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This book is a moving real-life account of one woman's struggle with infertility and her journey through surrogacy to have the family she desperately wanted.

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'I am just paying back the gift'

August 15, 2004
 

Jayne Frankland holding Betty, and flanked by Abigail, at left, Sam and Charlotte.
Picture:Stephen Shepherd

Englishwoman Jayne Frankland became a mother through surrogacy. Now, she's decided to become a surrogate herself. She shared her remarkable story with Mary Braid.

Jayne Frankland combines an interview and the care of her children with admirable ease. First, there's her youngest child, Betty, a cute 14-month-old, toddling on unsteady feet, arms outstretched, towards her. Then there are Betty's siblings, Sam, four, and Charlie (Charlotte), three, fresh from playing next door, now ready to compete for Mum's attention. In about an hour, Abigail, seven, her eldest, returns from school.

Not that Jayne, 38, would complain about the demands of motherhood. In fact, she's five months' pregnant. The next baby, however, will not be joining Betty, Charlie, Sam and Abigail — and their IT manager father, Mark, 43 — in rural Hereford, England. He/she will be handed over, immediately after birth, to an infertile couple from Oxfordshire and Frankland will become the first woman in Britain to have become a mother through surrogacy and then gone on to become a surrogate herself.

Nineteen years after the first surrogate baby was born, surrogacy remains on the fringes of infertility treatment. Usually a procedure of last resort and plagued by the tricky legalities of lawful parentage, surrogacy is still most often portrayed as a tortuous emotional process sullied by exploitative, rent-a-womb commercialism and tragic breakdowns in agreements between surrogates and prospective parents. Frankland offers an entirely different and infinitely happier picture of surrogacy, one that she says is far more true to the reality of a practice that has produced more than 500 children in Britain.

For the Franklands, the surrogate mother they found through the organisation Childlessness Overcome Through Surrogacy (COTS) ended 10 years of trying to start a family. Then, three years after Abigail, created from Mark's sperm and the surrogate's egg, was successfully delivered by the surrogate, Jayne Frankland's fertility, to her amazement, recovered and she went on to have her three younger children naturally. Last year, with her family complete, she offered to end the agony of infertility for Richard, an Oxfordshire accountant, and Lynne, his teacher wife. The baby she is carrying was created using Richard's sperm and her own eggs.

Frankland has no genetic connection with Abigail, the first-born child she adores, but she will be biologically related to the baby she is now carrying and intends to hand over to Richard and Lynne. She insists that this does not trouble her. She does not adhere to the current preoccupation with all things genetic and, particularly, genetic bonds. "What matters is the relationship between the child and the parents who love and raise it," she argues.

"You have to be strong emotionally to do this," she concedes. "You can't go back on the arrangement, because it would wreck so many lives. But no one knows better than me the pain of not being able to have children or the joy of finally having a baby. No one knows better the new dimension having a family brings to life. I have seen tears in Lynne's eyes when she has been with me at scans and I remember how I felt in her position. That is what will allow me to give this baby to its parents."

Married at 20, Frankland assumed that she would, one day, have children. Following two years of trying to conceive, she was worried enough to seek medical advice. Eight frustrating years of National Health Service waiting lists, repeated bouts of hormone treatment and failed IVF attempts followed. She even gave up her public service job when a doctor suggested stress might be preventing her conceiving.

It was several years before doctors discovered that a combination of polycystic ovaries and an abnormally thin womb lining was preventing Frankland from becoming pregnant. More drugs and IVF followed, but the lining continued to be too thin for her embryos to implant successfully. "Three times I took drugs to stimulate egg production and thicken the lining, and three times implantation did not take place," Frankland recalls. Before they opted for surrogacy, the couple went through a three-year assessment to become adoptive parents, only to see the process stalled by the death of Jayne's mother.

Frankland says that the yearning for a child left her feeling suicidal, though she also recalls some of her fertility initiatives with humour, such as her and Mark's search for the ancient fertility stool in a pub they had read about in a magazine. When they found the right pub, there was no sign of the chair and they were too embarrassed to ask about it. "We didn't really believe in the stool," she says, before adding wistfully, "but always at the back of your mind is the hope of a miracle."

