1. What is Surrogacy?
A surrogacy arrangement is the carrying of a pregnancy for intended parents or A Surrogate is a woman who agrees to carry a child(ren) for another person or couple. There are two types of surrogates: Traditional and Gestational.
2. Who is a Gestational Surrogate?
With no genetic link to the baby she is carrying, a gestational surrogate is simply the carrier of the fetus. The intended mother or egg donor provides the egg and the intended father or sperm donor provides the sperm. The gestational surrogate has absolutely NO biological connection to the child.
3. Who is a Traditional Surrogate?
A traditional surrogate is where the surrogate uses her own biological eggs. As there are numerous emotional and legal aspects of traditional surrogacy, We don’t practice traditional surrogacy.
4. Do I get to choose the surrogate mother ?
Yes, you can choose the surrogate mother. She should be the close relative or known friend of the intended parents, in this scenario the surrogate mother’s health will be intended parents liability. Also intended parents should make arrangements regarding the surrogate mother’s food and shelter. Legal formalities to be fulfilled by intended parents and surrogate mother only. The doctors or the fertility centers will not be legally involved in this type of cases .
5. How much contact will we have with our surrogate throughout the process and after the birth?
It is important to maintain the confidentiality of the surrogate mother in the view of social issues so it is better if there won’t be any kind of communication between surrogate mother and intended parents. Even it is very important to keep confidential about the address and whereabouts of the intended parents in view of expecting threatening and blackmailing by the surrogates family and their relatives in future.
6. How long does the surrogacy process take?
You can anticipate the surrogate mother process taking between 10 to 13 months. Because there are many variables in a gestational surrogacy arrangement, it is difficult to specify!
7. What if the surrogate mother don’t become pregnant?
Typically, intended parents ask for a commitment from the surrogate mother for up to 3 cycles of embryo transfers. Because we work with great physicians, most surrogates do eventually become pregnant. If not so there are two options.
– We can change the surrogate mother in next process.
– We can do PGS ( pre Genetic Screening ) to know Aneuploidy of embryos and can utilize the best embryos for embryo transfer for surrogate mother.
8. How many embryos will be transferred?
Usually no more than 2 to 3 embryos are transferred. If there are more embryos we can freeze the embryos but we generally practice fresh cycle to prepare fresh embryos in view of getting high success rates in surrogacy procedures.
9. Do you work with clients from any state or country?
We work with the patients from all over India but not from other country. As Govt of India is banned the procedure of the surrogacy for foreigners .
10. What motivates a Surrogate to Carry a Baby?
Contrary to popular belief, surrogates are not all poor women being exploited for their fertility. Many are middle-class women who want to help make families. They come from all walks of life.
11. How long does it take to become a Surrogate?
We do our best to match our Surrogates as quickly as possible. It typically takes 1-2 weeks to become matched. Once you are matched, the screening process, including the legal process, usually takes 1-2 weeks. Once you have been cleared to start your IVF cycle you are typically on medications for 3-4 weeks before you have an embryo transfer.
12. What is the medical process involved with being a Surrogate?
The first step in the medical process is screening of surrogate mother with the physician. On this day, the physician will perform blood and urine tests on her and her spouse/partner, if she is in a relationship. She will then undergo a pelvic exam, an ultrasound and a consultation with the doctor where he/she will explain the IVF process in detail.
Once surrogate have signed her legal contract and cleared to proceed, she’ll then move forward with her IVF cycle. she will receive all medications and specific instructions will be given by a medical professional at fertility clinic. The medications will cause her cycle to be synchronized with the Intended Mother’s or Egg Donor’s menstrual cycle and help her uterine lining thicken in order to accept the transferred embryos. After the embryos have been transferred, she’ll be required to be on bed rest for 24-72 hours depending on fertility clinic’s requirement.
Her pregnancy test will occur 10-12 days after the transfer through a blood test. Once she are pregnant she will continue her medications to ensure that the pregnancy will continue to grow. Once the pregnancy is stable, which is near the end of the first trimester, she will be instructed to continue all medications and follows up will be done by an obstetrician regularly till delivery.
