Footsteps to fertility foundation

Surrogacy Treatment with Footsteps To Fertility Centre

Surrogacy is an arrangement in which a woman carries and delivers a child for another couple or person.

It requires a great deal of time and patience to succeed, but it can bring happiness to all concerned if the medical, legal, financial and emotional aspects are properly considered.

Sometimes those who wish to have a baby will need the help of a surrogate to make their dreams of having a family come true.

A surrogate mother is a woman who agrees to carry a baby for the duration of a pregnancy and once the child is born, he or she will be legally adopted by the intended parents.

At Footsteps To Fertility Centre located  in Nairobi, Kenya, we have been helping couples to create their families through surrogacy for a number of years. Our team has a  wide range of expertise dedicated to helping you on your journey into parenthood.

Feel free to contact us, chat with us  or directly reserve an appointment below. We are more than happy to provide an incredible opportunity for those unable to carry a child.

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Who is a candidate for surrogacy?

Candidates for IVF surrogacy can be divided into two groups

  1. women born without a uterus or who because of uterine surgery (hysterectomy) or diseases (congenital malformations, severe adhesions, multiple fibroids), are not capable of carrying a pregnancy to full term; and
  2. women who have been advised against undertaking a pregnancy because of systemic illnesses, such as diabetes, heart disease, and hypertension, severe musculoskeletal abnormalities, Rh isoimmunization, or certain malignant conditions, necessitating the use of chemotherapy, or associated with contraindications to the extremely high levels of estrogen associated with pregnancy.

Who can be a surrogate?

  • The surrogate must have previously carried a child and given birth to a live child,
  • The surrogate must be at least 25 years of age,
  • The surrogate’s eggs must not be used in the conception of the child.

Incredible opportunity for those unable to carry a child

The Surrogacy Process

  • Medical consultation – The intended parent (s), surrogate and surrogate’s partner will be asked to attend a consultation with a specialist, where the medical procedures involved will be explained to them and all relevant medical details checked.

  • Obstetrics assessment – The specialist reviews the medical history and screening blood test results from the surrogate and intended parents, and provides recommendations for the specialist. The specialist will then inform the surrogate and/or intended  parents whether they are able to proceed to the counselling and legal stage.

  • Counselling – Counselling provides the opportunity to discuss treatment on a more personal level. It allows people to raise issues that are more private, such as individual concerns, relationship difficulties or current life situations that may affect the couple’s experience of treatment.

    The intending parent(s), surrogate and her partner (if applicable) will be required to attend two separate counselling sessions and one joint counselling session. Further counselling may be required if indicated by the counsellor.

  • Legal consultation – The intended parent (s), the surrogate and her partner (if applicable) will be required to organize separate appointments to obtain independent legal advice. Each must obtain advice from separate legal advisers.

  • Nurse consultation – Our fertility nurse  will discuss the details of the cycle treatment the specialist has ordered, such as treatment cycle  the fertility specialist has proposed for the intended parents, the treatment cycle for the surrogate, the function and administration of medications to be used during the various stages of the treatment cycles, the side effects and risk factors of the medications, a review of the compulsory blood tests/screenings for all parties and finally the consenting process.

  • Quarantine period – gametes or embryos used in surrogacy (intended parents or donor) must be quarantined for six months before an embryo is transferred to a surrogate. This is so that repeat screenings for infectious diseases can be undertaken.

  • Treatment – Treatment will normally begin after all the above steps have been completed.

    A healthy lifestyle is recommended for both surrogate and intended parents before and during egg or sperm collection, embryo transfer and pregnancy. This includes a sensible approach to diet, exercise and alcohol. You will be advised to stop smoking and restrict your alcohol consumption before and during treatment until treatment outcome has been confirmed by a pregnancy test.

 Management and monitoring after embryo transfer

Embryos are transferred to the surrogate’s uterus 3-5 days following egg retrieval and 2-3 days of rest is recommended for optimal outcome.

The surrogate will be given daily progesterone injections and/or suppositories in order to maintain an optimal environment for implantation and approximately 7-10 days after the embryo transfer will undergo a pregnancy test.

A positive test indicates that implantation is taking place. In such an event, the hormone injections will be continued for an additional four to six weeks.

An ultrasound examination will be performed to confirm a clinical pregnancy. If the test is negative, all hormonal treatment is discontinued, and menstruation will follow within three to 10 days.

If the surrogate does not conceive, the aspiring mother may have her remaining embryos (if any) frozen, be thawed and transferred to the uterus of another woman at a later date. If the surrogate does not conceive, after both the initial attempt and subsequent transfer of thawed embryos, the infertile couple may schedule a new cycle of treatment.

 Success rates with IVF for surrogacy

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Like the pregnancy rates for egg donation, the rates for surrogacy have traditionally paralleled those achieved through conventional IVF.

However, in the case of surrogacy where the age of the egg provider cannot be controlled, success rates are influenced by the effect of age on egg and embryo quality.

The implementation of a new method of preparing the uterus with estradiol valerate injections for embryo transfer has resulted in birth rates greater than 50% per embryo transfer when the eggs are derived from women under 35 years of age.

Gestational surrogacy is an acceptable treatment modality. It provides intended parents a realistic and viable option for establishing a pregnancy using their own gametes.

There are significant benefits for all parties involved, including the commissioning parents, the surrogate who can enjoy a lifetime of personal gratitude from this extraordinary act of selflessness, the medical team and the many children conceived by these procedures.

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