Screening of gestational carriers in the United States

Self-reported medical and psychosocial screening and evaluation among gestational carriers was high, but <100% on all measures. There were no differences by agency use.

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Volume 106, Issue 6, Pages 1496-1502

Authors:

Erika L. Fuchs, Ph.D., M.P.H., Abbey B. Berenson, M.D., Ph.D., M.M.S.

Abstract:

Objective

To assess medical and psychosocial screening and evaluation received by gestational carriers and compare those using agencies to those not using agencies.

Design

Cross-sectional questionnaire.

Setting

Online.

Patient(s)

A total of 204 women who completed a survey on their experiences as gestational carriers in the United States.

Intervention(s)

None.

Main Outcome Measure(s)

Self-reported screening received before gestational carrier pregnancies.

Result(s)

Overall, 97.1% of gestational carriers had a complete medical evaluation and 94.6% had an evaluation or counseling by a mental health professional. Most participants indicated that they had been informed of at least some medical risks (92.6%) and psychological considerations (89.7%). Participants most often recalled being informed of the risks of multiple pregnancy (89.2%) and medical procedures and medications (87.2%), but least often recalled being informed about the risks of impact on their own employment (46.6%) and to their own children (61.3%). There were no differences in outcome measures between those using an agency and those who did not.

Conclusion(s)

Self-reported screening and evaluation was high, but still not 100% on all measures. Further education of providers regarding guidelines for the screening and evaluation of gestational carriers may be needed.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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