In Surrogacy, there is something called PGD testing (preimplantation genetic diagnosis). A procedure that looks for genetic and chromosomal abnormalities before getting started with the journey. PGD allows couples with a hereditary genetic condition to significantly reduce the risk of passing it onto their children. In many cases, PGD can help prospective parents prevent their baby from being born with a serious genetic condition. PGD testing is utilized during an in vitro fertilization or IVF cycle.
Beginning your surrogacy journey, it is our duty to ask you if you are willing to go through this process. This topic is also discussed when you go to your psychological evaluation to ensure that you understand everything that might happen during your journey.
Given that this process takes time and it is considered by many Intended Parents, it is also your choice to go through it or not. Many Intended Parents ask for this procedure because they have been struggling with trying to form a family of their own and have been unsuccessful, and all we want is to ensure they get to have healthy children.
Before going through the procedure, you, along with the Intended Parents, are thoroughly informed of the risks. The test is done by an IVF clinic and it is done on the embryos before transfer. The tests are up to 99% accurate in identifying genetic defects, and this helps reduce the chances of pregnancy termination. As accurate as these tests may be, it does not eliminate the risk of conceiving a child with a genetic disorder.
Termination in surrogacy
Termination, also known as elective abortion, is the medical procedure done to end a pregnancy. There is always further testing done in the early trimester of the pregnancy, and if any screening tests result in positive or questionable results, then an amniocentesis may be requested.
What is an amniocentesis?
An amniocentesis is an office procedure in which a small amount of amniotic fluid is removed through an ultrasound-guided needle which is inserted through the abdomen into an area where there is a pocket of fluid. Depending on results, some parents may decide to terminate a pregnancy due to the possibility of decreased quality of life of a child with abnormalities. Sometimes a pregnancy termination may be advised due to other health issues the child or Surrogate may present.
Multiple Pregnancy – Selective Reduction
When the embryo transfer is done, usually one embryo is transferred. If you are willing to carry twins and it is agreed upon with your Intended Parents, then two will be transferred. Although rare it can happen, if one or two fertilized eggs split, producing multiple pregnancies, the doctor may recommend, or the parents may choose, to reduce the pregnancy to one or two. This is where you might hear the term “selective reduction” (Multifetal pregnancy reduction (MFPR), which is a procedure used to reduce the number of fetuses. This is done not only to have a healthy pregnancy but for your safety. The way this is done is by injecting medication into the additional embryo that stops it from further developing, and it is absorbed into the body.
As with any procedure, the doctor will further explain how and why the tests and procedures are performed should you need any of them done. It is advised that your husband or significant other agrees with your decision of going through any of these medical procedures. If you ever have questions, please know we are here to assist you in any way and every way possible.