SURROGACY

Surrogacy is carrying of pregnancy and birth of a child by a woman, who is not genetically related to this child.

At the same time, physical appearance and characteristics of a surrogate mother are not inherited by an unborn child. He or she inherits only traits of his/her genetic parents.

 

Indications for surrogacy programs

 

  • Deformation and adhesions of the uterine cavity and cervix.
  • Absence of the uterus (congenital or caused by uterectomy).
  • The length of the uterine body is less than 35 mm.
  • Malignant neoplastic disease of any etiology.
  • High risk of habitual miscarriage of pregnancy.
  • Medical history of habitual miscarriage of pregnancy: history of three or more spontaneous abortions.
  • Multiple unsuccessful attempts of IVF from inexplicable causes (with high-quality embryos).

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Surrogate mother

A surrogate mother is a woman who carries and gives birth to a baby for a married couple for free or for monetary reward.

 

A surrogate mother cannot be an oocyte donor at the same time. This means that she should not be genetically related to an unborn child (“gestational surrogacy”).

 

Requirements to a surrogate mother.

  • Age 20-35 years.
  • No history of premature delivery and caesarean section.
  • Presence of her own healthy child.
  • Not more than two previous deliveries.
  • Physical (somatic) and mental health.
  • A written voluntary consent to participate in the program.
  • A written consent of her husband (if a woman, surrogate mother, is officially married).

 

Required examinations of a surrogate mother.

Before entering the Program, a surrogate mother is subjected to careful medical examination. It includes the following:

  • physical examination and conclusion by a therapist;
  • general and specialized pelvic examination;
  • ultrasound examination of mammary glands at cycle days 5-11 and conclusion by a breast physician;
  • ultrasound examination of pelvic organs;
  • blood test for blood group and Rh-affinity;
  • complete blood count and biochemistry;
  • coagulation test (coagulogram);
  • blood test for HIV, syphilis, hepatitis B and C;
  • blood test for antibodies to rubella;
  • urine analysis;
  • urine analysis for harmful habits;
  • tests for infections (gonorrhea, chlamydia, genital herpes, ureaplasmosis, mycoplasmosis, cytomegalovirus);
  • bacterial swab tests and tests for the degree of cleanness of the urethra, cervical canal and vaginaмазки на флору и степень чистоты из уретры, цервикального канала и влагалища;
  • cytological examination of swabs of the uterine cervix and cervical canal;
  • chest photofluorography;
  • electrocardiogram.

 

Surrogacy stages

 

  1. Controlled ovulation stimulation in a patient or an oocytes donor.
  2. Follicles puncture and search for oocytes in a patient or an oocytes donor.
  3. Fertilization of oocytes and cultivation of embryos.
  4. Transfer of embryos into the uterine cavity of the surrogate mother (embryo transfer).
  5. Hormonal support of the endometrium.

 

Rights of biological parents to get medical information on the state of health of a surrogate mother

 

The contract clearly specifies that customers have right to obtain information about the course of pregnancy and the state of health of a surrogate mother.
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You will receive reports at all key stages: pregnancy test, routine screenings and results of examinations.

 

Administrators in our centers are constantly in touch with a surrogate mother.

She receives reminders of upcoming visits to the doctor, the need to undergo tests and prepare for them in a timely manner. Center administrators take interest in the way a surrogate mother spends her day, her psychological state and state of health. All information is submitted to future parents in the form of reports. Schedule and type of reporting documentation are specified in the contract in advance and may be individual.

 

Moreover, we can offer additional help of our coordinator, who will regularly send you photo reports from the place of residence of a surrogate mother.

 

The contract with a surrogate mother provides her responsibility in relation to smoking and alcohol.

 

The right to communicate with a surrogate mother

 

It depends on customers themselves whether they will communicate with a surrogate mother or not.

If you do not want to disclose your personal information, or avoid psychological attachment to a surrogate mother, you will receive all information from our administrators.
If a married couple decides to have an opportunity to meet with a surrogate mother, upon your request we will coordinate time of her visits to the clinic, where you can attend US (ultrasound) examination and personally observe how your baby is developing.

 

When signing a contract with a surrogate mother, ways and schedules of your contact with her via various communication channels (Skype, phone, etc.) are stipulated.

 

Legislation of Ukraine on surrogacy

 

Surrogacy is regulated by a number of legislative acts.

  1. The Family Code of Ukraine.
  2. The Law of Ukraine “On state registration of acts of civil status”.
  3. “Rules for state registration of acts of civil status”.
  4. “Instruction on the procedure of usage of assisted reproductive technology” approved by the Order of the Ministry of Health.
  5. The Law of Ukraine “On citizenship of Ukraine”.
  6. “Rules for entry of foreigners and stateless persons into Ukraine, their departure from Ukraine and transit passage via the territory of Ukraine” approved by the Resolution of the Cabinet of Ministers of Ukraine.

 

Legislation of Ukraine provides no restrictions concerning delivery of in vitro fertilization services by a medical institution, with the exception of personal medical contraindications.

