Perceptions of Surrogacy Within the Socio-Cultural Context of Nigeria [version 2; peer review: 3 approved with reservations]

Background: Surrogacy might be a reproductive process that brings joy and fulfilment to many, but it also brings with it numerous ethical and legal concerns; it raises questions about the fundamental human rights, welfare and wellbeing of women and infants, especially within a context where it is barely regulated. This article examines the perception of surrogacy within the socio-cultural context of Nigeria. It brings to the fore various socio-cultural concerns that question the influence of surrogacy as a reproductive process on womanhood, motherhood and parenthood. It discusses, by analysing the narratives of the participants, how the surrogacy process is a dereliction of the sacredness and cultural sanctity of the family system, most especially in an African context. Methods: Fifteen (15) stakeholders (traditional birth attendants, medical gynaecologists and legal professionals within the social, medico-legal framework of reproductive health) in Nigeria were engaged in in-depth interviews to unravel the challenges which surrogacy might be facing or encountering as an ART in Nigeria. Results: There are various social, traditional, cultural, and religious beliefs that police the reproductive sphere of Nigeria, which have grave implications on fertility treatment. These socio-cultural and religious factors do not provide a fertile ground for surrogacy to thrive in Nigeria. Hence, it is important that the socio-cultural framing of reproducing in Nigeria become receptive to modern medical reproductive alternatives and innovations. Conclusions: For surrogacy to permeate the reproductive terrain of the country there is a need to jettison several socio-cultural and religious sentimental beliefs policing reproduction in Nigeria.