Frequently Asked Questions

 

Administrative section

When Intended Parents select a surrogate mother, they tend to pay more attention to their physical appearance. Therefore, experience has taught us that the IVF doctor should select and assign a surrogate mother to the program after doing a careful physical examination to determine her health. Surrogate assignment takes place two weeks before the preparations start. The case coordinator will send the parents a detailed profile and pictures of the surrogate mother along with a screening sheet; parents can then make the final decision about the candidate.

It should be mentioned that during the surrogate mother’s preparation, there is always a slight possibility of her being substituted by another. There are various reasons for this and substitution takes place only to maximize the chances of success. Using an alternate surrogate mother may be implemented due to factors such as: endomtrium thickness, sudden bleeding during her preparation, not being synchronized with the egg donor or the Intended Mother, or other medical reasons. Parents are always made aware of the change and are immediately updated about the replacement candidate’s personal details.

In the event of a first cycle failure parents are faced with two common scenarios. The first is that they may have frozen embryos left from their previous fresh cycle and can transfer them to the surrogate mother; the second is that they do not and they must have another fresh egg donor cycle done, or the intended parents need to be prepared again.

Fortunately, one agency payment for the surrogacy program covers three trials, which means that for the second and third trials parents do not pay an agency fee for the surrogacy service; they only need to cover the actual expenses for the surrogate mother’s preparation.

For example: if parents transfer frozen embryos for a second/third trial the cost is 2,200 USD. If they do need to go for a fresh cycle it depends on the number of surrogates they use and thus payment depends on the package they have selected. Parents should note that the agency payment will be waived and they must only cover the surrogate mother’s preparation cost and fresh IVF expenses as well.

Having two surrogate mothers is from one point highly advisable, as it significantly increases the chances of success. However, it is important to note that while having two surrogate mothers there is also a slight (less than 5 percent) chance that intended parents may end up having 4 children – if both of the surrogates become pregnant with twins.

For some parents, any number greater than zero is highly appreciated and they are willing to participate in this program; another factor we feel is important to mention in this case is that in Georgia, selective reduction of the number of fetuses (multifetal pregnancy reduction or MFPR) is not an option with twins. We only perform MFPR (based on parent and doctor’s decisions) in cases of triplets which are very rare.

To further inform our intended parents, please be advised not confuse the two surrogate program with the guaranteed package. Having two surrogate mothers only maximizes the chances of success; it is not an absolute guarantee.

The payment package also depends on whether or not we receive single or multiple pregnancy confirmation. When the embryo transfer is performed we first wait for pregnancy confirmation and then inform the parents about the number of pregnancies. Accordingly, if only one surrogate mother is pregnant – two surrogates with one confirmed pregnancy applies to you. If we confirm that both surrogates are pregnant, it then follow that two surrogate mothers with two confirmed pregnancies applies to you; The payment package is adjusted accordingly thereafter.

Parents first send an enquiry to the main contact person through our website; thereby providing inform about specific  requirements they have, as well as the dates they are willing to participate in the program.

Once the dates are negotiated, parents begin the donor selection process. In order to select a suitable egg donor, parents must visit our website at: www.newlifegeorgia.com. A case coordinator will give them login details to access the database. After that, by clicking on the database link parents can view all available egg donors; donor pictures and personal profiles are attached to each of them, parents can easily review their medical history, previous donation history, current occupation, education, and so on. The questionnaires are very informative. However, we always encourage the parents to ask for any additional information available about the donor to help them make their final decision.

After that, parents send us copies of their passports and we then sign the contract. The contract can be exchanged electronically; there is no need to send the original hard copies to us. Parents make the first payment according to the invoices we send. After receiving payment we do a full screening of the egg donor and make sure we are ready to begin preparations. The IVF procedure then takes place on the assigned dates; consequently, parents need to be present for around 5 days, as it is difficult to determine in advance what the exact dates of egg retrieval will be.

The next step is egg retrieval and fertilization, after which the embryos are transferred to the surrogate mother. It is common practice to transfer day three embryos. However, day five blastocyst embryo transfers can be done upon the parents’ request. The number of embryos transferred per trial is three. If the parents are firmly against having twins, they can opt for transferring 2 embryos. Transferring more than three embryos is not advisable.

