Archive for the ‘News’ Category

Surrogacy 101: Counseling and Cycle Suggestions

Posted on: September 9th, 2011 by Simple Surrogacy No Comments

This article continues our series on informational articles about surrogacy.
After the initial medical screening, the Surrogate and Intended parents will also have counseling and psychological screenings and evaluations.

Counseling and Psychological Evaluations
The role of counseling is to prepare all parties involved in the treatment and to consider all factors which may influence the outcome. Counseling ensures that everyone is confident and comfortable with their participation and trusts each other. Counseling also minimizes foreseeable risks, thereby avoiding the placement of unacceptable burdens on any of the parties, including the future child. Some clinics require that a Minnesota Multiphasic Personality Inventory (MMPI) be completed by the Gestational Surrogate and Egg Donor before entrance into their medical program. The MMPI is one of the most frequently used personality tests in the mental health fields. This assessment, or test, was designed to help identify personal, social, and behavioral problems in psychiatric patients. The test helps provide relevant information to aid in problem identification, diagnosis, and treatment planning for the patient. All Intended Parents, Surrogates and Donors participating in Simple Surrogacy’s Program are required to undergo a Psycho-Social Assessment before moving forward with the medical and legal process. These are provided by our program and are not an additional expense.

Gestational Surrogate/Intended Parent(s) Suggestions
During the treatment cycle both the Surrogate and Intended Parent(s) should:

·         Be open and honest regarding expectations and hopes throughout the process.
·         Refrain from smoking, drinking, and drug use.
·         Eat healthy food.
·         Take vitamin supplements.
·         Intended Fathers should refrain from taking hot showers or baths and sitting in Jacuzzi tubs within the week of their sperm donation to ensure their donation results in the best quality of sperm they have to offer.
·         Refrain from sexual intercourse during the cycling process.
·         Keep stress levels to a minimum.
·         Avoid overexertion .
·         Refrain from taking any additional medication other than that prescribed by the Reproductive Endocrinologist (RE) and/or your personal Physician.

Theresa Erickson, previous owner of Conceptual Options, pleads Guilty in Baby Selling Ring

Posted on: August 12th, 2011 by Simple Surrogacy No Comments

It is always unfortunate when innocent victims are taken advantage of, and even more so, when the people taking advantage of them could just as easily be helping them. Such is the case of Theresa Erickson, previous owner of Conceptual Options and an attorney specializing in reproductive law, who has pleaded guilty to baby selling in a ring also involving attorney Hilary Neiman of Maryland. We are so saddened by the actions of those in power who have taken advantage of Intended Parents, surrogates and the unfortunate babies themselves. Ms. Erickson and her co-conspirators sold babies of Surrogates to Intended Parents for sums of at least $100,000, after sending the surrogates overseas to be impregnated with donor eggs and donor sperm. It is sad to see what was assumed to be a prestigious agency owner fall so hard, and we hope this leads to greater regulation and oversight of Surrogacy Agencies in general. Our sympathies lie with the Intended Parents and Surrogates who were taken advantage of not only emotionally by preying on their emotions and desire for a baby at any cost, but also were defrauded financially, as we all know a successful surrogacy with a reputable agency can be had for $65,000-$95,000, and not at the exorbitant sums that Ms. Erickson and Hilary Neiman were charging while breaking the law. We are sure there will be more to come from this sad story, and we hope that Intended Parents are not turned off from Surrogacy as a whole, as there are still reputable Agencies such as Simple Surrogacy to help Intended Parents and Surrogates at reasonable, legal costs.

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Attorney admits guilt in baby-selling ring

An internationally known Poway attorney who specialized in reproductive law pleaded guilty Tuesday to a key role in what federal authorities said was a baby-selling ring.

Theresa Erickson, 43, admitted that she and her co-conspirators used women to create an inventory of unborn babies that they would sell for over $100,000 each, according to the San Diego offices of the U.S. attorney.

Federal prosecutors said three women —- Erickson, along with Hilary Neiman, an attorney from Maryland, and Carla Chambers, a surrogate mother —- admitted guilt in the scheme. Assistant U.S. Attorney Michael Merriman said that Erickson agreed to pay restitution of $120,000 —- $10,000 each to 12 couples victimized in the scheme, which started as far back as 2005.

The parents in the scheme did receive children, however, they are considered victims and “we are certainly not taking steps” that would see the parents lose custody of the children, Merriman said.

