Record of the webinar "Top Mistakes within the Surrogacy Process"

Anastasia, Head of English Department, is talking about common problems caused by mistakes our patients can make when they are going through surrogacy, in order to make your surrogacy process at BioTexCom more positive. Here is the list of some issues mentioned in this webinar:

1. You do not read attached documents and do not follow the recommendations there. 2. You do not provide full information, especially when we talk about assessment of possibility of stimulation 3. You do not check visa arrangements between our countries 4. You do not confirm the dates of initial consultation before booking of your tickets 5. In case of ovarian stimulation you ignore our requirement to obtain authorization for hormonal stimulation, especially if there were oncological diseases or heart/kidney/blood conditions. 6. You arrange the things to be finished exactly by the day of delivery indicated in the ultrasound check , without supposition that it might be premature delivery, or normal delivery but on the 36th or 38th week 7. You ignore our recommendations to visit special classes for new parents while you’re still at home and when you come here you’re scared of your own babies 8. You ignore the final checklist of our coordinators – with exact and very clear recommendations what documents have to be prepared from your side for the exit process 9. You do not use the benefits of our emergency 24/7 helpline and become frustrated of coordinators not answering you in the middle of the night 10. You do not provide exact instructions to housekeeping staff and babysitter 11. You do not follow doctor’s protocol and start self-treatment 12. You do not inform us about changing of your plans and/or time limits 13. You expect that the date of the second visit will be calculated during the initial consultation 14. You expect us to do miracles and achieve pregnancy from 1 shipped embryo of poor quality 15. You want to pay and book egg donor earlier than you come for the initial consultation 16. Logistics: arranging logistics the very last moment 17. Incorrect understanding of such concept as waiting time – not from when you signed, but from when you paid 18. When you get scared after program coordinator invites you to the procedure and you have the sperm frozen in the clinic 19. Embryoprotocol date – when you expect it to be sent the same day. Lab may finish their work late 20. Public maternity house doesn’t mean that it is going to be a bad maternity house 21. Please mind the time difference – we work with the whole world You can find answers to these and many more questions from the webinar. Don't forget to like and subscribe.


Comments

  1. Thank you for this useful post & video itself. We've encountered the couple from Japan recently. They were going though surrogacy program. were at the exit stage actually. We asked if they faced any of the difficulties and they said none but just one. They had 1 letter differed in documents. So had to get things right in order provide papers at the embassy. Biotex guided them which they were so much thankful for.

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  2. This is how surrogacy process went on for us (Resulting in the birth of a healthy baby boy.)
    Initial consultation. It usually contains the following activities: A set of tests depending on the program (fasting is mandatory). Consultation with a fertility specialist who will be in charge of your program (in case of stimulation you will need to have the transvaginal ultrasound check done). Consultation with a manager who will guide you through the program step by step. Signing of contracts. Before any initial consultation you will receive the Guidelines for the Initial Consultation – failure to follow these recommendations may affect the initial consultation in a negative way.
    Search & confirmation of a surrogate mother, matching process. Waiting time depends on the type of contact.
    Stimulation & synchronisation stage (about 2 weeks). The cycle of egg donor or the biological mother is synchronised with the cycle of a surrogate mother. According to your contract you have to follow all doctors instruction. In case of self-treatment or violation of the treatment protocol, the clinic may cancel the cycle and terminate the contract.
    Fertilization day, embryo transfer - the 2nd visit. In case the biological mother undergoes hormonal stimulation and is being prepared for egg retrieval, the second visit may take up to 10 days. If we are talking about surrogacy using own eggs it is not recommended to leave the same day. Flying the following day is fine.The rules for sperm donation are similar as for the initial consultation – a man needs to abstain from ejaculation from 3 to 5 days before. After fertilisation the embryo development is monitored by embryology unit. The embryo transfer takes place on the 5th day. You will receive the protocol of embryo cultivation and transfer within 3 working days after the embryo transfer.
    HCG test, pregnancy confirmation. The first ultrasound scan is carried out in 2 weeks after the positive HCG test by the doctor in charge of the program. The report will be send the same or the next day after the check.
    Pregnancy monitoring. Delivery. Obtaining of the birth certificate for the baby (up to 1 week).

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    Replies
    1. I personally found this post extremelly useful: https://oursurrogacyblog.wordpress.com/why-biotexcom/surrogacy-process-at-biotexcom/
      OBTAINING OF THE BIRTH CERTIFICATE FOR THE BABY (up to 1 week)
      In order to obtain the birth certificate you will need to have your marriage certificate apostilled in the country that issued that marriage certificate. For countries that are not participants of the Hague Convention, abolishing the Requirement of Legalisation for Foreign Public Documents (Apostille convention) – the marriage certificate should be legalised. Apostille is not the same as legalisation. You may click the following link in order to check if your country is the participant of the Hague Convention https://en.wikipedia.org/wiki/Apostille_Convention.
      If the name on your marriage certificate differs in any way from the name on your passport (e.g. there is a middle name on one or not the other, or surnames differ) – you need to obtain an official intermediate document confirming your identity. Failure to provide such document may cause your process delay. Your program coordinator will advise you with all such issues.
      In order to obtain the birth certificate both intended parents need to be present in the country.
      The birth certificate will be submitted for apostillation, translation and notarisation.