Initial pregnancy confirmation; HCG tests are done 14-16 days after the embryo transfer. Parents will receive the test results on the same day or early next morning. If the relevant level of HCG is confirmed by the first test we repeat the process two days after to finally confirm the pregnancy. One month after embryo transfer the first ultrasound is done.

Parents send the enquiry to the main contact person that appears on the website and inform about the requirements they have and mention the dates they are willing to participate into the program.

While having surrogacy program with us parents have two options. The intended mother can either get stimulated in local IVF clinic and come to Georgia on day 8-9 of stimulation and have the egg retrieval done in our clinic or alternatively they can be completely stimulated in Georgia. In first scenario parents need to calculate their staying in Georgia for around 6 days, while if they are stimulated in Georgia, they should calculate around 17 days to have the full procedure done with us. In both of the cases our IVF doctor need to have the complete screening of the parents and approve them for participation in the program.

After sending us the full screening parents send the passport copies and we sign the surrogacy contract. The contract can be exchanged electronically and there is no need to send the hard original copies to us. Parents make a first payment according to the invoices we send. After receiving the payment we make sure we are ready to start the preparation.

Intended Mother’s preparation will be synchronized to the surrogate mothers preparation. When the Intended Mother is prepared with local IVF doctor, during the preparation we need to have the stimulation updates of day 5 and day 8 with full report of how many follicles are in each ovary and what are the sizes of the follicles. On day 9 we need them to be present in our IVF clinic and the IVF doctor will decide the final trigger injection timing and the will set the egg retrieval date and timing.

Parents send the enquiry to the main contact person that appears on the website and inform about the requirements they have and mention the dates they are willing to participate into the program.

Once the dates are negotiated parents do the donor selection. In order to select a suitable egg donor, parents need to visit our website at: www.newlifegeorgia.com. Case coordinator will give the access to the database by giving the login details. After that, by clicking on the database parents see all available egg donors. You can see donor pictures and personal profiles attached to each of them, where parents can review their medical history, previous donation history, current occupation, education. Questionnaires are very informative however we always welcome the parents to ask us if there is any additional information they may need about the donor that helps them to make the final decision.

Intended mother needs to send the complete screening of hers. Our IVF doctor needs to review and approve that the patient satisfies the requirements and is fully fit to carry the baby.

After that parents send us the copies of their passports and we sign the contract. The contract can be exchanged electronically and there is no need to send the hard original copies to us. Parents make a first payment according to the invoices we send. After receiving the payment we do the full screening of the egg donor and make sure we are ready to start the preparation.

The carrier mother and the egg donor will start the stimulation simultaneously. Intended mother can start the preparation in their local IVF clinics and come for the egg retrieval and have the embryos transferred, or alternatively full preparation as a baby carrier can take place in Georgia.

Parents first send an enquiry to the main contact person through our website; thereby providing inform about specific requirements they have, as well as the dates they are willing to participate in the program.

Parents must make the arrangements for the embryos to be shipped to our laboratory. The clinic that is storing the frozen embryos has to prepare a detailed report to go along with them. In the report, we need to have information about the number of frozen embryos, how many straws they are frozen in, the grade of each embryo, number of days they were frozen and what method was used to freeze them. In addition, we will need the infectious disease test results (B Hepatitis, C Hepatitis, HIV, syphilis) of both parents.

After the embryos are safely delivered to our laboratory, parents need to send copies of their passport to us so we can prepare the contracts. Parents should first make a payment, after which we will start to prepare the surrogate mother. The embryos will be thawed and then transferred to the surrogate mother. The number of embryos to be transferred will be negotiated with the parents in advance.

It has been over a year now that the Kynisi shipping company has delivers frozen specimens to our laboratory without any complications whatsoever. The shipping company’s website is http://www.kynisi.com.

Please note that this is only a suggestion and New Life unfortunately cannot assume any responsibility in negotiations between you and the recommended company or takes responsibility for any risk of delivering damaged frozen material. The decision to use this company will purely be your own.

This is an important question and we are happy to respond to it in detail: First, after a human chorionic gonadotropin (HCG) blood test is done to confirm pregnancy, the case will then be passed along to a pregnancy care coordinator.

