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Behind the Scenes of Biomaterial transport and COVID-19 trends

We know that many parents going through international surrogacy programs have endless questions about biomaterial transport internationally and are asking “What happens with embryo transport during COVID-19, and how can the processes be expedited?

As shared during our most recent call with ADONIS’ Senior Attorney, the Ukraine quarantine has been extended to May 15th. After that, the plan is to begin opening the country for travel inside and out, meaning: 

Phase 1 – inter-city transportation

Phase 2 – between-regions transportation

Phase 3 – opening air for international passenger travel

Some projections show that passenger air traffic will re-open is as late as mid-summer. 

In the United States, each state is looking proactively at travel policies. The same is happening in Europe and other countries.

Are there alternatives to biomaterial transport? Are there any projects/solutions we can learn from?

During ADONIS’ April 29th Wednesday Hot Seatleaders in the biomaterial transport industry gathered to provide real-time support and share their perspective on biomaterial transport. The discussion included updates and projections on international courier services, process overview, the integrity of biomaterial checks and balances, best practices for planning transport to ensure success, and key items to be aware of when dealing with international embryo transportation. 

We were impressed by the spirit of service demonstrated and the desire of industry leaders to add as much value as possible. It was an incredible example of the leadership and servant attitude, and spoke volumes to the values these companies hold. This is exactly the spirit of collaboration and creative thinking that’s needed today. 

A couple of notes:

  1. Each company shared that the safety of your biomaterial is the main priority. Safety will take precedence over speed. As each courier company looks for the best routes, they will be transparent on the pros and cons surrounding each solution.
  2. Developments regarding border access and options are tracked daily.
  3. Each company shared their take-aways on safety and their preferred processes for biomaterial handling.
  4. As of now, there are cases of biomaterial transport into the U.S., but there is currently none being transported from the U.S. Couriers have been able to come into the Ukraine from other countries (e.g. Europe). Once again – check with your courier to inquire whether multi-transit routes are an option for your case.
  5. The best course of action right now is:
  • Top priority: complete all your required paperwork for the clinics, including getting an official “Acceptance Letter” from a receiving clinic (when you work with ADONIS, we handle all management and due-diligence surrounding the paperwork and approvals as part of our complimentary convenience service).
  • Discuss travel options and current status with the courier of your choice.
  • If applicable, apply (along with the receiving clinic) to the Ministry of Health for permission for your chosen courier to be on their expedited entry list. Please note that this permission will be reviewed on a case-by-case basis. Permission is more easily obtained when the reasons for urgency are clearly explained. There must be a valid reason supported by the receiving clinic about why your case should be on the expedited travel permission list.
  • Be on standby with your courier – meaning, you will be notified as soon as a safe, approved route is available. It’s a good practice to check with your clinic regarding how much notice they require to prepare the shipment as well. Check if your clinic is now open, closed, or operating on a limited basis.

SESSION ARCHIVE:

ADONIS’ Wednesday Hot Seat

April 29: Behind the Scenes of Embryo Transport and COVID-19 Trends

First Egg Bank: Peter Hura, Director Courier Services
Cryozoom: Sunil Gossai, Director, Cryozoom
IVF Couriers LLP: Simon Hedley and Annare Bernet, Managing Directors,  Ashling Mehan, USA Logistics

If you did not get the chance to attend, here is the session archive

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    Offers

    IVF+ICSI+SPERM DONATION with the medicines cost

    Medical services:

    • Donor`s sperm (one dose)
    • IVF+ICSI with the medicines cost
    • Controlled stimulation of Patient`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of induction of superovulation Individual Protocol
    • Test on progesterone of blood at day of trigger injection
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

    Non-medical services:

    • Selection of Sperm`s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of IVF Program
    • Free 2nd medical opinion
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    IVF + ICSI + EGG DONATION + medicines cost

    Medical services:

    • Examination of Oocytes donor (fresh before IVF)
    • Cryopreservation and storage of sperm during 12 months
    • IVF+ICSI with Eggs Donation with the medicines cost  (own Egg Donor)
    • Medicines cost for Egg Donor, without the cost of medicines for the patient:
    • Controlled stimulation of Eggs donor`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of Eggs donor’s stimulation
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of Eggs donor`s ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Cost of embryological supply of TVP
    • Cryopreservation of embryos / oocytes with vitrification method (1 cryothek)
    • Storage of cryopreserved biological material and embryos within 4 months

     

    Non-medical services:

    • Selection of Ooctyes donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of Egg Donation Program
    • Free 2nd medical opinion
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    IVF+ICSI+EGGS & SPERM DONATION (6 "fresh" donor`s eggs)

    Medical services:

    • Donor`s sperm (one dose)
    • IVF+ICSI with Eggs Donation (6 “fresh” donor`s eggs) with the medicines cost
    • Eggs donation
    • Controlled stimulation of Eggs donor`s ovarii (induction of superovulation) (without the cost of medicines)
    • Medical supply of Eggs donor’s stimulation
    • Preparing of endometrium of Patient
    • Medical supply of endometrium preparing
    • Consultation of anaesthesiologist
    • Intravenous anesthesia (up to 30 minutes)
    • Transvaginal punction of ovarii (without cost of intravenous anesthesia) (TVP)
    • Preparation of sperm for IVF program
    • Intracytoplasmic sperm injection (ICSI)
    • Cultivation of embryos in IVF program, including till blastocyst stage (by needs)
    • Embryos transfer (ET) in Patient`s uterus cavity in IVF program
    • Cost of embryological supply of TVP
    • Cost of embryological supply of ET
    • Blood test on Human chorionic gonadotropin (beta-hCG)
    • Ultrasound diagnostics of pregnancy in terms up to 11th weeks
    • Blood sampling

