While most surrogacy journeys are uncomplicated, some involve multiples or high‑risk factors. Preparation across clinical, legal, and insurance domains keeps families protected.
Medical Considerations for Multiples
Risk of preterm birth and bed rest increases with multiples—plan clinical care accordingly.
- Single‑embryo transfer (SET) policies to reduce risk.
- Enhanced monitoring schedules and MFM consults.
- Bed‑rest planning and activity guidelines.
Insurance & Financial Safeguards
NICU costs can be significant—confirm coverage specifics early.
- Riders for bed rest wage coverage and childcare.
- NICU coverage verification and pre‑authorizations.
- Escrow reserves earmarked for complications.
Hospital & Legal Planning
High‑risk plans require early hospital coordination and airtight documentation.
- Level III/IV NICU capabilities and transfer protocols.
- Pre‑birth order timeline aligned with MFM milestones.
- Scope for consent in urgent scenarios documented.
Case Study
After counseling, one couple chose SET and avoided a twin pregnancy given prior preterm history. The plan reduced risk, simplified insurance, and led to a healthy term birth.
Testimonials
- “We chose SET and felt confident in the risk‑reduction plan.” — G.&F., NYC
- “Our NICU coverage was verified months ahead of time.” — K.&M., Westchester
- “The hospital’s MFM team was looped in early—no surprises.” — P.&R., Queens
Internal Linking Suggestions
Patients Medical – Wellness & Fertility
FAQs
Q. Should we transfer two embryos to increase odds?
Ans : Discuss with your REI—many programs recommend SET to reduce risks associated with multiples.
Q. How do we plan for NICU costs?
Ans : Verify coverage caps, pre‑authorization requirements, and timeline for adding newborns to the policy.
Q. Do we need a different legal plan for twins?
Ans : Parentage strategy is similar, but timelines and hospital logistics may require earlier coordination.
Dr. Kulsoom Baloch
Dr. Kulsoom Baloch is a dedicated donor coordinator at Egg Donors, leveraging her extensive background in medicine and public health. She holds an MBBS from Ziauddin University, Pakistan, and an MPH from Hofstra University, New York. With three years of clinical experience at prominent hospitals in Karachi, Pakistan, Dr. Baloch has honed her skills in patient care and medical research.