7.15 4D Ultrasound in Surrogacy Pregnancy

A Beautiful Keepsake Gift in Surrogacy — But Not Medically Required

In the world of surrogacy, few moments are as emotionally powerful as seeing a baby move in the womb for the first time. A 4D ultrasound gives intended parents and surrogate mothers that unforgettable glimpse—a live video of the baby yawning, stretching, or smiling.

At GSHC Surrogacy Agency, we support the idea of 4D scans as meaningful, optional experiences. However, it's important to remember: 4D ultrasounds are not medically necessary and are not part of the required prenatal care in a surrogate pregnancy.

🎥 What Is a 4D Ultrasound?

A 4D ultrasound captures real-time video of the baby using safe soundwave technology. Unlike the standard 2D medical ultrasounds, 4D scans provide:

• A live-motion video of the baby
• Highly detailed 3D images
• A keepsake experience, not a medical diagnostic

While beautiful, this type of ultrasound is usually done at private imaging centers and is not used to evaluate the baby’s health.

🩺 Is a 4D Ultrasound Medically Required in Surrogacy?

No.

4D ultrasounds are completely elective and not part of the standard medical care for surrogate pregnancies.

Medically Necessary Ultrasounds in Surrogacy Include:

• Dating ultrasound (6–9 weeks): Confirms pregnancy
• NT scan (11–13 weeks): Early genetic screening
• Anatomy scan (18–22 weeks): Checks fetal development
• Growth scans (if ordered by OB/MFM): Monitors baby in the third trimester

All medically required ultrasounds are coordinated through the OB or MFM specialists and shared with GSHC and the intended parents as part of our comprehensive surrogacy case management.

🎁 A Thoughtful Gift from Surrogate Mother to Intended Parents

Many GSHC surrogate mothers choose to give a 4D ultrasound session as a gift to their intended parents. These keepsake packages often include:

• A video or USB of the baby in motion
• Printed 3D ultrasound photos
• A teddy bear with the baby’s heartbeat inside

This emotional gesture creates a lasting memory and strengthens the bond between the surrogate and the intended family—especially if the parents live far away or can’t attend every medical visit.

“It was one of the most touching gifts we’ve ever received. We felt so connected watching our baby move in real time.”

— Intended Parent, GSHC

📌 GSHC Guidelines for 4D Ultrasounds

Because 4D scans are not medically necessary, GSHC requires the following before a surrogate can proceed:

• ✅ Notify your case manager in advance
• ✅ Get written approval from the intended parents
• ✅ Use a licensed, reputable imaging center
• ✅ Confirm payment responsibilities (not covered by insurance)
• ❌ Do not book the appointment without prior agency and IP consent

GSHC’s goal is to ensure transparency and alignment between all parties in every surrogacy journey.

💖 Final Thoughts from GSHC Surrogacy

A 4D ultrasound is not required—but it can be an incredibly meaningful, heartwarming way to share the surrogacy experience. For intended parents, seeing their baby move can be a cherished first connection. For surrogate mothers, it’s a chance to offer something deeply personal and memorable.

At GSHC, we’re here to support these beautiful moments—with professionalism, compassion, and clear communication every step of the way.

💬 Learn More About GSHC Surrogacy

Whether you're a surrogate mother beginning your first journey or an intended parent exploring options, GSHC is proud to be one of the most trusted, experienced, and compassionate surrogacy agencies in the U.S.