She will be responsible for sending gradual updates about the progress of the pregnancy and sending ultrasound reports to the surrogate mother. Parents are more than welcome to share any questions or concerns they may have during the ongoing process. Parents can also visit Georgia to see their surrogate mother at any time during the pregnancy; we will help to facilitate communication by whatever means necessary to ensure comfortable interaction between the parents and their surrogate mother.

This is a sensitive question, but one that must be asked and consequently answered for the sake of clarification: ultimately, pregnancy is confirmed once the heartbeat of the baby is heard. If the results of a HCG test come back positive and first ultrasound confirms the pregnancy, but fails to detect a heartbeat, at this stage, it is not considered to be a miscarriage; therefore parents will move on to the next trial without making an agency payment (if this is one of three trials included in one agency payment).

In the event that a heartbeat is heard and the pregnancy is considered stable, but the fetus stops developing later on, this is considered to be a miscarriage; in this case, the parents will have to start a new program along with making a full program payment. The payment made to surrogate mother at a specific stage of the pregnancy is discussed in the contracts.

This is a common question that parents often ask; more specifically, about having a guaranteed number of eggs, which is quite simply not possible. Unfortunately, nobody is able to predict an exact number before the actual egg retrieval process takes place.

However, to offer some measure of certainty, before involving the egg donor in the program, we can suggest that the parents request an Antral Follicle Count be performed on the egg donor in both of her ovaries; this will give us a rough estimate of the number of eggs we should expect. However, this is still not a solid guarantee that the same number of eggs will be received, as all the follicles may not respond to the stimulation in a same way.

As mentioned in an answer to a previous question, our clinic transfers a maximum of three embryos to the surrogate mother at a time. Any remaining embryos are frozen and kept in the lab for future use; parents may find it confusing that we receive for example 8 embryos, transfer three embryos to the surrogate mother and we only have three embryos frozen thereafter.

They of course wonder what happened to the other two embryos. What this means is that those two embryos were not of high enough quality to be frozen.

Some embryos are not frozen if there is any chance that they cannot survive the thawing process; this precaution is taken to protect parents from false expectations associated with having such embryos frozen.

The contracts we sign with our intended parents are available for download on the website for review in advance. The contracts (depending on the program they choose) parents need to sign are for egg donation, surrogacy and IVF; there is also a financial agreement which is a binding part of each contract. If the parents feel that the contracts on the website are not up to date, they can always ask a case coordinator to send the most recent versions of any given contract.

Unfortunately, because our contracts are very carefully structured and registered legal document with the relevant authorities, we are not able to make any changes to them. Parents can however be well assured that any corresponding emails between New Life and them can be used if they should have any concerns about being provided with false or inaccurate information.

When we send the contracts to our intended parent, each page is signed and has been stamped by an authorized individual. We send electronic versions to them and they must both sign each page of the contract and send a scanned PDF version back to us. There is no need to send the original hard copies back to us.

Contract between the Intended Parents and the surrogate mother is one of the important issues that need very careful attention. According to Georgian legislation notarized contract mush be signed between the parents and the surrogate mother before the embryo transfer takes place. This contract enables the parents to register the babies under their names and get the birth certificate of the child.

If the first cycle fails and parents need to do the frozen embryo transfer to the surrogate mother the new contract is required to be signed. In order to save extra trips for the parents, we offer the parents to leave the limited Power of Attorney on the name of New Life stuff and we will sign the contract on behalf of the parents. We do negotiate everything with the parents in advance and send them the copies of the signed contracts. The originals are kept in the office and in the notary office and are given to the parents upon arrival.

On the website parents can review the cost section where the detailed information is given about the breakdown of the costs and what installment is payable at what stage of the program. Parents are advised to have a careful look on the incidental costs.

If they are not sure about the details given in the cost sections, we always welcome the parents to ask the further details.

You will have to visit Georgia twice; once to provide the sperm (and or egg retrieval) and once to take your baby home. If the parents cannot make the timeline given by the clinic, we welcome them to come to clinic at their own discretion and provide the frozen sperm to the clinic, which will be used for fertilization in their IVF program.

It is also possible for parents who are shipping frozen embryos to transfer limited Power of Attorney to the New Life staff by choosing this option in their contract and sending the original copy to us. The Power of Attorney contract needs to be notarized and authenticated in your own country; only then is the document considered legal. In this case, parents transferring frozen embryos for surrogacy will only need to travel to Georgia once to pick up their baby.

