The health of both the surrogate and the baby are our number one priority.
Antenatal (Before Birth) Testing may include
While in many OB offices this testing is reserved only for high-risk pregnancies, most Intended Parents who undergo IVF and surrogacy view it as a crucial reassurance that their child will be healthy. Unfortunately, most Intended Parents are not even aware these tests are available nor do they have the opportunity to elect to have them done. As an OB-managed agency, Physician’s Surrogacy secures your option and provides reassurance for a successful outcome.
A prenatal screening, which looks at DNA from your baby’s placenta through a sample of your surrogate’s blood.
This test is used to identify whether she’s at an increased risk of giving birth to a child with a genetic disorder. However, NIPT cannot definitively determine whether your baby has a chromosomal disorder, only the likelihood of having a certain condition.
ven through a NIPT test can’t tell for sure whether your baby has a genetic abnormality, it’s highly accurate. It’s 97 to 99 percent accurate for detecting the following common conditions:
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First Trimester Screening Blood Test
Performed: 10–14 weeks
This test offers early information about a baby’s risk of Down Syndrome (trisomy 21) and extra sequences of chromosome 18 (trisomy 18).
Since first trimester screening can be done earlier than most other tests, you’ll have the results early in the pregnancy. This will give you more time to decide whether or not further testing is needed, map out a plan for the rest of the pregnancy and get any medical treatment if needed.
If your baby is at a high risk for Down Syndrome and you decide to continue the pregnancy, you’ll have more time to prepare for the possibility of caring for a child who has special needs.
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Performed: 10–14 weeks
The nuchal transluceny scan (also called an NT scan) uses an ultrasound to assess your developing baby’s risk of having Down Syndrome (DS-trisomy 21), congenital heart problems, and other chromosomal abnormalities.
A maternal blood screen that is similar to the Triple Screen Test (also known as AFP Plus and the Multiple Marker Screening). However, the quad screen looks for not only AFP, hCG, and Estriol, but a forth substance known as Inhibin-A.
A quad screen is used to evaluate whether the baby has an increased chance of having Down Syndrome or neural tube defects. The test also identifies the following:
Abdominal wall defects
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Performed: 18–24 weeks
This test is recommended in all IVF/ICSI pregnancies in accordance with recent American Heart Association practice guidelines.
Testing will improve prenatal diagnosis, management and referral of the affected pregnancies for delivery and prenatal/postnatal interventions, with the goal of improvement of outcomes.
This test is typically performed by a specially trained ultrasound sonographer and the images are interpreted by a pediatric cardiologist who specializes in fetal congenital heart disease. Some maternal-fetal medicine specialists (Perinatologist) also perform fetal echocardiograms.
A limited evaluation of the fetal heart is possible during regular obstetric scanning and is appropriate for women at low risk. However, women who have one of the risk factors, such as a pregnancy conceived through IVF should have a detailed echocardiogram performed by a physician who is specially trained in fetal cardiac evaluation.
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What Intended Parents say about OB-Managed Surrogacy Program
During our surrogacy journey, our embryo split resulting in twins! Our surrogate was originally going to visit her previous OB who had delivered her children. However, due to the distance from where she lived to the hospital, she needed to see a doctor at a closer location. Through their vast network, Physician’s Surrogacy was able to find a practicing OB closer to the hospital and ensured that they had the capacity to handle a high-risk case. They also made sure that the hospital had the proper level NICU. It was all worked out so quickly and our surrogate was able to be seen by the new OB the same week!
My surrogate was medically cleared and completely healthy when we started our journey, but during a routine check-up, her OB noticed she had an elevated AFP level during the second trimester. Naturally, we all got really scared andimagined the worst-case scenario. Luckily, a physician from Physician’s Surrogacy was able to coordinate a meeting with a Perinatologist, GYN Oncologist and the OB to devise a plan to ensure that both the surrogate and baby were safe. I am happy to say our surrogate’s amino fluid tested normal and we have a healthy baby!
Our surrogate journey was relatively easy until she had unexpected bleeding and pre-term contractions. A physician stepped in and did a peer-to-peer with her managing OB and they both decided on the proper protocol in order to ensure a safe journey and delivery. Our surrogate was put on bed rest and she had our full support along with her surrogate support manager, case manager and the entire Physician’s Surrogacy team! Without our agency being physician managed, I don’t know what our outcome would have been! I am so happy our surrogate was healthy and safe and so was our baby boy!
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