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Coping with Loss as a Gestational Carrier

As if surrogacy isn’t complex enough, when you add a loss or miscarriage to the process, the heartbreak is spread throughout all involved. A loss is devastating for everyone, but for a gestational carrier, the feeling of grief for your loss and the loss for your Intended Parents is a double whammy. The emotional aftermath is a roller coaster surrogates are at risk of encountering.

It is common to feel the sense of responsibility for the miscarriage even though you know that you didn’t do anything wrong. Your role as a surrogate is an important one. This is a lot of weight on your shoulders. Here are some suggestions to help heal with a surrogate miscarriage.

Listen to your body. Going from being pregnant to not being pregnant will present a considerable shift in hormones. This may make the healing process more difficult. Always speak to your doctor about how you are feeling. Postpartum depression can affect you regardless of when a miscarriage happens or when a baby is delivered.

Get plenty of rest. Your heart is healing as well as your body. Let nothing but happiness and positivity surround you. Try to maintain your normal routines and keep yourself occupied as best as you can. This may even be a good time to take up a new hobby.

Remember, whether you are able to move quickly through this loss or are grieving deeply, no one can tell you how you should feel and no feeling is wrong. Sharing your feelings with those who have been through similar situations may help. Shared Conception surrogates use our private, closed Surrogate Facebook group as a tool to connect with other surrogates and share their experiences.

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Surrogacy Screenings – Explained

So, you have made the decision to embark on an incredible journey and give a family the most priceless gift. Congratulations! You are not only an amazing person but you have also made a selfless decision to help Intended Parents fulfill their dream of building a family.

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The screening process begins with you filling out our short online application. This is a form found on our website http://sharedconception/application. This form begins your initial application and ensures that you meet the basic qualifications for becoming a surrogate. We want to get to know you and understand why surrogacy is right for you.

Overall good health without any psychiatric illness or sexually transmitted diseases.

Financially secure

Birthed at least one child that she is currently raising and experienced uncomplicated pregnancies.

Be between the ages of 21-38.

Be in a happy, stable living environment and have the full support of her spouse or partner.

Non-smoker and not be exposed to second hand smoke.

Must not use illegal drugs.

Have a healthy height to weight ratio (BMI) as determined by a medical professional – Recognize that an individual does not have to be as skinny as a stick, just be healthy and comfortably fit!

Possess a high school diploma.

U.S. Citizen or permanent resident of the U.S.A.

Responsibly take all medications (oral, patches, injections, etc.) as instructed.

Have a reliable mode of transportation.

Enjoy being pregnant and have a sincere desire help others create or add to their family.

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After we pre-approve your online application, a member of the Shared Conception team will contact you to set a time and date for a phone interview. This call is to learn more about you, your personality, and your family and discuss some of the more intricate details of your potential journey. This is also a great time to ask any questions or voice any concerns about the surrogacy process.

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After the interview, we will send you an extensive questionnaire. This questionnaire is important as this is how we perform our custom matching of you and the right intended parents.

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Next, our team will begin looking into your medical history, specifically your previous pregnancies and births. We will reach out to any current or previous hospitals and doctors' offices to obtain your official records. We want to make sure there were no complications or issues throughout your previous pregnancies and deliveries.

Our staff will request a “clearance letter” from your current OB. This is simply a letter from your doctor stating that you are healthy enough to become pregnant.

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Once we have your pap results, clearance letter and hospital records, we will then run a background check on you, your spouse or live-in partner. We run these checks on all of our potential surrogates and Intended Parents for the safety and security of all parties.

When you make it through all of these screenings you are on your road to becoming matched with Intended Parents. Shared Conception looks forward to working with you. If you are ready to start working with us, contact us today!

Meeting Your IP's for the First Time

Finding the perfect match for you, a gestational carrier, is just as important as the Intended Parents (IP’s) finding the perfect surrogate for them. Before your first meeting, your agency, Shared Conception, has already worked tirelessly to find the Intended Parents who match your lifestyle and values. At this time, you will have already spoken over the phone or Skyped with potential Intended Parents and have agreed to meet in person.

