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Surrogate Delivery Process: What IPs Should Expect

We’d like to share with you this article based on our hottest webinar from 14.07 with Dr. Sazonova.

Dr. Sazonova is one of the top child delivery specialists in Ukraine. In her more than 20-year career, she has delivered more than 5,000 children.

The top 3 factors important for a successful delivery 

The big part of the success of the delivery is teamwork. The team, the equipment, the training of the team members and the collaboration.

In ADONIS it starts from the moment when we are selecting doctors for our team. There are several criteria like the prior experience of a minimum of 20 years, highest qualifications and so on.

We are using leading types of equipment in the industry same as in leading countries in the world. 

How to build trust between the pregnant woman and the doctor?

Developing the trust between the pregnant woman and a doctor is extremely important. So this process starts even before the delivery, during the planning which is also part of the process. 

When the surrogate comes to us to enter the program we already know her and all details about the future program. 

And of course, a lot of time is being spent on communication with the surrogate about any of her emotional concerns and questions. 

Doctors spend a lot of time educating the surrogate about warning signs about her health condition during the pregnancy. 

In addition, we have coordinators to help surrogates and we also have a direct emergency line for any questions 24/7.

Red flags the pregnant woman must watch out for

The most common ones are: any kind of bleedings even if it is tiny spots, vomiting, deviations with blood pressure, any problems with eyesight or abnormal headaches, stomach pain, fever, etc.

Or any other discomforts that the surrogate noticed should be reported right away. 

Are there any stress signs to feel the needs of the baby itself as well?

From the beginning of the surrogacy program, there are conversations with the mother about how to take care of the baby and how to create the best environment for the baby (food, sleeping, walking, etc.)

Part of the pregnancy observation program and preparation for the delivery at 32 weeks of the pregnancy surrogates are being taught how to do the test of movements of the baby. There is a specific algorithm of recording (how often, how many intervals, and so on).

The next test is a periodic evaluation through scheduled ultrasound of the baby. As everything is well, this standard check-up should be done every 2 weeks. If any other prescriptions can be more often. 

There are many more tests are being done during the process to be sure that all is going on perfectly. 

How to make decisions about the expected delivery (natural or c-section, term, etc.)

At around 32-33 weeks the concilium of doctors is being created and the plan of the delivery is being designed as well. 

If it has been decided that it will be a c-section then doctors will set a preliminary day of the c-section.  At 37 weeks doctors make one more final decision about the date. Cause at this time delivery can already happen. 

When it comes to natural delivery we need to realize that it can happen any time between 37 to 41 weeks. And doctors can not make precise date predictions here. 

How to prepare a surrogate for delivery? 

When we are talking about regular pregnancy the surrogacy is being instructed when she starts having tummy aches and how rot act.

If she has these pains every 10 minutes for one hour she must immediately report to the doctor and go to the hospital. 

There are also special mobile applications that can help to calculate contractions as well.  But of course, surrogates are already experienced in giving birth so they know what contractions are.

So after she arrives at the hospital the doctor will take all necessary observations and analyses first to determine the phase of the delivery.

The role of intended parents during delivery

First, it is needed to be decided if parents want to take an active part in the delivery and witness the delivery itself and cut the umbilical cord.

How newborns are monitored and cared for immediately after birth?

During the delivery, there will be already a neonatologist in the room. Very important 1st and 5th minutes after delivery to do the immediate test and check the condition of the baby. Then it can be transferred to parents.

At the moment due to pandemic, there is a preference to have 1 extra person to be at the delivery room and normally it is advised to be a mother. 

Indicators of a high-risk pregnancy

One of the most common high-risk pregnancies is twins pregnancy. So this pregnancy will be watched more attentively. 

Another high-risk factor is the positioning of the placenta. And it depends on the category of the risk the surrogate will be suggested to do special exercises or treatments or even be placed closer to the clinic to be monitored. And it can happen as soon as 30 weeks.

What the neonatal intensive care unit (NICU) looks like?

If there is a prescription for NICU the baby is being placed there immediately after birth after evaluations.

At ADONIS we have the most innovated type of NICU and along with that, we have a team of certified reanimation specialists. 

How soon the baby is released from the hospital after birth?

Normally the baby is being discharged 3-5 days after delivery unless there is anything unusual. 

Can parents record the process during the c-section?

During the c-section parents can see the process as well behind the glass very close to the operation itself, so you can see all very close and record if you want. 

You can watch the recording of the webinar below:

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