In the end, Jayne Frankland was blessed with not one but two miracles. The first was her surrogate's conception of Abigail. Her relationship with her surrogate was very close. "It was the next best thing to being pregnant," she says. "I was at the birth and Mark waited outside. I cut the umbilical cord. The surrogate wanted me to be the first to hold the baby. When you have waited as long as we had to have a child, it seems such a remote possibility. I was so grateful I could not stop saying, 'Thank you'. After Abigail was born, I felt that, finally, I was really living, not just existing."

"The second miracle was conceiving Sam naturally. "My period was late but I only did the test to rule it out," she remembers. "We were amazed when we saw the pink dot. I was nine weeks' pregnant. Now people see me struggling with my four children and they remark that I'm always smiling. But I don't think I would have appreciated them the way I do if I'd had them easily."

She began to think of helping another desperate couple shortly after Betty was born. Frankland is a member of Surrogacy UK, a support group founded two years ago. She met Lynne and Richard, who already have one surrogate child, at one of its social events. Surrogates and infertile couples can mingle at Surrogacy UK gatherings, but, for legal reasons, Surrogacy UK has to refer couples who want to make formal contact with a surrogate to its sister organisation, Trinity. The initial socialising allows surrogates and potential parents to get to know each other, but Frankland says it is the surrogate who does the choosing. "A couple may never get chosen," she explains.

Surrogacy UK's aim is charitable status — and the wider respectability and social acceptance that would bring. The group's "intended parents" must prove they have exhausted all other medical possibilities before asking for a surrogate. "That's because for some women, like those without wombs, surrogacy is the only option and there is a shortage of surrogates," says Jayne Frankland.

Surrogates and intended parents undergo medical and criminal record checks. The hopeful parents also have to be married and one has to be capable of biologically parenting the surrogate child. Only then will the couple be able to apply to the courts, six weeks after the surrogate baby's birth, for the parental order that will give them legal guardianship. Until that point the surrogate, whether or not her eggs have been used to create the baby, is the legal mother of the child, and the surrogate's husband the legal father.

In the US, couples pay thousands of dollars to women to carry a baby for them. Surrogacy UK advises couples to stick to British law, which states that no fees be paid and that a surrogate's expenses must not exceed £10,000 ($A25,000). If they do, questions will be asked by the courts when a parental order is sought. "The best way is friendship first and surrogacy second," says Frankland, now Surrogacy UK's treasurer. "When arrangements break down — and it happens far more rarely than people think — it is usually because of a lack of communication."

Geography is also important. She and the intended parents have to live near each other, as regular supplies of fresh sperm are required, or if there is a risk of complications in a pregnancy.

Frankland knew Lynne and Richard for five months before she made her offer. She says they were delighted because they had not suspected that she was even thinking of becoming a surrogate. Mark Frankland was not surprised that his wife decided to give what she had received. It is her body and her decision, he says, and he understands her motivation. He says he has felt more removed from this pregnancy than the others but seems to feel no jealousy that she is carrying another man's child.

"It was Abigail who asked why I didn't help another woman now that I was better," she says. The couple had always been honest with their children about Abigail's conception. The children say that the baby in their mummy's tummy belongs to Auntie Lynne, who comes round once a week. And Abigail has already proudly told her class that her mummy is having someone else's baby.

Abigail was raised to know her origins.

"Mark and I told her as she was growing up," says Frankland. "She meets other surrogate children and she understands her biological connection with her surrogate mother but she sees her as an aunt figure. It is all normal to her."

Frankland will not reveal the level of her expenses but says she is making no financial gain from her surrogacy. She clearly does not need the money; she and her husband are comfortably off. Given this is a generous and emotional act from a woman who dotes on her four children, it is easy to understand why friends wonder if Frankland will be able to hand over a newborn in four months when her hormones are playing havoc with her.

Frankland says she has considered all this. "I do not think of this baby as mine. And I don't have to brainwash myself to see things this way. I am not very religious but I believe in God and I believe my fertility came back for a reason. I am paying back the gift that was given to me.

"At Betty's christening, the vicar could see I was pregnant and asked when the baby was due. I said that I was a surrogate and that another woman had once done the same for me. The vicar said it was a generous thing to do."

She says the vicar described what she was doing as part of the "the circle of life" and asked if she kept in touch with Abigail's surrogate and biological mother. In fact, the vicar had already met the woman who helped create and then carried Abigail. The surrogate had just stood before him in church as baby Betty's godmother.

- Observer

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