with your team, share it with intended parents, or keep it for quick reference.

  • Ad copy rewrites that attract purpose-driven carriers
  • Intake scripts and cultural cues for quick rapport
  • Milestone prompts for case managers
  • Repair language for failed transfers or early loss

Research and sources

  • Guerzoni, C. S. (2025). US "contracted surrogates": Between gift-giving and help narratives. Anuac, 14(1).
  • Berend, Z. (2016). The Online World of Surrogacy.
  • Jacobson, H. (2016). Labor of Love: Gestational Surrogacy and the Work of Making Babies.

Want this support built into every journey?

Surrogacy Wellness Support adds monthly therapist check-ins with your carriers and updates for your case managers.