这是因为当时多家医院在孕产妇的登记入院上存在漏洞。对于前来生产的产妇，医院并不需要她们持本人身份证去办理住院登记。代孕中介会用客户的身份证办理住院手续，产妇则以客户的身份住院。生产后办理证明时，孩子自然成了客户的。而真正生育孩子的孕妈，其真实身份和信息都被隐去。
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A letter from the trust, shared by the family, said its panel had considered Tilly's needs but did not believe there were any unmet needs and that a child of Tilly's age needed to be with her primary care givers to ensure good attachment.