Pregnancy period

Surrogate pregnancy is a process that begins when human chorionic gonadotropin starts to separate tissues of the embryo immediately after it attached itself to the uterine wall. To obtain this information, the surrogate mother is doing a blood test for HCG 2 weeks after embryo transfer.

Surrogate pregnancy process

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 pregnancyTests and checkupsWhy are they passed?
8
The first examination
(7-8th week)
General examination of a surrogate by the obstetrician-gynaecologistTerm 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 CountOne of the main methods of examination of the most diseases.
CoagulogramBlood 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 analysisOn the basis of this analysis state of kidneys is examined.
Bacterioscopic analysis of discharges from vaginaTo define inflammations and latent infections
Measurement of blood pressureGeneral 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.
WeighingControl 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 measuringPelvis 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.
10
10th week
Examination by obstetrician-gynaecologist (measure of BP and weighing)Composition of the further introduction of surrogate’s pregnancy
Urine analysisPresence of protein in the uterine is the first sign of toxicosis.
12
12th week
Examination by obstetrician-gynaecologist (measure of BP and weighing)
Urine analysisThis analysis reflects the state of kidneys, other organs and tissues.
USIn 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.
16
16th week pregnancy
Examination by obstetrician-gynaecologist (measure of BP and weighing)
Determination of the fundal height of the uterusOn the basis of this doctors might define the supposed fetus’ mass.
Listening to fetus’ palpitationFetus’ palpitation is listened to with fetoscope since the 16-18th week of surrogate’s pregnancy.
Urine analysis
18
18th week fetus
Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Complete Blood CountDiagnostic of anemia – possible complication while pregnancy which is characterized by the decrease of the hemoglobin level.
Urine analysis
Blood Count for HAFP and hCGScreening for the chromosomal diseases, congenital malformation during the 16-20th weeks of pregnancy.
22
22nd 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 USIn the terms of 20-24 weeks to examine fetus and estimate the health conditions of a surrogate
3D USCheck the development of the fetus (possibility of development delay and placental insufficiency)
26
26th week
Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
30
30th 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 presentationBreech 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.
33
33rd week
Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
35
35th week
Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
CardiotocographyWith the help of cardiotocography fetus’ cardiovascular system is examined.
Urine analysis
37
37th week
Examination by obstetrician-gynaecologist (measure of BP, weighing, determination of the fundal height of the uterus and listening to fetus’ palpitation)
Urine analysis
38
38th 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 RWIn 2-3 weeks before the childbirth
39
39-40th 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!

Surrogate pregnancy is a long and complex process which must be carefully monitored. “VittoriaVita” cares about surrogate mothers and about the arrival of a new family member to the intended parents. Our team has extensive experience in the management of surrogate mothers’ pregnancies and can ensure all medical examinations in time.
All data are shown as for an ideal pregnancy. In fact, the surrogate mother pregnancy is individual for each case. In the case if the surrogate mother is not sure that the results of medical analysis and tests are right and true she will have additional examinations or treatment. All test results and doctor’s findings our coordinators immediately send to intended parents.

The total cost of treatment

SURROGACY

IVF WITH DONORS EGGS