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  3. Thanks for sharing this informative video. Surrogacy process may be uite challenging. I read somewhere the troubles one French couple was having with surrogacy in Ukraine (Don't remember the clinic's name or it wasn't mentioned). The problem is while Ukraine recognizes the couples who hire surrogates as the only lawful parents, France, for instance, bans surrogacy altogether. So here more things should be checked. Having a child through a surrogate in Ukraine costs between $30,000 and $45,000 for foreign parents -slightly less for Ukrainians. In the United States, where surrogacy is authorized in several states, prospective parents can expect to pay between $80,000 and $120,000 which is ovewhelmingly expensive. So it's not surprising IP are choosing Ukraine more and more. Such videos are very useful not to face the difficulties in prospective to my mind.

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  4. Thanks for commenting on those mistakes. Frankly speaking we did think that public maternity house was going to be bad.. I'm sorry we were mistaken. That one was good enough. We were not crazy about the sterile, scary setting of a hospital for our baby's birth. But possible lack of medical help at birth made us just as nervous. Our maternity house had a group of certified midwives and different levels of nurses on staff. It was modern, supportive of natural childbirth with options to aid labor, such as water birth, birthing stools and a relaxing, comfortable home-like environment. Definitely there was no need to worry that much!

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  5. Thank you for putting more insight into top mistakes one should avoid.
    As it's said in your contracts, IP have to follow all doctor's instructions according to the treatment plan. No try to hasten the process. Also avoid self-treatment!! IP must stick to the stimulation protocol and dates for the ultrasounds and medication administration. In case of self-treatment and/or unauthorized treatment/stimulation with hormonal medications the IP are charged by penalty. Our contract said ''Violating of the doctor’s instructions and protocol by the IP may lead to contract termination without possible refund. Time periods between attempts are determined by the doctor only.'' You're doing so right explaining all these things to the IP. 'cause i believe things done for prospective benefit only. This definitely should be a cooperation among the clinic and IP. Otherwise too little chance of success is expected.

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    1. It's much cheaper performing egg freezing and any other procedure overseas. Here one would better look onto European clinics. Ukraine for example as it is getting its high success rates in fertility treatments every other year. Qualified doctors and nurses know well what to do. Applying for help abroad is definitely worthy! Also going for other treatments like surrogacy, ivf, egg donation and so on. Too many benefits to consider!
      In the same time one should bare in mind that in most countries throughout the world surrogacy has become increasingly common and offers couples an alternative route to parenthood if all other methods, including IVF treatments, fail. Current legislation allows heterosexual, married couples to get a parental order to give them a birth certificate for a child born to a mother with whom they have entered into a surrogacy agreement. But gay, lesbian and unmarried couples cannot do this. The surrogate mother has to be named on the birth certificate. If she is married, her husband is legally considered to be the father..
      This will never happen in Ukraine. Because the surrogacy legislation there seems favours more the intended parents than the surrogates.
      Commercial surrogacy is legal in the Ukraine. But it is only available to married heterosexual couples!! Couples also have to demonstrate that they require surrogacy. They have to provide suitable evidence such as the absence or deformation of the uterus to include adhesions or scar tissue. Risk to the health of the mother or potential child through pregnancy or by providing evidence of having 4 failed IVF attempts. The IP of a child born through surrogacy are considered to be biological parents from the moment of conception. They are specifically named as biological parents in the birth certificate without any mentioning of the surrogate mother. Importantly the gestational surrogate has no legal claim over the child!! Also no specific permission from any regulatory body is required. However written informed consent of all parties participating in the surrogacy program is mandatory! Unlike the US and Canada, babies born through surrogacy in Ukraine do not gain Ukrainian citizenship!!! Ukraine is currently the most popular surrogacy destination.

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  6. All parents must provide a doctor’s statement that surrogacy is a necessary option for one of the following medical reasons: 1. Absence of uterus. 2. Deformation of cavity of uterus or cervix of the uterus (either congenital or due to surgical interference or non-malignant neoplasm that makes pregnancy impossible). 3. Structural-morphological or anatomical changes of endometrium that causes loss of receptivity, synechia of cavity of uterus that are not treatable/correctable. 4. Grave somatic diseases that do not have influence on health of a future child but make pregnancy jeopardize health or life of a patient. 5. At least 4 or more failed IVF attempts that involved good quality embryos that have been conceived as result of multiple IVF attempts. In addition to these medical requirements, IPs must be legally married and have a notarized copies of their passports and a marriage certificate with an apostille stamp.

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  7. While the use of egg donation allows infertile couples to build their families, there are legal pitfalls that can arise in the process. Couples relying upon an egg donor should always consult with an attorney who can advise them of how to best protect the rights of both themselves and their future children. It’s not a secret that surrogacy programs are banned almost everywhere in Europe. Egg donation is allowed only in a few countries but quite often these programs offer not very favorable conditions (for patients, as well as for donors). In Ukraine, however, all these programs are absolutely legal. That’s why Europeans seek for medical help outside of their home countries. For most citizens of Germany, France, Italy, Spain, England and other countries, Ukraine has become the place of the legal conducting of surrogacy and egg donation.

