And after the birth of the child, the surrogate mother gives written consent to the registration of biological parents in the book of the registry office and the birth certificate of the child as the parents of the child, after which she has no right to refer to the circumstances of achieving pregnancy and loses all rights to the newborn.
Surrogate motherhood in Russia today is widely used to treat infertility, but it can not be called a mass service. The exact number of couples who come to the centers of surrogate motherhood is difficult to name. According to the latest report of the Russian Association of Human Reproduction, there are about less than 300 children born in Russia under the programs of surrogate motherhood. For comparison, in the United States, the world leading center for surrogate motherhood, in 2011 a little over 500 children were born with surrogacy.
- absence of uterus (congenital or acquired) li>
- deformation of the cavity or cervix in congenital malformations or as a result of diseases;
- synechia of the uterus cavity that can not be healed;
- somatic diseases in which pregnancy is contraindicated;
- unsuccessful repeated IVF attempts with repeated production of high-quality embryos led to the pregnancy.
However, in real life a list of medical indications for surrogacy is much wider; in each specific case the decision should be made by a qualified reproductive specialists.
If we talk about the surrogate motherhood program, then there is an additional factor – the health status of the substitute mother. And yet, even after a scrupulous analysis of all these moments, no one, even the most experienced and talented, expert can certainly predict the result.
Therefore, again it is about some average indicators: the effectiveness of the surrogate motherhood program is about 45-55%. Thus, the effectiveness is higher than in the usual cycles of IVF, where this figure does not exceed 30-35%. But anyway, they do not leave us without children!
Суррогатная мама – это женщина, согласившаяся выносить ребенка для семьи, которая не может по медицинским показаниям стать родителями без ее помощи. Мы предъявляем к кандидаткам на роль суррогатных мам следующие требования:
- the surrogate mother must be at least 22 years old and not older than 34 years old at the time of joining the program;
- the surrogate mother must have at least one own child;
- the surrogate mother should be psychologically ready to transfer the child to the family after his birth;
- the surrogate mother should be completely healthy, which must be confirmed by medical and psychological examination data;
- if the surrogate mother is married she must give her husband’s written consent for her participation in the surrogate motherhood program;
- the surrogate mother is carrying a child of another’s family, so the client-family has the right to demand from the surrogate mother compliance with the conditions that seem reasonable and correct to them (the Customers);
- the surrogate mother must undergo a psychological examination with the regular psychologists of our Agency and examination by our security service. In order to ensure the quality of our work, we assume that any doubts about the suitability of surrogate mother are not made in her favor and are the grounds for the termination of our cooperation. About 70% of potential surrogate mothers applyed to us get eliminated;
- a surrogate mother during pregnancy must take her work responsibly and seriously;
- a surrogate mother before and during pregnancy must fully comply with appointments and treatment prescribed by the doctor and customers.
Yes, they do. The child will be born by a woman who will be considered a worthy candidate for the role of a surrogate mother by our clients. We do not have a waiting list; the candidate selected by you is ready to go to your reproductive specialist and enter the program immediately. If the candidature of a surrogate mother for some reason does not suit the reproductive specialist, then we are ready to immediately provide the other candidate without any additional costs from you.
There is no difference. This is the most common pregnancy. The only difference is that the conception of a child occurs after the procedure of artificial insemination (in vitro fertilization, IVF, conception in a test tube), and ready human embryo is transferred to the uterine cavity of the surrogate mother.
We will try to answer this question in a simple and understandable language, if possible, without using special and medical terms.
First of all, the surrogate mother gets tested which is required for the doctors to be sure of the state of health of the surrogate mother.
Simultaneously with the surrogate mother, genetic parents also undergo examinations and get tested. Then there is the process of “synchronizing” the menstrual cycles of the surrogate and genetic mothers. The process of “synchronization” is that the doctor with the help of medications changes the women’s menstrual cycle in such a way that it coincides. This is done due to the fact that the woman’s body is “ready” to conceive in a relatively short time, the so-called “implantation window” (approximately from the 14th to the 18th day of the menstrual cycle).