If this is your first journey as a surrogate or third, every pregnancy and relationship is unique and there are certain topics that are important to discuss with your potential IP’s. Shared Conception will definitely help you through this process but discussions with the possible Intended Parents are crucial to your relationship throughout and after pregnancy.

This may be a good time to discuss sensitive issues such as: selective reduction, the number of embryos to transfer, any dietary restrictions, pumping breast milk after birth and your relationship expectations during and after pregnancy. Although these topics may present some awkwardness, you will be happy to have this information before choosing to proceed with your Intended Parents.

In a perfect situation you want to feel as comfortable around your Intended Parents as you do around your friends. Most of our surrogates say it “just felt right” when they met their perfect match. If you are looking for more information on finding the right match for you and would like to proceed with an amazing journey, contact us at Shared Conception today.

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Managing Multiples

Even though it is becoming uncommon, there are still some Intended Parents who have their surrogates carry multiples. There is also a very small chance that some surrogates who only had one embryo transferred to them, end up carrying twins when the embryo split. No matter how you came across more than one baby, managing multiples as a surrogate is a challenge.

Carrying multiples, although exciting and a happy time for you and your Intended Parents, is much harder than a singleton. It’s harder on your body, mind and everyday life. It also comes with a greater risk of complications. The most common complication is preterm labor and birth. Over half of multiples are premature. These babies are often smaller and have lower birth weight than a full term baby. Preterm babies may require assistance breathing, eating and staying warm. Many preemies serve a stint in neonatal intensive care.

When carrying multiples, you are twice as likely to develop high blood pressure. This is called gestational hypertension. The majority of women with gestational hypertension have healthy pregnancies and babies, but it can also be a sign of other complications. This is why your doctor monitors you blood pressure.

Pregnancy is draining. Pregnancy with multiples is even more draining. If you feel overwhelmingly tired, you may have anemia. Iron-deficiency anemia is most common during pregnancy. Your doctor may prescribe a prescription or suggest iron supplements that are sold over the counter at your local pharmacy. Including iron rich foods into your diet such as: dark leafy greens, red meat, chicken, pork, beans, peas and dried fruit can help prevent anemia.

Embrace those little ones while you have them and just go with the craziness that comes along with being pregnant with multiples. You will have the best experience and stories unlike any single pregnancy.

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Birthing Customs Around the World

If you are a surrogate mother or an intended parent, the birthing customs mentioned below is incredibly interesting. Just know that Shared Conception is here to ensure the safe delivery of your baby! Let’s take a quick trip around the world.

         

The Netherlands

Many pregnant women in Holland do not have regular visits to an obstetrician, but are seen by a midwife practice. Doctors and Obstetricians only intervene in high-risk pregnancies or if there are complications during delivery. It is a common choice of Dutch women to decide whether they deliver at home or in a hospital. Surprisingly, most women decide to deliver at home. In fact, all expectant mothers in Holland are required to pick up a kraampakket, a maternity package that includes all of the medical supplies necessary for a home birth. If the delivery is not at home, the midwife checks on the progress of labor at home and then determine whether or not it is time to go to the hospital.

Then Dutch have a unique system of maternity home care called kraamhulp. For seven days after birth to a newborn, a nurse comes to the home, a benefit covered by insurance. She provides medical care, but also helps with the cooking, cleaning, and instructions for the new parents in basic parenting skills.

Japan

Japanese women deliver in hospitals, but it’s not very common to have the father in the room. Fathers are required to have taken prenatal classes with the mother-to-be if they want to be a part of labor and delivery. But, if a cesarean is performed, they must go to the waiting room. Interestingly, hospital stays in Japan are longer than in the U.S.; mothers stay a minimum of a five-days for a vaginal birth and 10 days for a cesarean.

Much like the local custom in the Netherlands, in Japan, mother and baby often stay at the mother’s parents’ home for a month after birth. It is also a tradition that new mothers’ stay in bed with their baby for 21 days. This is a time when friends may visit to see the new baby and join the family in eating the traditional cuisine of osekihan (red rice with red beans).

