6.15 Transitioning from IVF Clinic to OB-GYN Care in Surrogacy

A key milestone in the surrogacy journey is the transition from the IVF clinic to an OB-GYN (obstetrician) for routine prenatal care. This transition marks the shift from fertility-focused treatments to standard obstetric monitoring, ensuring that the pregnancy progresses smoothly.

When Does the Transition Happen?

The transition typically occurs between 8 to 10 weeks of pregnancy, following two key confirmations:

✔ Blood Work (Beta hCG Test): Confirms pregnancy through hormone level analysis.

✔ Ultrasound with a Fetal Heartbeat: Performed around 6–8 weeks, verifying a viable pregnancy.

At this stage, the IVF clinic will instruct the surrogate to stop all fertility medications and formally discharge her. From this point forward, she will continue prenatal care under the supervision of her chosen OB-GYN.

How to Transition to an OB-GYN Efficiently

To ensure a smooth and timely transition, the surrogate mother should follow these key steps:

1. Selecting the Right OB-GYN

When choosing an OB-GYN, it is essential to consider the following:

✔ Insurance Coverage: The OB should be in-network to avoid unexpected costs.

✔ Experience with Surrogacy Pregnancies: Ensure the doctor is familiar with managing surrogacy pregnancies and understands the unique aspects of the process.

✔ Personal Comfort & Communication: The surrogate should feel comfortable with the OB-GYN and trust their care.

2. Scheduling the First OB-GYN Appointment

Once the pregnancy is confirmed, the surrogate should:

✅ Book the first OB appointment immediately. Early scheduling ensures that important first-trimester screeningsare completed on time.

✅ Inform the OB’s office that this is a surrogacy pregnancy. Some clinics have specific protocols for handling surrogate pregnancies.

✅ Confirm that the OB accepts her insurance and is accepting new patients.

3. Transferring Medical Records from the IVF Clinic

A crucial step in this transition is ensuring that all relevant medical records from the IVF clinic are sent to the OB-GYN in advance. These records include:

📌 Embryo transfer details – Providing insight into the conception process.

📌 Medications taken during the early pregnancy phase – Ensuring continuity of care.

📌 Monitoring reports (blood work and ultrasounds) – Offering a medical history of the pregnancy’s progression.

The surrogate should work closely with the IVF clinic and agency to ensure these records are sent before the first OB appointment, preventing any delays in medical care.

Why a Fast Transition Matters

Since the transition occurs between 8 to 10 weeks of pregnancy, acting quickly is essential for several reasons:

✔ Timely First-Trimester Screenings: Important genetic and health assessments need to be done within a specific window.

✔ Ensuring Continuity of Care: OB-GYNs rely on complete medical records to make informed decisions.

✔ Reducing Stress for the Surrogate: Having everything in place early helps the surrogate feel prepared and supported.

Final Recommendations for Surrogates

Start looking for an OB-GYN as soon as pregnancy is confirmed via blood work.
Book the first OB appointment early to secure availability.
Work with the IVF clinic and agency to transfer medical records as soon as possible.
Clearly communicate with the OB-GYN about the surrogacy process, ensuring they understand any unique medical or legal considerations.

Conclusion

Graduating from the IVF clinic to an OB-GYN is an exciting milestone in the surrogacy journey. With proper preparation and proactive planning, the transition can be smooth and stress-free, ensuring the surrogate mother receives the best possible prenatal care. By acting efficiently and staying organized, surrogates can set the foundation for a healthy and successful pregnancy.

📞 If you have any questions about transitioning to an OB-GYN or need support during your surrogacy journey, contact GSHC Surrogacy & Egg Donation today!

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