After the menstrual cycles of the two women are “synchronized”, the genetic mother starts taking medications (gonadotropes) that stimulate the work of her ovaries (in order to get the most eggs, without such drugs, a woman in a natural state has one, rarely two eggs, and for artificial insemination this amount may not be enough).
At the same time (after synchronization) the doctor begins to prepare a surrogate mother for embryo transfer. The process of preparation is that with the help of special medicines, the surrogate mother improves the structure of the endometrium (the endometrium is the mucous membrane of the uterus, the endometrium is the structure where the embryo begins its life).
Approximately 10-12 days after the beginning of the “preparation”, the genetic mother has a process of sampling the eggs, called “ovarian puncture”. Puncture is performed in the clinic with the help of ultrasound. A woman gives away all the eggs that the doctor can see on the “picture” of ultrasound.
On the day of ovarian puncture, the husband of the genetic mother gives sperm in the clinic. Now doctors have both female ovaries and male spermatozoa. And now doctors conduct the procedure of “artificial insemination”, which in the world is called IVF (in vitro fertilization), and in Russia – IVF (in vitro fertilization). After the egg cells of the genetic mother are fertilized with the sperm of her husband, for several days embryologists (doctors) grow (cultivate) the embryos obtained in special “media” and incubators.
This process is extremely complex and requires compliance with the mode of temperature, humidity, superstability. Cultivation of embryos occurs within three or five days.
On the third or fifth (sometimes on the third, and on the fifth) day after puncture of oocytes transfer of “ready” embryos is appointed. The transfer of embryos is also under the control of ultrasound. The doctor “releases” the embryos with the help of a special thin catheter inserted into the uterine cavity of the surrogate mother.
Usually in Russia two, less often three embryos are transferred.
After the embryo transfer, the doctor prescribes special drugs to the surrogate mother in order to prepare her body for this pregnancy.
No, usually women do injections themselves or use the services of medical workers at home. The main thing is to do them at the same time, strictly following the instructions given by the attending physician.
Yes, after puncture of the ovaries a woman is recommended protein food and plenty of liquid (natural cranberry juice, for example).
Puncture of the ovaries passes under anesthesia. After puncture, there are unpleasant feelings in the lower abdomen. After a puncture, you need to be more careful about your health, and in case of any questions, consult a doctor who performed the puncture.
Are there any restrictions for the surrogate mother for the period from embryo transfer to pregnancy detection?
We CATEGORICALLY prohibit surrogate mothers:
- have sexual relations (in any form);
- lift or transfer weights;
- have cold or catch viral infections (high temperature “kill “Embryos);
- eat spicy food ;
- take alcohol
- go to sauna, take a bath and stand under the hot shower (just a slightly warm shower).
In order to ensure compliance with all these rules and restrictions, immediately after the IVF, we place a surrogate mother in a specialized sanatorium where, under supervision of experienced doctors and nurses, we are waiting for the results of the procedure.
12-14 days after the transfer of the embryos, we perform a blood test for the surrogate mother on Beta-hCG. This is the only method for determining the pregnancy at such early periods. No pregnancy “tests” are reliable.
If the result of the analysis is positive, the surrogate mother begins the most common pregnancy. We put the surrogate mother on a record in a good paid clinic, we go through all the stages of her pregnancy, control her diet and lifestyle, organize paid childbirths with the best specialists – in other words, we take care of all the issues which successful pregnancy and the birth of your child depend on.
When the genetic parents received 10 embryos after fertilization, and only two were transferred to the surrogate mother, the remaining 8 can be put at low-temperature freezing by doctors. In this state, embryos can be stored for a very long time. In addition, they can be unfrozen and used for the next carry. Cryotransfer differs from the transfer of “live” embryos that only a surrogate mother is prepared for it. Genetic parents do not participate anymore.