13. How will surrogate mother be compensated?
Once surrogate mother and her family sign legal agreement with fertility clinic ( on behalf of Intended Parents) they will be paid in installments. Nutrition , shelter, medical and nursing care will be provided by fertility centre. She will be continually taken care by fertility doctors as wells as nurse throughout her pregnancy and she will be investigated regularly with all blood tests ,scans and S.O.S treatment will be provided.
14. What are the health risks as a Surrogate Mother?
A surrogate pregnancy has no more risks than a regular pregnancy.
15. If the surrogate mother’s tubes are tied, still she can serve as a gestational surrogate?
Yes, in achieving a pregnancy through the IVF process the embryos are placed directly into the Surrogate’s uterus so the fallopian tubes are not required .
16. Will the surrogate mother have any genetic relation to the child(ren) born?
No, as a Gestational Surrogate she will be using the eggs from either the Intended Mother or an Egg Donor. she will have no genetic relation to the child(ren).
17. Will surrogate and her husband’s names be on the birth certificate?
No not at all, the baby from the surrogate mother 100% belongs to the intended parents hence the intend or genetic parents names entered into the birth certificate
18. Once surrogate mother is pregnant, where will she receive medical care and deliver the baby?
The surrogate mother will be delivered in the fertility clinic or a nursing home related to the fertility clinic and the baby will be handed over to the Genetic parents immediately after pediatricians approval
19. Criteria for the egg donor selection ?
Age 20-30 years,
They should be married
They should be well educated to understand about egg donation procedure
They should be fertile mothers ( they should have 1 or 2 children immediately after marriage).
They should be physically / mentally healthy and willing to undergo all blood and urine investigations, which includes sero markers test, complete thyroid profile, ovarian profile, AMH levels, prolactin, torch IgG, karyotyping,.
20. How much will be the cost of donor egg ?
It will be around 60k to 70k per one cycle.
An Egg Donor is a very personal choice. In many cases the egg donor that is chosen results in a successful pregnancy, however some intending parents have to select a second egg donor later, if their is some difficulty arising to get the pregnancy with the first egg donor.
21. How To Select A Surrogate Mother By Genetic Parents Itself.
Surrogate Mother may be their own relative or outsider. A Surrogate mother should be married having one or two kids immediately after marriage, should be healthy may be educated or uneducated.
The Genes and features of a surrogate mother will not come for your kid. The mother’s age is between 20-30 years. She should agree to be there with you for whole period between treatment and delivery. Better to educate her that she will get pregnancy within 1-4 months period.
Make an agreement with all family members, in-laws and parents. Surrogate mother, her husband, her kids complete blood profile, Viral Screening ,Complete Hormonal Profile,Scans,Hysterscopy should be normal.She should be educated the mother who is going to carry the own Biological Child of the biological parents.She should be educated that this is the IVF/ICSI pregnancy.It is important to the genetic parents and the baby should be given to the genetic parents after birth. Surrogate mother is not going to feed the baby. She should attend the regular Ante natal checkups and take regular medication as it is the IVF/ICSI baby. If there is any need of terminating pregnancy because of the health issues of the baby, the pregnancy can be terminated, again the surrogate mother has to go the same procedure of IVF/ICSI in future.
Surrogate Mother cannot spend more time with her husband and kids. She should maintain the abstinence throughout the pregnancy and she should not attend all her regular duties and functions and regular household work and going for movies etc.
Both Genetic parents and Surrogate mother should be in a legal contract through a lawyer for money matter etc.
Biological Parents should get the surrogate mother for ante natal checkups and other tests and scan till delivery. Delivery should be made by Genetic Parents.
If the surrogate mother doesn’t get pregnancy in first cycle she may need to come for second cycle. All these things to be monitored by genetic parents. Surrogate mother can be their own relative or non relative.
