the illustration is stupid, but what it’s illustrating is not an orphanage but a surrogate.
it portrays them paying for a surrogate mother to gestate some eggs that were fertilized with either of their sperm,
and they state that they aborted every fetus that had two x chromosomes until they had one that was XY,
which they allowed to mature into a viable infant, which was then birthed.

notice how the infant is reaching for the individual in the bed.
they are reaching for their mother.