ICSI is one of the ways of artificial fertilization of an egg. This method is usually used when the husband of the genetic mother does not have very good sperm indicators or when a small number of oocytes were obtained during the IVF procedure.
There is no genetic (related) connection between the child and the surrogate mother. A surrogate mother is just carrying the other people’s child. Moreover – according to the existing legislation, a surrogate mother can not simultaneously be a donor of oocytes, which is guaranteed to ensure that there is no such genetic connection between the surrogate mother and the baby.
Pregnancy under the surrogate motherhood program is no different from the regular one, so complications in gestating a child, if they suddenly happen, are exactly the same as in a normal pregnancy. In this case, we take care of all the worries about preserving the life and health of the future child and the surrogate mother. Since this child is very much expected by his future parents, at the slightest abnormalities, we ensure that the surrogate mother will stay in bed, and if necessary, keep the child in the clinic or maternity hospital.
Surrogate mothers in our company follow the conditions that are put forward by genetic parents and our Agency; these are the best clinics and the best specialists in their field. Families who work with us know that pregnancy is going well, and their future child is safe.
Our Agency provides a surrogate mother with housing for the entire required period during pregnancy.
Each case is individual. We can talk about the average version: before the transfer of embryos surrogate mother visits the clinic 6-8 times. From the moment of onset and until the 10th week of pregnancy, we organize surrogate examinations once every 7-10 days. From 10 to 30 weeks of pregnancy, our surrogate mothers communicate with the doctors at least every 14 days, from 30 to 39 weeks – once every 7-10 days.
Pregnancy of a woman lasts 40 weeks. Naturally, we are talking about the obstetric term of pregnancy, which is counted from the first day of the last menstruation. If counted from the date of embryo transfer, this is 38 weeks for a single-fetal functional pregnancy. In general, obstetrician-gynecologists say that normal “urgent” birth occurs during the period from 38 to 42 weeks of pregnancy.
We categorically prohibit surrogate mothers from any forms of sexual relations. This is due to the fact that there are infectious diseases that are sexually transmitted, which can have a very negative impact on pregnancy. Our surrogate mothers realize that they bear full legal and financial responsibility in case of breach of contract.
Where do surrogate mothers deliver babies? If a surrogate mother wants to give birth in her own town, is it possible?
We undertake the whole organization of births, choosing the best paid maternity hospitals. We do not allow surrogate mothers to choose their own maternity home, because they give birth not to their own child, but yours, and will respect the conditions of our company and our customers.
No, she doesn’t. Most surrogate mothers give birth on their own. Cesarean section, as in the case of normal pregnancy, is carried out only for medical reasons. If there are none, then the genetic parents can not insist on delivery by Caesarean section, if any – the surrogate mother has no right to refuse.
How does the child get registered with the genetic parents? How does the child get transfered to a genetic parent?
We undertake all legal support, including the registration of the relevant documents by the surrogate mother. On the appointed day we will accompany you to the corresponding registry office with the package of documents that we will prepare for you, and following our instructions, in a usual way you receive a birth certificate of the child where you and your spouse will be listed as parents. As for the transfer of the child to genetic parents, you can communicate with the infant from the moment of his birth; also genetic parents take the child from the hospital.
You can be absolutely sure that if you work with our agency this will not happen to you. Moreover, the legislation of the Russian Federation clearly does not allow a surrogate mother to demand alimony from genetic parents.
Our Agency gives a guarantee that such situation is impossible, and fully protects your rights in this matter.
Another point that needs to be clarified in the first place: is there a waiting list in the company for a surrogate mother. If the center of surrogate motherhood, whose services you plan to use, can not immediately provide you with a surrogate mother, but asks for a certain prepayment, then with a high degree of probability it can be assumed that they simply do not have their base of surrogate mothers. And even if you were offered to view photos of those, this does not mean that the women whose faces you saw really cooperate with this organization. Most likely, in this case, after making a payment, they begin to search for a surrogate mother, doing this mainly on the Internet with all the numerous costs and dangers of this method of selection.