7.10 Drug Use & Surrogacy: A Continued Commitment to a Safe Pregnancy

At GSHC Surrogacy, we know that every surrogate mother at the pregnancy stage has already passed a drug test during medical screening. This demonstrates a commitment to a healthy, drug-free lifestyle before beginning the surrogacy journey.

However, maintaining a drug-free pregnancy is an ongoing responsibility. Random drug testing may be conducted at any time to ensure compliance with the surrogacy agreement. Even if you do not personally use drugs, exposure to secondhand smoke can also put the baby at risk.

1. It is still worthy to remind you What Is Considered Drug Use in Surrogacy

Even if you don’t use drugs yourself, it’s still important to understand what counts as risky exposure during pregnancy:

• Illegal drugs like cocaine, heroin, meth, ecstasy, or any street drugs
• Marijuana or THC products (yes, even if legal in your state—these are not safe during pregnancy)
• Nicotine and tobacco in all forms: cigarettes, vapes, hookah, or chewing tobacco
• Misuse of prescription meds, like painkillers or anti-anxiety medications, unless specifically approved by your OB
• Secondhand smoke, whether from marijuana, tobacco, or vapes—exposure still poses risks to the baby

2. Why It’s So Important to Stay Clear

Even light or secondhand exposure—especially early in pregnancy—can cause complications like low birth weight, breathing issues, or early delivery. The baby’s body is developing constantly, and what feels like minor exposure to you might be a big deal to that little life growing inside.

There’s also the legal and contract side. Drug use or unsafe exposure is a violation of your surrogacy agreement, and that can lead to serious consequences—like ending the contract or financial responsibility for any harm caused. That’s why random testing is allowed at any point during the journey, and why we’re all so careful about creating a safe, healthy space for the baby.

3. Tips to Keep You and the Baby Safe

• Avoid places where smoking or drug use is common—like vape shops, hookah bars, or gatherings where marijuana is used.
• If someone in your household smokes, ask them to step outside—and keep windows open if needed.
• Be mindful in social settings. If the environment doesn’t feel safe for the baby, it’s okay to leave or set boundaries.

A Surrogate’s Responsibility Extends Beyond Screening

You’ve already shown your dedication by making it this far. Choosing to carry a baby for someone else is an incredible gift—and staying drug-free, from start to finish, is a key part of protecting that gift.

If you’re ever unsure about something, or if you need help navigating a tricky situation, don’t hesitate to reach out to your GSHC case manager. We’re not here to judge—we’re here to help.

You’ve got a whole team behind you. Let’s keep this journey healthy and strong—together.