Brazil

The rate of cesareans in this South American Country is 40 percent, according to the International Cesarean Awareness Network. The rate is even higher in private hospitals. There is speculation that many doctors prefer this procedure in order to receive higher payments from insurance. In Brazil, the doctor-patient relationship is known to be very strong – instead of prenatal classes, women receive most of their information about childbirth from their doctor. With that said, if a woman’s doctor is advocating a c-section, she may well be swayed by his opinion.

It’s always interesting to see how other countries handle childbirth however, Shared Conception is wholly focused on our intended parents and surrogates….and their childbirth experience. If you are thinking about becoming a surrogate or you are an intended parent, call us! We are happy to talk with you.

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Coping with Food Aversion While Pregnant

Pregnancy and food aversions are no strangers to each other. Although a familiar cliché, one minute you want steak and eggs and the next, you cannot even look at an egg without being overcome by waves of nausea. Some have even sent their partners on a midnight run for a pint of ice cream, because, well, you just needed it.

Food aversions most likely occur between week 6-8 of the first trimester and tend to last throughout those first 12 weeks, although food aversions can come and go throughout your entire pregnancy. Aversions are possibly caused by the HCG hormone (human chorionic gonadotropin). This hormone level rises quickly during your first trimester and may be the culprit behind your nausea, aversions and strange appetite.

Common pregnancy aversions are towards foods with strong smells such as: meat, eggs, milk, foods made with overpowering spices, garlic and coffee. You can also crave these foods, as aversions do not discriminate. Listen to your body but make sure you are being properly nourished. If you are trying to get around your aversions, here are some suggestions to follow:

  • Hiding leafy greens in a sweet fruit smoothie
  • Eating nuts and beans for meat aversions
  • Peanut butter and cottage cheese
  • A good prenatal vitamin

Make sure you talk to your doctor if your food aversions become problematic. He or she may be able to suggest alternative foods or supplements to make up for the lack of nutrients.

Nutritional Guidelines for Women Trying to Conceive

Many surrogates will tell you that with prior knowledge of their IVF schedule, they tend to change their diet for the better, before the embryo transfer. There is no list of foods that guarantee a healthy baby or a successful transfer, but there are foods rich in nutrients that will help. The healthy diet for a surrogate trying to get pregnant, is not much different than a healthy diet for someone who is trying to maintain a healthy lifestyle. There is just more emphasis on key nutrients for her and baby.

Choose foods that are high in protein such as:

Fish
Poultry
Lean meats
Beans and lentils
Nut butters (such as peanut, almond, or cashew butter)

Seeds and nuts
Whole-grain products
Low-fat dairy products

Also, look for foods rich in folates and folic acid such as:
Lentils
Oatmeal
Pinto and navy beans
Asparagus
Spinach
Orange juice

If you have a sweet tooth there are healthy alternatives to consider:
Frozen bananas
Fruit smoothies
Naturally sweetened, nonfat frozen or regular yogurt
Low-fat, naturally sweetened sorbet
Fresh fruit

 

Here are some things to avoid:

Artificial Sweeteners

Caffeine – If you can’t live without caffeine, there is research to consider on caffeine and fertility. According to the National Institute of Health, ingesting 300 milligrams of caffeine a day, decreased a woman’s chances of conceiving by as much as 27 percent compared to ingesting no caffeine.

Some alternatives to your morning pick me up:
Decaf coffee or tea (not herbal, unless cleared by your doctor).

Naturally sweetened lemonade or fruit juice

Filtered water steeped with cucumber slices

Fresh squeezed or pressed vegetable juices

Try to limit desserts and food items made with refined sugars because excess sugar in the bloodstream can lower the body’s ability to manufacture the necessary
hormones for reproduction. If you’re craving a dessert, it is easy to find healthy dessert recipes online.

Shared Conception looks forward to working
with you as a surrogate, call us today!

