Surrogate’s Pregnancy

Pregnancy of a surrogate mother. Differences and similarities.

As a matter of fact, surrogate’s pregnancy doesn’t differ much from a pregnancy of any simple woman. At the 12-28th weeks of pregnancy, surrogate registers at the antenatal clinic.  Since the early terms doctors systematically control course of surrogate’s pregnancy to define possible pathologies of the fetus in time and provide all the necessary medical aid. Generally, during nine months of pregnancy, surrogate visits antenatal clinic nearly 14 times.  Once per month till the 28th week,  twice till the 37th weeks  and each 7-10 days before the childbirth.

Terms of pregnancy Tests and checkups Why are they passed?
8The first examination (7-8th week) General examination of a surrogate by the obstetrician-gynaecologist Term of pregnancy and supposed date of childbirth are specified. Health conditions of surrogate are examined and individual schedule of attendance is composed. Surrogate is given pieces of advice about intake of folic acid, iron preparation, multivitamins. Breasts and nipple form are checked.
Complete Blood Count One of the main methods of examination of the most diseases.
Coagulogram Blood Count for coagulability. If it’s too high, blood is more swampy and possibility of thrombus is much higher. If it’s lower, bleeding is possible.
Urine analysis On the basis of this analysis state of kidneys is examined.
Bacterioscopic analysis of discharges from vagina To define inflammations and latent infections
Measurement of blood pressure General and uterine circulation of the blood are significant indications during the pregnancy. Control of BP help to avoid any possible complications of a surrogate and fetus development.
Weighing Control on the changes of weight which starts since the 16th week of the surrogate’s pregnancy. During 23-24th weeks increase of weight is 200gr per week, since 29th week – not more than 300-350gr. Before childbirth weight is usually reduced for one kilo caused with liquid loss of tissues. Taking into account mass of fetus, liquor amnii and placenta, surrogate’s weight is increased for 10 kilos during the whole course of pregnancy.
Pelvis size measuring Pelvis size and shape are quite important for the childbirth process
Consultation of therapeutist, endocrinologist, oculist. ECG is required. Therapeutist – 2 times; oculist, dentist and endocrinologist – 1ctime.
1010th week Examination by obstetrician-gynaecologist (measure of BP and weighing) Composition of the further introduction of surrogate’s pregnancy
Urine analysis Presence of protein in the uterine is the first sign of toxicosis.
1212th week Examination by obstetrician-gynaecologist (measure of BP and weighing)
Urine analysis This analysis reflects the state of kidneys, other organs and tissues.
US In the terms of 10-14th weeks of the surrogate’s pregnancy. To specify the term of pregnancy and measure the nuchal translucency thickness (norm – 2mm, increase to or more than 3mm indicates Down’s diseases).
Prenatal screening (PAPP-A and hCG) PAPP-A is used to define the risk of development various anomalies of child’s development at the early stages of surrogate’s pregnancy.
1616th week Examination by obstetrician-gynaecologist (measure of BP and weighing)
Determination of the fundal height of the uterus On the basis of this doctors might define the supposed fetus’ mass.
Listening to fetus’ palpitation Fetus’ palpitation is listened to with fetoscope since the 16-18th week of surrogate’s pregnancy.
Urine analysis
1818th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Complete Blood Count Diagnostic of anemia – possible complication while pregnancy which is characterized by the decrease of the hemoglobin level.
Urine analysis
Blood Count for HAFP and hCG Screening for the chromosomal diseases, congenital malformation during the 16-20th weeks of pregnancy.
2222nd week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
Planned US In the terms of 20-24 weeks to examine fetus and estimate the health conditions of a surrogate
3D US Check the development of the fetus (possibility of development delay and placental insufficiency)
2626th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
3330th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation) Surrogate gets a special certificate and exchange card which includes all the results of checkups and tests. Surrogate mother always has this card in hand as delivery might start at each moment.
Clinical Blood Test
Urine analysis
Bacterioscopic analysis of discharges from vagina
Blood Count for RW
Blood Count for HIV
Estimation of the fetus’ position and breech presentation Breech presentation is defined by obstetrician-gynaecologist and then confirmed with US. Since 32nd week of pregnancy surrogate mother is recommended to do a special complex of exercises to change the breech presentation to main.
33133rd week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
3535th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Cardiotocography With the help of cardiotocography fetus’ cardiovascular system is examined.
Urine analysis
3737th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
3838th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
Blood Count for RW In 2-3 weeks before the childbirth
3939-40th week Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
US (on indications) Define fetus’ position and breech presentation, conditions of the placenta and child’s state of health to select the approach of delivery.

Since the very beginning of the surrogacy program, our team members provide your surrogate mother with strong foundation for everything from legal assistance, medical, financial and emotional support 24 hours a day, 7 days per week. We are going through this amazing journey of creating a new life together!

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SURROGACY

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