What Are the Risks Associated with a Multiple Embryo Transfer?
Women carrying multiple fetuses are more than twice as likely to develop
high blood pressure of pregnancy.
Multiple birth babies have about twice the risk of congenital (present at birth)
abnormalities including neural tube defects (like spina bifida), gastrointestinal, and heart abnormalities.
A phenomenon called the vanishing twin syndrome in which more than 1 fetus is
identified, but vanishes (or is miscarried), is a risk. Those that do survive the first trimester are 4 times
more likely to die in pregnancy.
Abnormal fetal positions increase the chances of cesarean birth. Approximately 75% of twin pregnancies result in a cesarean birth. Average fees for a gestational carrier to undergo a cesarean are $2,500-$3,500 plus an additional 2-4 weeks lost wages (if employed) for recovery time after birth.
Bed Rest for the Gestational Surrogate
Anemia, Pre-eclampsia, Incompetent Cervix, Intrauterine Growth Restriction, Placenta Previa,
PROM, Postpartum Hemorrhage are much more common in multiple pregnancies. For working moms pursuing surrogacy, many risks listed require physician ordered bedrest during which Intended Parents are financially responsible for all lost wages during that time. Outside of the additional financial obligations, limited activity restrictions can cause significant stress to the Gestational Carrier, as well as burdens on her spouse and on her family.
Preterm Labor & Birth
More than half of twins and nearly all higher-order multiples are premature (born before 37 weeks). The higher the number of fetuses in the pregnancy, the greater the risk for early birth. Premature babies are born before their bodies and organ systems have completely matured. These babies are often small, with low birth weights (less than 5.5 pounds), and they may need help breathing, eating, fighting infection, and staying warm. Very premature babies, those born before 28 weeks, are especially vulnerable. Many of their organs may not be ready for life outside the uterus and may be too immature to function well. One in four multiples will need care in a neonatal intensive care unit (NICU). NICU treatment costs average
between $1,000.00 – $5,000.00 per day per child. The average stay in NICU for twins is 9-25 days.