Better obstetric and neonatal outcomes result when gestational carriers come from agencies that follow ASRM guidelines
Oct 20, 2020
Washington, DC- Research presented at this year’s Scientific Congress shows that one in four gestational carrier pregnancies in a cohort of 194 did not meet ASRM guidelines. Guidelines are less likely to be followed when a gestational carrier is found through means other than an agency. In this study, 76% of carrier pregnancies were mediated through a surrogacy agency. Non-adherence to these guidelines was associated with an almost 5-fold increase in odds of spontaneous abortion. The most common violated ASRM criteria included women with BMI >35 and age (mostly >45 or <21).
Origin: ASRM Press Release
Primary outcomes of guideline violations were clinical pregnancy, biochemical pregnancy, preterm delivery, term delivery, and pregnancy complications. Associations were analyzed using Fisher’s exact test, Chi-squared test as appropriate, and multivariate logistic regression. Those in the non-adherence cohort were found to have significantly increased risk of spontaneous abortion.
“ASRM guidelines focused on criteria for gestational carriers are meant to protect infertile couples, the carrier, as well as the supporting agency. It is important that gestational carriers have a complete medical history and examination, in addition to a psychological session with a mental health professional to ensure there are no reasons for the carrier to not move forward with pregnancy.” Said Alan Penzias, MD, Chair of ASRM Practice Committee
For almost a century, the American Society for Reproductive Medicine (ASRM) has been the global leader in multidisciplinary reproductive medicine research, ethical practice, and education. ASRM impacts reproductive care and science worldwide by creating funding opportunities for advancing reproduction research and discovery, by providing evidence-based education and public health information, and by advocating for reproductive health care professionals and the patients they serve. With members in more than 100 countries, the Society is headquartered in Washington, DC, with additional operations in Birmingham, AL. www.asrm.org
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