Gestational Carrier

Abstract

Gestational carrier is increasingly used as a treatment option for infertile women who do not have a uterus, who have a history of poor pregnancy outcomes, who are advised not to carry a pregnancy, or for same sex couples or for single men. Numerous medical, ethical, legal, and social issues are involved in gestational carrier cycles, particularly in instances when the commissioning couple and the carrier live in different countries and when use of donor gametes is also involved. Treatment involves appropriate counseling of all concerned parties regarding the entire process, including their rights, duties, and potential complications, thorough medical screening, signing of all consent forms, ensuring legal compliance, signing of detailed contracts between the parties, ovarian stimulation of the genetic mother, medical preparation of the carrier, ovulation induction, oocyte retrieval and embryo transfer, care of the carrier during pregnancy and at delivery, and handing over the child after birth with genetic finger printing if desired.

Appendices

Appendix 1

Appendix 2

Date of filling the form (except items 20–31)
Date of filling items 20–31
Basic information:	History:	Investigations
1.Identification number	12.Obstetric history :	20.Blood group and Rh status
2.Name	a. Number of deliveries	21.Complete blood picture
3.Age/Date of birth	b. Number of abortions	a.Hb
4.Address	c. Other points of note	b.Total RBC count
5.Photograph	13.Menstrual history	c.Total WBC count
6.Tel no.	14.History of use of contraceptives	d.Differential WBC count
7.Marital status	15.Medical history	e.Platelet count
8.Education :	16.Family history	f.Peripheral smear
a.Surrogate	17.Has she acted as surrogate earlier : Yes No	22.Random blood sugar
b.Spouse	If so, how many times did it lead to a successful pregnancy?	23.Blood urea/Serum creatinine
9.Occupation :	18.History of blood transfusion	24.SGPT
a.Surrogate	19.History of substance abuse	25.Routine urine examination
b.Spouse		26.HBsAg status
10.Monthly Income		27.Hepatitis C status
11.Religion		28.HIV status
		29.Hemoglobin A2 (for thallasemia) status
		30.HIV PCR
		a.Surrogate
		b.Spouse
		31.Any other specific test
Footnotes		FEATURES:
(1) To be carried out within 15 days prior to embryo transfer. Test no.30 to be done only if test 28 is negative		32.Height
		33.Weight
(2) Any additional test carried out on the basis of the history and examination of the surrogate OR any test requested by the recipient who shall pay for the additional requested test		Detailed physical examination:
		34.Pulse
		35.Blood pressure
		36.Temperature
To the patient, a copy of this form without items 20–31 filled in, may be provided when asked for. The investigations in items 20–31 may be done when the patient has chosen the surrogate provisionally, subject to the results of tests in items 20–31 being satisfactory		37.Respiratory system
		38.Cardiovascular system
		39.Per abdominal examination
		40.Per speculum examination
		41.Per vaginal examination
Name(s) and signature(s) with date(s) of person(s) filling the form:		42.Trans-vaginal sonography
		43.Other systems