Under the conspiracy, women would go to overseas clinics and have embryos implanted, becoming pregnant.

Once the pregnancy entered the second trimester, Erickson and co-conspirators would solicit prospective parents willing to pay the high fees to buy the parental rights for an unborn baby, the charges state.

The timing of when a deal is struck matters. Before conception, a woman can agree to become pregnant for profit, under California law. After conception, however, the woman cannot profit from being pregnant and supplying a child to prospective parents. The first instance is considered surrogacy, the second instance is adoption.

Under the baby-selling scheme, prospective parents were duped into believing that the pregnancies were the result of legitimate surrogacy agreements gone awry because the first set of intended parents backed out, federal prosecutors alleged. The replacement parents paid fees of more than $100,000 to take over what they believed were legitimate surrogacy agreements.

Prosecutors said the baby-selling scheme created “a steady flow of newborns with the promise that they (the pregnant women) would be paid between $38,000 to $45,000 for each successful pregnancy that resulted in a birth,” according to charges the U.S. attorney’s office in San Diego filed against Erickson on Tuesday, the same day she pleaded guilty to a charge of conspiracy to commit wire fraud.

Federal prosecutors say Erickson admitted that she faked surrogacy agreements to look like they were struck prior to conception of the baby, and then filed those false documents in court.

What’s more, the scheme enabled the pregnant women to get state insurance they were not otherwise eligible to receive, prosecutors said.

On a cached version of her website — which has since been removed —- Erickson was described as “one of the few attorneys in the United States who specializes exclusively in the area of Family Formation Law.”

The site stated that Erickson herself long ago became an egg donor for several couples seeking children.

Erickson is slated to be sentenced Oct. 28. She faces up to five years in custody.

Surrogacy 101: Screening Process

Posted on: August 6th, 2011 by Simple Surrogacy No Comments

This article continues our series on informational articles about surrogacy.

As the next step in the process begins, the Surrogate has just decided to match with her Intended Parent couple, who may be a traditional couple,  a gay or same-sex couple, or single Intended Mother or Father. The next step is for the Surrogate to go to the Intended Parent’s clinic of choice to begin her medical screening.

Your clinic of choice will screen the Carrier using the guidelines provided by The American Society for Reproductive Medicine. The screening encompasses a review of their detailed medical history, a physical exam, comprehensive laboratory testing, psychological assessment and medical screening. Multidisciplinary consultations with internists and specialists, psychologists and/or counselors, geneticists may also be required.

If there has been no previous work-up or if the testing is outdated, the Traditional or Gestational Surrogate’s work-up may include:

Gestational Surrogate Medical Screening

· Initial consultation with a Reproductive Endocrinologist

· Physical examination

· Gynecological Exam

· Blood count and chemistry

· Blood type and RH

· Drug toxicology (drugs, alcohol, and nicotine)

· Screening for rubella, cytomegalovirus, , toxoplasmosis

· HIV Antibody

· Hepatitis A, B and C Surface Antigen

· RPR for Syphilis

· Cytomegalovirus (CMV)

· Cervical Cultures for Gonorrhea, Chlamydia, Ureaplasma, and Mycoplasma.

· Genetic Testing for Cystic Fibrosis, Tay Sachs Disease, Sickle Cell Disease, and Thalassemia.

· FSH – cycle day 2 or 3

· Group B Strep

· Hysterosalpingogram or Sono-hysterosalpingogram

· Consultation with the IVF nurse coordinator regarding the treatment protocol,
medication and teaching of injections. Review and sign the consent forms.

The Intended Parents will also undergo a screening process, which we will detail later in this series. Once all parties have been screened, and they have passed, then everyone is cleared to begin Counseling, Psych Evaluations and Legal Contracts.

Surrogacy 101: Matching Process

Posted on: July 28th, 2011 by Simple Surrogacy No Comments

Surrogacy 101: Matching Process

This article continues our series on informational articles about surrogacy.

The Matching process is the most fluid and tentative process of the Surrogacy Journey. Intended Parents and Gestational Surrogates must rely on their agency’s expertise to make a great match between themselves so a great partnership can be formed. The relationship between the Surrogate and Intended Parent(s) is the most important in the whole surrogacy process. After all, the Intended Parent(s) and Surrogate will be spending the next productive year together! So, the matching process is very important.

