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Medical support for a surrogate mother

How is this provided?

Women who decided to become surrogates start on the path from initial tests to birth, which require many medical procedures to be undertaken.  A future surrogate mother will be prescribed, if necessary, medication to synchronize her cycle with that of the genetic mother.

Initially, a woman submits blood and swabs for a test, undergoes ultrasound investigation and an examination of the uterine cervix. These procedures are very important to obtain a medical judgments about the details of the surrogate’s treatment using ART.

The embryo transferred to the surrogate’s uterus is genetically esthetic to the surrogate.

The surrogacy program fully depends upon a genetic mother who receives stimulating pills and injections to promote growth of several oocytes in ovaries during a single cycle. As a result, more than one ovum of a genetic mother will be received. Ova will be fertilized by sperm cells of the husband outside her body.

After fertilization of the ovum, the embryo is kept in a special incubator for two to five days under the constant control of embryologists. During this time, the uterus is being prepared to “accept the embryo”. An embryo is implanted into the endometrium, which is a uterine lining with the ability to regenerate.

The embryo grown in the incubator is transferred into the surrogate’s body and continues to develop there. Embryo transfer is a painless procedure performed in the ART clinic day hospital. The procedure is undertaken using a special elastic catheter. The required number of embryos (usually two) is gathered into the catheter in a special biologic environment. The gynecologist then inserts the catheter into the uterus through the cervix and embryos gently migrate into the uterus. You have to stay in a ward bed for an hour. Doctors recommend taking a rest for just over a day after embryo transfer. You may then resume your regular activities. Fetal development takes place as naturally as the traditional method.

In today’s world, the chance of pregnancy by means of IVF is about 45-50% for each attempt, which is quite high. Testing of chorion gonadotrophic hormone levels twelve to sixteen days after embryo transfer determines whether pregnancy has actually taken place  

If the result is positive a surrogate mother prolongs her pregnancy, supporting it with medication if necessary. A first ultra sound examination is undertaken after six to eight weeks, the surrogate mother being kept under medical supervision. The surrogate mother is admitted to the hospital prior to the pre-determined date of delivery and she is waiting for the birth. Doctors prescribe medication that stop the appearance of milk in the mammary glands of a surrogate mother.

If the result is negative, supporting therapy is stopped and after three to five days menstruation starts.