THE PROS AND CONS IF SURROGATE MOTHER BEING KEPT WITH A MEDIATOR
Now a day’s many mediators are entering into this field by arranging a surrogate mother and keeping them along with the mediator but genetic parents can face the problems like following
*Surrogate Mother may not maintain abstinence.
*They can’t restrict her to go outside and do her own work.
*They may not come for regular ante natal checkups.
*They may get complications like infections, skipping medications.
*Pregnancy may end up in abortion.
*They may not follow the instructions given by doctor or mediator.
*They may not have nutritional food.
*They may not have proper nursing and medical care.
USES OF KEEPING SURROGATE MOTHER UNDER MEDICAL / NURSING SUPERVISION.
*Regular ANC check up will be provided .
*Everyday monitoring Weight, BP, monitoring of abdomen, fetal heart rate monitoring will be done.
*Injectables and oral medication can be provided by nurse so that they cannot be skip.
*Husband, Children or relatives will come once in a month on a specific day for spending two hours time with the surrogate mother.
*Nutritional diet will be given including egg, milk, chapatti, rice, non-veg, fruits etc.
*Confidentiality is well maintained.
*Address and Whereabouts’ of the genetic parents will not be provided until and unless requested by them.
* If the genetic parents wants to see the surrogate mother she will be brought to the hospital and shown to them but the whereabouts’ of the genetic parents will not be given.
*Total Ante natal care of the surrogate mother will be taken care by the fertility clinic and the doctors.
*The baby will be delivered if there is any emergency condition either for the surrogate mother or the baby.
* It will be informed to the genetic parents as soon as we are commencing any treatment or delivery.
*Usually surrogate mother will be delivered by 36 weeks, if there is any problem for the baby is suspected.
*we allow for the normal delivery until and unless Caesarian section is mandatory.
*It is always suggestible for the genetic parents to get 100% result to opt this kind of treatment for surrogate mother. As it is very difficult to monitor a lady with pregnancy for such a long time.
*It is advisable not to keep the surrogate mother with their family member if she is totally outsider as there are chances of threatening and black mailing in future.
*The surrogate baby will not be shown to the surrogate mother after delivery.
*Baby will be shifted to NICU along with the Neonatologist who attended the delivery.
*Baby will be kept in NICU for observation for 48 hours and instructions will be given by Neonatologist to genetic parents to how to take care and feed the baby etc.
* Genetic parents can take baby home after everything is fine. They can take the baby by car/train maintaining the warmth of the own mother.
*Birth certificate will be given to the genetic parents with their names.
*If the Genetic parents are elderly more than 35 years PGS( Pre Genetic Screening) facility is available with us and it is the latest technique for next generation sequencing.
It can be estimate at embryonic level about all aneuploidy 23 chromosomes and select the best embryos and the result can be improve up to 85%.
With all Good Wishes and Success.
Why Surrogacy, Why not adoption?
In previous days there is no awareness of sterilization procedures many children used to present in every family. When there is no other option they use to give one or two children to the childless couples in their own relatives or outsiders. But nowadays nuclear families having one or two children have and do want to give them for adoption. Many GOVT. And Private Employees also putting many condition to give a child for adoption. Considering money, health and age of the adoption seeking couples.
Why Not Adoption?
1. This is today’s concept where technological development involves.
1. Previous concept where no scientific development present.
2. Two or One Genetic parents involve.
2. No Genetic parent’s involvement.
3. Should be considered as own baby as baby comes home immediate after birth and it belongs to them.
3. Everybody knows that the baby adopted from either relatives or non relatives (outsider) or orphanage.
4. The habits will be developed from original genetic parents.
4. Baby will be having some age or mind development it is difficult to change. A baby may be months or few years old. The developing habits may not be from parents.
5. Child will never think to go out even in future. No one will dare to inform that the child doesn’t belong to them.
5. Child may come to know through outside people that she / he doesn’t belong to them and try to move out from them if there is any unwanted issue.
We know many people who came for IVF or Surrogacy treatment when adopted child moves away from home after their professional course.
6. No Blackmailing will be there.
6. Chances of blackmailing will be there.