Surrogacy & Religion

There are several alternatives in starting a family when you find yourself unable to naturally conceive. Adoption has become a socially acceptable option. But, there are many, who wish to have a biological connection with their child who turn to surrogacy.

Even though surrogacy has mainstreamed over the years, there are still a number of religious organizations that do not accept it. This can seem surprising, but the use of surrogate mothers, is a thousand-year old process. It is even in the writings of the Bible through the story of Abraham and his wife Sarah. According to history, friends and family oftentimes shamed a childless woman. To solve this problem, these women had their servants act as “surrogates.”

While ethical and moral issues are important to follow and abide by, judging anyone on the very personal decisions of choosing surrogacy or becoming a surrogate, is impossible to do unless you walk a mile in their shoes. And, unless you have experienced the emotions, it is difficult to get a feel for how truly devastating their situation is.

All this said, the women who act as surrogate mothers, are providing a truly needed service and giving people a chance to have a child of their very own. Shared Conception anticipates helping you make your dreams of enhancing and expanding your family. Connect with us!

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The Surrogate Embryo Transfer Prodecure

The embryo transfer procedure is usually one of the first questions intended parents and surrogates ask about, when beginning their surrogacy journey with us. Shared Conception is here to answer those questions and take you through the actual procedure.

After the eggs are taken from the intended mother or egg donor, they are examined, sometimes tested and mixed with the intended father or donor sperm. They are then incubated for 3 – 5 days to allow fertilization to occur.

The gestational carrier, or surrogate, intended parents and the reproductive doctor, then consult to determine the number of embryos to transfer. Afterwards, the embryos are placed in the surrogate's uterus via in-vitro fertilization.

The embryo transfer procedure takes place in a fertility clinic or nearby hospital. The process does not cause discomfort and requires no medication or anesthesia. The transfer is performed through the vagina using a catheter inserted through the cervix so the embryos could be inserted into the uterus. The process usually takes approximately 10-15 minutes, and then the surrogate is required to remain at the clinic for at least 1-2 hours after the completion of the transfer procedure to rest. Surrogates are also asked to restrict their activities or to be on bedrest, for 2-3 days following the transfer procedure.

Shared Conception suggests surrogates have an adult companion accompany them to the embryo transfer procedure and stay with them until the clinic staff releases them.

We hope this breakdown of the embryo transfer procedure takes away some of the "mystery" associated with embryo transfers. Shared Conception welcomes the opportunity to talk with you if you are thinking about becoming a surrogate. Contact us soon!

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Common Myths about Surrogacy

There are many assumptions about surrogates and surrogacy that are completely incorrect. This is often due to the lack of knowledge and education about the process. Surrogacy is actually an intricate process that involves many parties. Lawyers, doctors, psychologists and surrogacy agencies, all have a role in creating a perfect match of Intended Parents and Gestational Carrier. Surprisingly, demands for surrogates are high. There are many other countries where surrogacy is illegal, which brings many international couples to the United States in search of a surrogate mother.

One of the most common misconceptions is that the surrogate mother would be genetically related to the child. A gestational carrier has an embryo, created by the intended mother (or egg donor) and intended father’s sperm (or donor sperm), placed in her uterus. The embryo has no genetic link to the gestational carrier. The surrogate provides a safe, warm and nutritious space for the embryo to thrive.

Getting attached is usually a popular first question when discussing surrogacy. For any mother, the idea alone of parting with their newborn is devastating. For a gestational carrier, it is expected. It is the end of a journey. Only a surrogate can understand the joy of seeing a couple that has tried so hard to start their family, finally be able hold their baby in their arms.

Unfortunately, many hopeful parents are led to believe that surrogacy is unaffordable. It’s not inexpensive but many families have grown their family via surrogacy. Shared Conception is open to talking about finances and helping you make your dreams of a family, a reality.

Surrogacy is slowly becoming more accepted into today’s society. Shared Conception is dedicated to walking you through this process and achieving your goal of creating or expanding your family. Contact us with any questions; we will be happy to speak with you.