To begin, all identifying information is removed from the Intended Parent(s) Profile. Then that profile is sent out to available, qualifying Surrogates who meet the Intended Parent’s requirements. Those requirements may include state of residence, willingness to reduce or terminate, experience, preferences on contact during and after pregnancy, and employment status. The Intended Parents may have many requirements, but the Surrogate will ultimately have her own requirements as well to pick her Intended Parents. Simple Surrogacy also determines if the parties personalities and common interests match well. All of these considerations are very important.

Once a Surrogate has reviewed the Intended Parent Profile, she will then contact Simple Surrogacy to discuss the potential match. If the Surrogate feels the Intended Parent(s) are a good match for her, we will then send the Intended Parents the profile of the Surrogate.

After the Intended Parent(s) have reviewed the Surrogates profile and are interested in pursuing a match,  the Executive Program Director will set up a conference call between the Intended Parent(s) and potential Surrogate so they can get a better feel for each other.

If the call goes well and they agree to take the next steps, then a face to face meeting is scheduled. Typically all parties will meet for dinner or lunch to become better acquianted.

Once the Intended Parent(s) and Surrogate have met face to face, they will then call the Executive Program Director to discuss how the meeting went and whether or not they would like to pursue a journey together. 

You are considered matched through Simple Surrogacy once you have met your Surrogate or Intended Parent(s) face to face and all parties have relayed to Executive Program Director that they would like to move forward with the medical and legal process.

Surrogacy 101- Application and review

Posted on: July 22nd, 2011 by Simple Surrogacy No Comments

Surrogacy 101: Application review

This article continues our series on informational articles about surrogacy.

After submitting your application for review to the selected Surrogacy Agency, the application will be reviewed by the Agency. Although we cannot speak to the processes used by other Agencies to determine acceptance by the Agency, we can describe the process at Simple Surrogacy.

Once we receive an application from a prospective Surrogate, our Surrogacy Coordinator carefully reviews it for any obvious red flags. Red Flags are cause for immediate rejection and can vary from being an active smoker, to being on psychological medication, to having an unstable home life. There are many reasons a Surrogacy Application can be refused, and many do not make it past the first screening. Once the initial review of the application is completed, the Coordinator passes the application upward to the Executive Program Director. After the Executive Program Director reviews the application, and finds it acceptable, she will contact the surrogate for her initial interview. In the event the prospective Surrogate has a spouse, he would need to be available for an interview as well. It is very important that your spouse/partner is supportive of your decision to become a Surrogate.
In the interview, the Executive Program Director will get to know the surrogate better, asking her about her home life, previous pregnancies and deliveries, why she would like to become a Surrogate, who would be ideal Intended Parent(s) for her, among many other questions. If the Surrogate does well on this interview, and the Executive Program Director feels she would make a wonderful Surrogate, then the Surrogate will fill out the Agency forms.

The Agency forms include a Surrogate Agreement with the Agency, a HIPPA release and a Medical Records Authorization. Using the Medical Records Authorization, the Agency will collect the Surrogate’s medical records from past pregnancies and deliveries and submit them for review with a Reproductive Endocrinologist (RE). The agency will also require the Surrogate to obtain a copy of her Insurance Policy for the agency to review.

Once all of those materials and documents are collected, submitted and reviewed, then the Surrogate and her spouse/partner are ready for the a background check. The surrogate’s information and her spouse/partner’s information are run through a high-level screening program to determine if they have any criminal or financial history that would disqualify them from working with our program.

Once the background check is cleared, the Surrogate’s insurance policy has been reviewed,  the medical records are collected and cleared and the Surrogate’s contract is received, a home visit or in person meeting between the Surrogate and Coordinator may be scheduled for a final review. At that point, the Surrogate’s application process is complete, and her profile is made available to prospective Intended Parent(s).

Surrogacy 101- Becoming a Surrogate

Posted on: July 16th, 2011 by Simple Surrogacy No Comments

Surrogacy 101:

Simple Surrogacy has decided to offer to its readers a guide to different parts of the surrogacy journey. To kick off this series, we’ll begin with how to become a surrogate.

Becoming a Surrogate

To become a Surrogate, you must first decide how you would like to be a surrogate, through an agency or independently. We at Simple Surrogacy firmly believe that the best Surrogacy journeys for Intended Parents and Surrogates alike are those coordinated/ managed by excellent Surrogacy Agencies. So, first the Surrogate must select the agency they intended to work with and review their qualifications. Every agency is different so it is very important to investigate your options, reasearch the agency that you are interested in, talk to Surrogates and Intended Parents who have experience with said agency, and make an informed decision based on your research and needs.

