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Critically Ill Newborn at Center of Surrogacy Custody Battle After Heart Surgery Complications

A Dallas courtroom is the scene of a legal battle between intended parents and a surrogate mother over medical decisions for a critically ill infant who experienced complications following open-heart surgery.

August 26, 2026 · U.S.

Critically Ill Newborn at Center of Surrogacy Custody Battle After Heart Surgery Complications

A newborn infant, currently at the heart of an intense surrogacy custody dispute, has been re-intubated after his health deteriorated following open-heart surgery, according to recent court filings. The baby's condition is described as critical, requiring constant monitoring at the hospital, stated intended parents Nausheen Gilkar and Omar Ahmed in documents obtained by TMZ. They reported that the child experienced potential complications subsequent to a Norwood procedure, a surgical intervention for his severe heart defect, necessitating his return to a ventilator after an overnight decline.

The dispute escalated in a Dallas courtroom on Tuesday, where Gilkar and Ahmed confronted surrogate McKenna West regarding authority over the newborn's medical care. This contentious situation has garnered national attention, partly because West maintains she declined the California couple's prior request to terminate the pregnancy after the infant received a diagnosis of a life-threatening cardiac condition. While Gilkar and Ahmed refer to their son as Rumi, West, an Alaska-based cardiac nurse, identifies him as Gabriel and is petitioning a Texas judge for sole conservatorship, which would grant her exclusive medical decision-making power.

The Newborn's Critical Condition

Gilkar testified in court that she and Ahmed have remained by their son's side throughout his treatment. She detailed the infant's struggles since the operation, including difficulties breathing, choking on medical tubes, and the need for a blood transfusion, as reported by The Associated Press. "He’s our child," Gilkar asserted, according to the AP, further accusing West of attempting to separate them from him. "She’s trying to take him from us," she added. Gilkar conveyed her profound affection for the newborn, describing him as "the love of our lives" and lamenting, "He’s suffering a lot."

The infant's diagnosis is Hypoplastic Left Heart Syndrome (HLHS), a severe congenital defect where one side of the heart is underdeveloped, impairing normal blood circulation. This condition can prove fatal within days or weeks if left untreated, according to the Centers for Disease Control and Prevention. Gilkar and Ahmed provided their consent for the critical surgery, which took place on August 17. The baby's medical state was characterized as "critical and complex" at that time.

Ongoing Legal Challenges

Attorneys representing West have contended that the court should ensure the baby continues to receive essential life-saving medical attention. West informed the judge that she would withdraw her request for conservatorship if the court could be assured that the intended parents are dedicated to providing this care, as reported by the AP. Meanwhile, Gilkar and Ahmed have petitioned the court to postpone a hearing concerning the temporary restraining order that currently grants them custody while the legal proceedings unfold, according to TMZ.

The disagreement over the child's care is one facet of a larger legal conflict between the couple and West. Prior to the infant's birth, Gilkar and Ahmed initiated counterclaims, seeking over $100,000. They allege that West violated their surrogacy contract and caused them emotional distress. These counterclaims, obtained by TMZ, indicate that the couple disbursed $60,000 to West throughout the pregnancy under an agreement that included provisions for termination. West has refuted these allegations, requesting the court to dismiss the claims.

The contention has become increasingly personal since the baby's birth on August 12. In a recent opinion piece for the New York Post, West recounted having approximately one minute with the newborn, with the umbilical cord still attached, before he was removed from her care. A subsequent court order has since prevented her from visiting or holding the infant.

Following Tuesday's proceedings, the judge maintained the existing order and deferred an immediate ruling on the broader issues of custody or conservatorship, as reported by the AP.

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