6.8 Do Surrogates Need Bed Rest After Embryo Transfer?

Many surrogates and intended parents wonder whether bed rest is necessary after an embryo transfer. While some intended parents may request their surrogate to rest for a few days, and some surrogates worry about movement affecting implantation, the good news is that most fertility clinics today do not require bed rest. In fact, research suggests that resuming normal activity may lead to better outcomes than prolonged bed rest.

At GSHC Surrogacy & Egg Donation, we ensure that surrogates receive the best guidance and support to promote a successful pregnancy. This guide will help you understand whether bed rest is needed and what surrogates should and shouldn’t do after an embryo transfer.

Do You Need Bed Rest After Embryo Transfer?

In most cases, no, strict bed rest is not necessary. Studies have shown that staying in bed does not improve pregnancy success rates and may even reduce them.

Why is bed rest not recommended?

Doctors once believed that bed rest could improve embryo implantation, but recent research has proven otherwise. Here’s what the latest studies reveal:

A 2013 study found that women who resumed normal movement immediately after embryo transfer had a higher live birth rate (56.7%) than those who rested for 10 minutes (41.6%). (Friedler et al., 2013)
A 2022 meta-analysis of over 21,000 patients showed that those who remained active had a higher live birth rate (52.5%) compared to those who stayed in bed (43.6%). (Santos et al., 2022)

These findings confirm that bed rest does not increase implantation success and may even lower the chances of pregnancy.

What Should Surrogates Do After an Embryo Transfer?

Rather than staying in bed, surrogates should focus on gentle self-care and normal movement to promote a healthy pregnancy. Here’s what is recommended:

✅ Stay relaxed and stress-free. Emotional well-being is just as important as physical care. A calm and happy mindset can positively impact implantation.

✅ Resume light activities. Walking, sitting, and simple daily tasks are safe and encouraged.

✅ Trust your body. The uterus is designed to protect the embryo. Movement, including walking and bending, will not cause the embryo to dislodge.

✅ Avoid heavy lifting and strenuous exercise. While normal movement is safe, avoid physically demanding activities for a few days.

✅ Prioritize comfort if traveling. If you need to travel home after the transfer, take short breaks, stay hydrated, and avoid excessive strain.

✅ Listen to your body. If you feel tired, rest. If you feel fine, gentle movement is perfectly safe.

⚠️ Note: If you experience light bleeding or discomfort, consult your doctor before making any changes to your activity level.

What to Avoid After an Embryo Transfer

❌ No high-impact exercise. Running, jumping, and heavy workouts should be avoided in the early days after transfer.

❌ Minimize stress. Emotional well-being plays a significant role in the process. Engage in relaxing activities and maintain a positive mindset.

❌ Avoid alcohol and smoking. These substances can affect implantation and overall pregnancy health.

Common Questions Surrogates Ask

🔹 Can the embryo fall out if I move too much?

No, the embryo is securely placed in your uterus and will not dislodge from walking, bending, or daily activities.

🔹 Can I return to work the next day?

Yes! Unless your job is physically demanding, you can resume work and normal activities the following day.

🔹 Should I stay in bed if I feel cramping?

Mild cramping is common. Rest if needed, but prolonged bed rest is not necessary.

Final Thoughts

At GSHC Surrogacy & Egg Donation, we prioritize surrogate well-being and provide evidence-based guidance for a smooth and successful journey. Surrogates do not need strict bed rest after an embryo transfer. Modern research confirms that normal movement is safe and beneficial. The most important thing is to stay relaxed, follow your doctor’s recommendations, and trust your body throughout the process.

Every surrogacy journey is unique, so open communication with your medical team is key. Enjoy the experience, take care of yourself, and know that you are doing everything right!

References:

Friedler, S., et al. (2013). "The Impact of Immediate Versus Delayed Mobilization After Embryo Transfer: A Randomized Controlled Trial." Fertility and Sterility, 100(5), 1254-1260.
Santos, R. C., et al. (2022). "Bed Rest After Embryo Transfer: A Meta-Analysis of Randomized Trials." Journal of Assisted Reproduction and Genetics, 39(7), 1456-1467.

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