Most surrogacy agencies have similar prerequisites for their surrogates. The surrogates will have to meet some or all of the following qualifications:

• Be a citizen or permanent resident of the United States
• Be between the ages of 21-40 (Traditional Surrogates must be under 35)
• Have given birth to a child of your own
• Have had uncomplicated pregnancies and deliveries
• Be height-weight proportionate (BMI must be under 33)
• Have a valid drivers license
• Be in a stable living situation
• Have the support of your spouse or partner (when applicable)
• Not be on public assistance
• Be able to pass a background check
• Be willing to take medications via injection (when instructed by RE)
• Not smoke or take illegal drugs, or be exposed to second hand smoke
• Be willing to refrain from alcohol throughout the medical process and pregnancy
• Not have any sexually transmitted diseases that would subject you or the child you are carrying to physical harm
• Not have any psychiatric illness or take medications for depression or anxiety
• Not have had any tattoos or piercings within the past 12 months
• Be able to provide contact information for past OBs or family doctors so we are able to obtain your past pregnancy and delivery medical records

If you are interested in becoming a Surrogate, and you meet the above qualifications, then the next step in the process is to fill out the Agency’s application. Most Agencies will have at least an initial on-line application that you can begin to fill out. Some agencies have their entire application online for the surrogate’s convenience. The Application will ask the Surrogate many questions about their personal history, medical history and living situation. Most applications start with general questions, like marital status, number of children, occupation and lifestyle. But the applications will also collect detailed history about the potential Surrogate’s medical history, reproductive history, and any other surrogacy or egg donations she may have undergone. The application also will ask questions designed to get an ideal match between the Surrogate and her Intended Parents. These questions include personality, hobbies, interests, talents and likes and dislikes. The application will also ask probing questions about the Surrogate’s preferences for the surrogacy, such as contact preferences, selective reduction preferences and termination preferences. The Surrogate will also indicate if she will be applying to be a Traditional or Gestational Surrogate. The Surrogate will also indicate if she is willing to carry for a  married couple, unmarried couple, single Intended Mothers or Intended Fathers, and/or same sex Intended Parents.
It is important that a Surrogate answer all questions thoughtfully, truthfully, and carefully, being sure to give a good impression of herself to the Intended Parents who will be reviewing her profile. Once the application is complete, the Surrogate will submit the application to be reviewed by the Agency.

Multiple Births in Surrogacy

Posted on: July 1st, 2011 by Simple Surrogacy No Comments

The instance of multiples in surrogacy is growing and seems more common every year. The reasons behind the increase of surrogate multiples are many, but here we’ll examine a few of the more common reasons that Surrogate pregnancies result in multiple births.

Many Gestational Surrogates will end up carrying twins and even triplets, especially those who complete more than one surrogacy journey.

There are four main reasons for the high probability of a surrogate pregnancy with multiples and those include:
Health of surrogate
Donor Eggs (if used)
Number of Embryos Transferred
Advances in IVF technology

Surrogate’s Health
Most Surrogate Mothers are first and foremost chosen because their bodies are at a peak of reproductive fertility. In choosing their Surrogate, Intended Parents, whether they are a traditional couple where the Intended Mother is unable to carry or a same sex couple, choose primarily for health of the Gestational Surrogate. The Gestational Carrier will have proven her fertility by successfully giving birth to at least one child of her own, and in becoming a Surrogate will have passed extensive testing to ensure that her body is capable of handling the IVF treatment and the ensuing pregnancy.
To prepare the Surrogate, the IVF physician will give her fertility drugs and treatments designed to assist her in conceiving, which in and of itself can increase the incidence of fetuses conceived.

Donor Eggs
In cases where the Intended Mother is not fertile, or the couple is a same sex couple, Donor eggs would be used. Egg Donors are very young and at their fertility peak. The typical donor cycle will yield between 10-30 excellent quality ovum.

Egg Donors complete extensive health questionnaires, complete genetic profiles and have genetic testing done, and disclose their entire medical and genetic history. Being so thoroughly screened, donors’ eggs are the best possible quality and therefore will be at an optimum for fertility.

Embryos Transferred
Of course, the health of the embryos themselves is only part of the equation. The other part is the medical expertise and process of the IVF itself.