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  8. Found this useful~For couples who are considering gestational carrier, the following questions may be helpful.
    How long has the program been in operation? Does the program maintain a referral listing of previous client couples?
    Does the program recruit its own surrogates? Through what means?
    Will they work with a surrogate recruited by the couple themselves?
    How are surrogates expenses handled? Is there a cap on these expenses?
    Does the program offer medical screening of the surrogate? To what extent? Who does the screening?
    Does medical screening include an AIDS test of surrogate and her partner?
    What are the costs of surrogacy? What is the fee payment structure?
    What are the financial obligations incurred by the couple? What is the payment schedule?
    How long are the surrogate’s medical records kept?
    Does the program offer psychological screening and counseling to all parties? To what extent?
    Does the program offer on-site medical services or do they work with local physicians and hospitals?
    How many babies have been born through the agency/clinic’s surrogacy programs?
    To what extent is contact between the surrogate and the couple encouraged? (By letter, meeting face-to-face, on-going?)
    Can the couple be present at the birth?
    What type of legal counsel is offered to the surrogate and the couple? Does this include the drawing up of contracts?
    Does the program offer adoption finalization services?
    What are the fees for informational meetings or interviews?
    What are the financial obligations incurred by the couple? What is the payment schedule?
    If the surrogate does not get pregnant over a certain number of cycles, what is the clinic's policy regarding refund of fees paid?
    In the event that the contract is not honored, what are the financial obligations for the couple?
    In the event that the surrogate has a pregnancy loss, what are the financial obligations for the couple?

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  9. For those who have struggled with infertility and those with medical conditions that make pregnancy unsafe, surrogacy is often the answer to years of unsuccessful attempts to create a family. This is my point of view. And I have nothing against the procedure myself. Furthermore, we're about to start our own treatment plan at BioTexCom. Gestational surrogacy often enables one or both parents to maintain a biological relationship with their child. One can use own egg + partner's sperm; donor egg + partner's sperm; donor's motochondria+own egg+partner's sperm (the newest method). Surrogacy creates relationships. As many intended parents become close with their surrogate and her family during the process, developing meaningful bonds that can last a lifetime. A legally binding contract outlining everyone’s expectations will be negotiated and signed prior to the embryo transfer. So everyone will know exactly what to expect during the surrogacy process. IP are often able to be involved in their surrogate’s pregnancy. They attend key appointments. They are present for important milestones, including the embryo transfer and birth. Surrogates have a proven track record of carrying healthy pregnancies, which often makes surrogacy more likely to be successful than fertility treatments for intended parents.
    Thus surrogacy can be complicated. Gestational surrogacy involves complex medical procedures, and surrogacy laws. Legal processes can be overwhelming at times. It is important to work closely with a trusted professional to ensure the process is completed safely and legally. Surrogacy costs can be significant. Because of the number of people and services required to complete a successful surrogacy, surrogacy can be expensive. Surrogacy requires you to let go of some control. While intended parents typically enjoy a greater sense of control and involvement than families pursuing adoption, you will need to relinquish some control and trust your surrogate to carry the pregnancy for you. Similar to a traditional pregnancy, surrogacy can take its toll on one’s body. Surrogates must undergo screenings. Attend interviews and appointments, and carry a baby for 9 months. During this time, gestational carriers are asked not to engage in any risky or strenuous physical activity that could endanger the pregnancy. Biotex takes good care of its surrogates. At the end of it all, the reward of delivering a new family member surpasses any temporary inconvenience.Surrogacy is an incredible process.

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  10. One of the serious things to consider is contract conditions and fees. I found reproductive clinics’ directory on the web with their contact info and websites. Some websites provide service and price info. Some don’t. So you'll have to email them. The prices are different. Conditions are different, too. My advice is. When considering surrogacy fees, ask your consultant if the price is final and what extra fees are, if any? Also, consider the number of attempts they provide. It may be only one attempt (no matter own or donor eggs), several attempts or endless number of attempts. Also ask if medications are covered by your contract. What I’ve noticed, is that some clinics assign lower price, but then it will be doubled with costs of all medications needed. So please mind this.
    What I like and what is obviously one of the most crucial points in legislation aspect in Ukraine is that SM has no right to change her mind and keep the baby after delivery!! IPs are considered biological parents of the child. All the best with the process.

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  11. Everyone's fertility road is different! I'm so glad you didn't listen to anyone's silly thoughts of ''giving up too early..'' Time never plays on our side with infertility. The more we wait and hesitate, the more we're likely to loose our precious time and remain childless. Besides, it's always easier said than done, right? So if surrogacy became the solution for you, I'm just glad you did it! It's the blessing for those who cannot carry babies themselves. And if surrogacy is undergone somewhere like ukraine, it's even greater luck. Because of the country's surrogacy friendly law, it has become so attractive. Our clinic has also invented win'win plans. Meaning you sign up for the exact number of shots in case you fail to conceive within those shots, they'll refund money paid back.

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