Surrogacy - Step-By-Step Process

Initially, the surrogacy process may seem a little daunting. We believe that there is no such thing as too much information, starting from the time a couple begins to explore this path to parenthood and throughout the pregnancy and delivery. For this reason, we have designed our website to provide comprehensive information - nothing is hidden and there will be no surprises. There are many steps and ensuring everything proceeds smoothly is essential to all parties having a carefree and enjoyable experience.

Below is an overview of the steps from the time you contact us through confirmation of pregnancy. It is only an overview; the specific details relating to each step from initial contact hrough delivery is contained in the information that will be sent to you.

Pre-registration

The steps in the pre-registration process are:
  (1) Upon receipt of your Prospective Parent Inquiry, e-mail, or call, we will send you an informational booklet regarding surrogacy
  and Baby Miracles' program, along with a Schedule of Fees & Estiamted Expenses and a list of references.
  (2) Telephone conference (only one of the Intended Parents is required for this call, but we welcome the participation of both) with
  the agency's Director for a mutual interview, a cursory review of the surrogacy process, and an opportunity to ask any
  questions you may have.
  (3) You will be sent registration documents to complete and return to the agency.

Registration with Baby Miracles
Upon receipt by Baby Miracles of the Registration documents and Registration Fee, as part of the registration process, a meeting with the Director will be scheduled which Prospective Parents must both attend (or participate in if via conference call - non-local couples only). During this meeting, there will be a thorough, step-by-step review of the surrogacy process and we will discuss many surrogacy-related issues, including your expectations and desires with respect to your surrogate and the type of surrogacy experience you wish to have. Once completed, you will be deemed registered with Baby Miracles.
 
Locating and Meeting Your Surrogate
Once you are registered, we will do our utmost to match you to a Surrogate that meets your stated preferences and requirements. Generally, we have a number of Surrogate candidates to choose from at any given time. The profiles and photos of available Surrogates who meet your preferences and requirements will be provided to you. If none of our available Surrogates meets your needs, our Recruiters will undertake a search to locate one who does. When you have reviewed the profile of a Surrogate you are interested in meeting, contact us and we will call the Surrogate and tell her briefly about you and provide her with a copy of your profile (omitting confidential pages) for her review.

If the parties agree to meet, a meeting will be scheduled either at Baby Miracles' office or via conference call, which will be facilitated by the agency's Director. After the meeting (or two meetings, as the parties wish), you and the Surrogate are given a few days to decide if you want to work together.

Securing Your Surrogate
Once you and a Surrogate decide to work together, your Surrogate will be placed on "reserved" status for seven (7) calendar days to allow a sufficient amount of time for us to receive the first installment of the Agency Fee.

Process Letters
Upon matching, the parties will be sent process letters relating to all matters pertaining to their surrogacy arrangement up to confirmation of pregnancy. Prospective Parents' letter will contain specific itemizations of escrow deposits to be made as set forth below. Additional process letters will be sent throughout the surrogacy arrangement.

Establish Escrow Account
An account with an independent bonded escrow company, selected by Baby Miracles ("Escrow Account"), must be opened to make disbursements on your behalf. Upon receipt by the escrow company of fully signed Escrow Instructions and the initial deposit (an amount sufficient to cover preliminary expenses), medical screening will be scheduled. Not less than two weeks prior to the anticipated embryo transfer, an amount sufficient to pay all expenses associated with your Surrogate for a singleton, uncomplicated pregnancy will be required.

Obtain Health Insurance
(If applicable). If the Surrogate has a health insurance policy that contains a specific provision that it will cover a surrogacy-related pregnancy, you may elect to have her utilize her insurance (provided she agrees) and you will be responsible for co-pays and deductibles associated with maternity care and delivery. If the Surrogate either does not have insurance or her policy does not specifically include surrogacy coverage, an individual policy must be applied for prior to the Surrogate attending her first appointment at the fertility clinic and coverage must be confirmed prior to an embryo transfer.
For additional information, see Medical & Insurance Aspects.

Medical and Psychological Screening
The surrogate, her husband/partner (if any), and the Prospective Parents will undergo medical screening to ensure there are no communicable diseases. The Surrogate will also have additional testing and procedures to confirm her suitability as a surrogate as well as a psychological evaluation. Some clinics will require the Prospective Parents to undergo a psychological evaluation as well.

Contract
Following successful completion of medical and psychological screening, a Surrogacy Contract will be entered into between the parties. Once all parties have signed the Contract, the Surrogate may commence medications. For more information, see Legal Aspects.

The Cycle Begins
The clinic will set the cycle calendar. For information, see Medical & Insurance Aspects.

The Embryo Transfer
Following the embryo transfer, your Surrogate will have three days of mandatory bedrest. A beta hCG blood test will be performed approximately 10-14 days following the date of the embryo transfer to determine whether she is pregnant. If the first beta is positive, a second beta is generally performed two days later to confirm the number is increasing appropriately.

Pregnancy Confirmation
Upon confirmation of pregnancy by blood test, your surrogate will be scheduled for an ultrasound which will take place approximately four weeks following the date of the embryo transfer during which the fetal heartbeat(s) can be visualized. Your surrogate will continue on supplemental hormone therapy until approximately 9-12 weeks of pregnancy, after which she will "graduate" from care by the fertility clinic and begin seeing an obstetrician.

There is much more to the steps listed above as well as many more between pregnancy confirmation and delivery will be discussed in detail with you personally and in writing.