IVF is an expensive process, and as such, Intended Parents and their physicians will strive for the best possible outcome from a transfer to achieve a pregnancy.

Intended Parents do not want to pay for an unsuccessful transfer, so the transfer of more than one embryo, to increase the likelihood of implantation, is common.

The result, when the Surrogate is healthy, the Egg Donor is young and at the peak of her fertility, and there are multiple embryos transferred, is often a multiple pregnancy. That can mean twins, or triplets, or in some cases, more.

Intended Parents will find it easy to get caught up in the excitement of the transfer and the possibility of additional children all at once, and the recommendations of the IVF physician (who will want to maintain a high success rating) and decide to transfer additional embryos. It is important to consider that every embryo transferred can result in a child, or can even split and produce identical twins.

So if you transfer two embryos, that could result in twins, or if they both split, quads. Three, and the result could be triplets, or more. Most Gestational Surrogacy agreements will have stipulations in place where the Intended Parents and Gestational Surrogate have pre-agreed to have many embroys will be transferred and in what situations they will reduce the number of fetuses. The decision to reduce can be avoided with a careful consideration of how many embryos to transfer in the first place.

Advances in IVF technology

The final consideration in achieving a multiple pregnancy is the advancement of IVF technology. Today in the United States, one out of every 100 babies born is from IVF. In 2006, the most recent year for which we have statistics, more than 120,000 IVF cycles were performed in the USA which is twice as many as a decade earlier. We can only guess that the statistics will continue to improve as the medical science continues to advance. Improvements have been made in all the stages of treatment, commencing from the initial stage of induction of ovulation to the final step of transfer. All of these medical advances will contribute to better embryo quality and better transfer procedures, all of which contributes to higher success rates in transfers.

Even in all of these situations, twins and multiples are not guaranteed, nor is there a guarantee that any embryos transferred will survive to implant and become a fetus, which is why more than one-two  embryos is sometimes transferred.

But when the embryos do survive, a Surrogate and her Intended Parent(s) will be the lucky recipients of not just the family they have always dreamed of, but of an instant larger family and another wonderful bundle of joy to welcome into the world!

The Need for Contracts in Egg Donation and Surrogacy Cases

Posted on: May 24th, 2011 by Simple Surrogacy No Comments

It can be a big decision to move forward with an egg donation or surrogacy arrangement with a third party. While it is usually a wonderful experience, it can also be an emotional process that takes a great deal of commitment from everyone involved

With that in mind, the last thing you need upon going through this process is to be stuck in a legal battle regarding parental rights and expectations. That’s why, even when it’s not a requirement, it is crucially important for all parties involved to sign a legal agreement beforehand.

Ever since egg donation and surrogacy became an option for couples and individuals who would otherwise not be able to have children, there have been some very unique legal implications that have come up. These cases have challenged what it means to be a donor and a recipient, as well as muddied the waters when it comes to the methodologies used to determine parentage.

Cases involving these issues are usually ugly and bitter, and what usually makes all the difference is if there was an agreement signed beforehand. After all, a valid legal contract can be, for the most part, easily dissected by the courts. Without a contract, however, both parties leave themselves open to a lengthy and expensive legal process if or when there is a disagreement.

With all the confusion, one might think that well-established sperm donation laws and legal precedents would translate naturally into the realm of egg donation, allowing for more clarity. However, the two are not one in the same, as egg donation involves a much more involved medical process that includes the retrieval and implementation of eggs.

So how can all parties in an egg donation or surrogacy relationship ensure that they’re protected? The best method is to sign a valid legal agreement beforehand, which should outline in detail each party’s intentions, rights and obligations. These contracts are low-cost in terms of legal fees, but will pay off if any legal issues come up later on in the process.

Due to the spotty and unclear laws currently governing egg donation and surrogacy, courts will continue to rely on prior agreements to determine cases in this area. To be safe, make sure you come to an official agreement before moving forward.

Happy Mothers Day!

Posted on: May 8th, 2011 by Simple Surrogacy No Comments

Simple Surrogacy wishes all of the Mothers, expectant Mothers and Surrogates a very Happy Mothers Day!

Welcome to our New Blog!

Posted on: January 25th, 2011 by admin No Comments

Thanks for checking out Simple Surrogacy’s new blog.  Be sure to bookmark this site and visit us often to stay in touch.