 

The Family Code of Ukraine (S.3, Ch. 12, Art. 123 on origin of a child born as a result of use of assisted reproductive technology) states the following:
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  1. In case a wife gives birth to a child conceived as the result of use of assisted reproductive technology employed with the written consent of her husband, he is registered as the child’s father.
  2. When a human embryo conceived by spouses (a man and a woman) using assisted reproductive technology is transferred into the body of another woman, these spouses shall be child’s parents.
  3. Spouses are recognized as parents of a child born by the wife, after transfer into her body of a human embryo conceived by her husband and another woman using assisted reproductive technology.

 

Legal relationship in surrogacy is clearly regulated by Part 2 of Article 123 of the Family Code of Ukraine.

 

 

Advantages of Ukrainian surrogacy legislation

 

  • Genetic parents are protected by law from the risk that a surrogate mother will refuse to give them a child.
  • According to Art. 123 of the Family Code of Ukraine, biological parents, in other words YOU, are only parents of a child.
  • Expanded and multi-level protection of rights of biological parents and obligations of a surrogate mothe.
  • From the very beginning, only biological parents, in other words YOU, are indicated as parents in child’s birth certificate.

A surrogate mother is not mentioned in the birth certificate.

  • Conclusion of contracts for surrogacy on a commercial basis is permitted in Ukraine. At the same time, there are no limitations of the amount of remuneration.
  • Approval of any special authority (as in cases of adoption) is not required.
  • Court proceedings are also not required.
  • Further procedure of adoption of a newborn child is not stipulated.
  • According to legislation of Ukraine, a surrogate mother does not acquire any rights for a child born as the result of a surrogacy program. Only biological parents are legal parents.

 

Contract for surrogacy

 

In addition to current legislation, in order to protect rights and interests of individuals, participating in a surrogacy program, additional mechanisms are applied.
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  • A contract between a surrogate mother and biological parents.
  • A written consent of biological parents for a surrogate mother to carry a child conceived as the result of use of assisted reproductive technology.
  • A written consent of a surrogate mother, as well as her husband (if any) for carrying a child.
  • Statement of a surrogate mother on having no claims against biological parents after the end of the surrogacy program.
  • Consent of a surrogate mother for registering biological parents as child’s legal parents.

 

A contract for surrogacy is drawn up in great detail, in order to consider to the fullest degree all aspects, possible complications and details.

For instance:

  • Obligations of a surrogate mother.
  • Compensation for medical expenses.
  • The place of residence of a surrogate mother during pregnancy.
  • The medical institution, where the program, embryo implantation and delivery will take place.
  • The amount of surrogate mother’s remuneration.

 

A contract may also include psychologist’s services to support the parties during pregnancy and delivery, as well as provide assistance in reaching agreement on various issues.

 

 

Our advantages

 

  • Extensive experience in the field of surrogacy.
  • We take it on ourselves to carry out all legal paperwork and other formalities, including documents, certificates, etc.
  • We have our own database of examined and validated surrogate mothers and oocyte donors. This database contains ample information, including a file and photos.
  • All procedures are performed in compliance with current legislation.
  • Personal acquaintance with a surrogate mother is upon request.
  • Possibilities to choose a surrogate mother and/or an oocyte donor, in particular, on a remote basis.
  • Some of the lowest prices for surrogacy programs in the world.
  • At the same time, we offer European level of our specialists’ competence, comfort and hospitality and full protection of rights of biological parents.
  • Transportation of cryopreserved embryos, oocytes and sperm cells to and from anywhere in the world.

 

Psychological aspects of surrogacy

 

Difficulties associated with surrogacy may arise not only from the physical side (e.g., miscarriage in a surrogate mother), but also from the moral side. In this context, there is a probability of psychological issues experienced by both biological parents and a woman, who dared to carry someone else’s child. Regarding the latter, it is not uncommon, when over the course of pregnancy, a surrogate mother gets attached to a child so much that she refuses to give a newborn baby to biological parents.  Such a situation is regulated by law in accordance with the contract signed at the initial stage of the surrogacy program.

Surrogacy may be challenging for a husband as well, for whom it is hard to accept that his wife carries someone else’s child for another family. However, it is a married women, in addition having their own children, who are more preferable in the capacity of surrogate mothers, as childless and single mothers are more prone to get attached to a child they are carrying.
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As for biological parents, psychological problems may occur primarily in a woman who can face difficulties realizing she is not able to give birth herself. Disappointment may even provoke a number of complexes associated with a feeling of inferiority. The situation is complicated by worries about pregnancy of a surrogate mother, her lifestyle and if she does not harm to an unborn child. For this reason, the contract between the parties should include the maximum number of provisions, but at the same time, should not be aimed to fundamentally change lifestyle of a surrogate mother, except for factors that are harmful for unborn child’s health.

It is more appropriate to treat a surrogate mother with due respect as a person who is ready to make other people happy. Most surrogate mothers perceive the situation as an ordinary well-paid job.
Help of a highly qualified psychologist at any stage, delicate and timely interference into sensitive problems, and prevention of possible difficulties – that’s what distinguishes our surrogacy centers.

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