F Safdari - Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
NS Nekuei - Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
S Zangeneh - Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Background: Advanced infertility technology is rapidly ex-panding in the world and one of the most controversial of repro-ductive innovations is surrogacy. The effects of this approach on Surrogates and intended parents vary from one country to another and in different cultures. Surrogate’s Mothers Moti-vations are different including financial reasons, empathy for childless couples, gain a sense of achievement or enhance their self-esteem. Regardless of these Specific factors may cause psychological harm to surrogates.This study conducted to de-termine the psychological complications of surrogate mothers. Materials and Methods: This review is based on new Stud-ies were identified by searching multiple literature databases, including PubMed, SCOPUS, ISI and Google Scholar related to psychological complications of surrogate mothers which pub-lished up to May 2019.Results: In the reviewed articles, countries in which surrogacy agencies using a mental health professional in order to mini-mize potential psychological problems and other negative ef-fects of the surrogacy process, the amount of psychological dis-orders after delivery was low also women from lower-income populations in developing nations suffer from high levels of emotional problems, primarily prenatal and postnatal depres-sion, compared to women from higher-income nations Because women form a deep bond with the unborn baby. Usually gesta-tional surrogates that were hosting pregnancies for international intended parents, had higher levels of depression compared to another surrogates. Social stigma is another factor that likely to generate feelings of depression and anxiety.Conclusion: The following factors were considered as effec-tive factors in depression, anger and a sense of fault of sur-rogate’s mothers: demographic factors (socio-economic status, educational status and marital status), pregnancy (support during pregnancy), bonding with the fetus (Emotional Prenatal Bonding and Instrumental Prenatal Bonding), surrogacy ar-rangement (satisfaction with payment and feelings towards sur-rogate house) and stigmatization (hiding surrogacy and facing criticism so psychological preparation, giving enough informa-tion about issues when making a decision and pay attention to cultural factors are effective in reducing surrogates psychologi-cal problems.

Surrogate, Surrogacy, Psychological Complications, Depression