    Non-medical services:

    • Selection of Ooctyes donor
    • Selection of Sperm`s donor
    • Translation of Patients` documents for Medical Center (passports, marriage certificate)
    • Coordination Services of Egg Donation Program
    • Free 2nd medical opinion
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    Waiting for baby, twins

    • Consultation of obstetrician-gynecologist of a pregnant woman
    • Consultation of a leading specialist of the obstetric hospital from the 22nd week
    • Consultation of obstetrician-gynecologist 6-8 weeks after delivery
    • Consultation of therapist
    • Consultation of ophtalmologist
    • Consultation of endocrinologist
    • Otolaryngologist consultation
    • Consultation of dentist
    • Genetics consultation
    • ECG
    • Ultrasound of fetus (1,2,3 trimesters)
    • Abdomen and kidneys ultrasound examination, Thyreoid gland, Breast, Cervix
    • Doppler of utero-placental blood flow
    • CTG fetal
    • Сolposcopy
    • Complete blood count and leukocytic formula and other
    • Prenatal screening
    • Urine analysis general
    • Bacterial seeding of urine + antibiogram
    • Microscopic analysis of discharge from the urinary tract (microflora)
    • Cytological examination of urogenital smears (PAP-test)
    • Bacterial seeding for the microflora determination (urogenital)
    • Determination of Streptococci, group B (Streptococcus agalactiae) with sensitivity determination to antibacterial medicines
    • Consultation of pediatrician in clinic of baby during the first month of life
    • Maternity school
    • Stay of a pregnant woman in the “Standard” ward, 1 day (observation in ADONIS)

     

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    Waiting for baby since 20 weeks

    • Consultation of obstetrician-gynecologist of a pregnant woman
    • Consultation of a leading specialist of the obstetric hospital from the 22nd week
    • Consultation of obstetrician-gynecologist 6-8 weeks after delivery
    • Consultation of therapist
    • Consultation of ophthalmologist
    • Consultation of endocrinologist
    • Consultation of dentist
    • ECG
    • Ultrasound of fetus (1,2,3 trimesters)
    • Abdomen and kidneys ultrasound examination, Thyroid gland, Breast, Cervix
    • Doppler of utero-placental blood flow
    • CTG fetal
    • Сolposcopy
    • Complete blood count and leukocytic formula and other
    • Prenatal screening
    • Urine analysis general
    • Bacterial seeding of urine + antibiogram
    • Microscopic analysis of discharge from the urinary tract (microflora)
    • Cytological examination of urogenital smears (PAP-test)
    • Bacterial seeding for the microflora determination (urogenital)
    • Determination of Streptococci, group B (Streptococcus agalactiae) with sensitivity determination to antibacterial medicines
    • Consultation of pediatrician in clinic of baby during the first month of life
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    IVF - ICSI

    SURROGACY+ED UNLIMITED

    Medical services:

    • Examination of man before IVF (karyotype cost is not included), if needed (Spermogramm; Blood group, Rh factor; Hepatitis B – HbsAg; Hepatitis C (HCV), Ig total; Treponema Рallidum, Ig total; HIV (screening test for antibodies to HIV by IFA); X-ray of thoracal cavity organs in direct projection)
    • Cryopreservation of sperm (UNLIMITED)
    • IVF+ICSI+ED with the medicines cost for Donor`s stimulation, without embryo transfer with the storage of embryos during 12 months
    • PGT (24 chromosomes) UNLIMITED (will be made by decision of the Medical Center)
    • Examination of Surrogate mother before IVF program according to locally approved MGC «Adonis» protocol (Surrogate mothers – if needed)
    • Cryoprogram, UNLIMITED (transfer of thawed embryos, cost of medicines for endometrium preparation included)
    • Prenatal care program “Expecting baby”
    • Medicines for SM`s pregnancy support (up to $1000)
    • SM`s delivery in a natural way, pregnancy with 1 fetus (The cost of delivery by cesarean section and / or twin delivery must be paid extra)
    • Interruption of nonprogressive and progressive abnormal uterine pregnancy in terms up to 12 weeks (with the cost of pathohistological examination) – one time if needed

    Non-medical services:

    • Biomaterial Transportation Coordination and Paperwork Completion
    • Selection of Egg Donor (UNLIMITED)
    • Selection of Surrogate Mother (UNLIMITED)
    • Surrogate mother’s stay in the Standard Room (up to 15 days)
    • Standard Compensation to Surrogate Mother (1 time): transport expenses, embryo transfer, 9-months compensation for a healthy diet and clothing, final compensation
    • Translation of Patients` documents for Medical Center (passports, marriage certificate medical documentation required to start the Program)
    • Legal services pre-birth (standard): development and signing of the agreement with the surrogate mother and all the agreements required for the program (including notary for one surrogate mother)
    • Legal services post-birth (one child registration; standard; urgent): legal services for scheduling and preparation of documents for standard registration of a child born as a result of the client’s participant in the SM program, included preparing documents for ONE embassy and Civil Registration Office, and accompany clients for post-birth vital meetings (i.e., birth certificate filing and receiving at the Civil Registration Office)
    • Program coordination and support (English) till pregnancy confirmation
    • Program coordination and support (English) pregnancy confirmation till baby exit. Coordination included in Kyiv and Lviv.

     

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    Doctors

    MD, Obstetrician-Gynecologist, Fertility specialist
    Kochet
    MD, Acting Head of the Department of Assisted Reproductive Technologies, Obstetrician and GynecologistFertility Specialist

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