Citizens of EU Countries, the USA, Australia, New Zealand, Israel, Canada, Japan, Switzerland, Singapore, Norway, Iceland, Liechtenstein, Andorra, San Marino, Turkey, Kuwait, Qatar, Bahrain, United Arab Emirates, Oman, South Korea, Iran and C.I.S nations (except Russia) need no visa to visit Georgia for up to 360 days. . You will be provided with entry permit at the border upon arrival.

If you are not from one of the above countries, you can get a visa from a Georgian Embassy or Consulate. Visas are also issued at the official road and air entry point into Georgia.

Please feel free to familiarize yourself with Tbilisi, Georgia, before your arrival. Below are some links you may find helpful:
About Tbilisi, Georgia: http://www.info-tbilisi.com/
Travel Guide: http://wikitravel.org/en/Georgia_(country)
General Info: http://en.wikipedia.org/wiki/Georgia_(country)

The hotel nearest to our agency “Holiday Inn” is within walking distance. Our partners and guests usually receive special discounts at this hotel. Please follow the link for more info and let us know if you would like to make reservations:
The Holiday Inn: http://www.hi-tbilisi.com/

If parents find the Holiday Inn to be unacceptable for any reason, there is also a three star hotel, the Batesta Hotel nearby. www.batesta.ge. It’s nothing too fancy, but it is very cozy and affordable.

Other acceptable hotels to be considered are: Betsy’s hotel http://www.betsyshotel.com/ and the Orion Hotel http://www.hotelorion.ge/.

Parents who are planning for longer stays in Georgia can also have a look at Citadines Georgia, conveniently located in the city’s center.
http://www.citadines.com/en/georgia/tbilisi/freedom_square.html

The answer to this question is a resounding yes! Georgia is a remarkably safe Country. Of course, a general measure of safety and street-wise caution applies whenever traveling abroad. Please, be aware of road traffic conditions and be careful when crossing the street; we offer this advice because every city has its own rhythm, which makes it important to be aware of an unfamiliar environment.

We are conveniently located in the center of the city, easily accessible to all our visitors. There is a very visible sign outside the office that reads: “Healthcare Agency International New Life Georgia”

11B Bakhtrioni Street
Tbilisi, Georgia, 0179
Mob: +995 598 80 22 23
Mob: +995 99 38 02 02
Landline: +99532 262 01 01

Medical Part

CBC/hb- Complete blood count / Hemoglobin;
Blood group and Rhesus – In case blood emergency transfusion is required;
HIV – Human immunodeficiency virus;
HbsAg – Hepatitis B;
VDRL ( RPR ) – Syphillis;
HCV – Hepatitis C;
FSH (CD2-4) Follicle Stimulating Hormone – tests for ovarian reserve ( must be measured on day 2-4 of menses);
LH (CD2-4) – Luteinizing Hormone ( Must be measured on day 2-4 of menses );
AMH – Anti Mullerian Hormone – gives an estimate of the remaining egg supply;
TSH/T3/T4 – Thyroid stimulating hormone/thyroid function test;
Prolactin – Measures the level of hormone prolactin produced by the pituitary gland (blood test done within three hours of waking). High levels can indicate infertility;
Pelvic ultrasound for Antral Follicle Count (day 2-5 of menses );
Vaginal swab tests for Chlamydia to rule out any infection that may flare up during or after retrieval;
Insulin;
Blood Tests on Chlamydia;
Herpes Virus;
Cytomegalovirus.

HIV – Human Immunodeficiency Virus;
STD HbsAg – Hepatitis B;
VDRL ( RPR ) – Syphilis;
HCV – Hepatitis –C;
Semen analysis and culture done within 3 months before the program takes place.

In general, the success rate is high, 60 percent when we carry out egg donation with surrogacy program. We have many successful parents that have succeeded at the very first attempt but some individual factors usually effect. We always inform all of our intended parents beforehand that they should be prepared emotionally and financially for 3 fresh IVF attempts.

First trimester:

1) Once BHCG report is positive, pregnancy confirmed, your surrogate by that time is 4 weeks pregnant…
2) In second stage ,after confirming the positive result the Early Pregnancy scan is scheduled which is done after 15 days of BHCG report, to determine number of gestational sacs (single, twin or more) with a good cardiac activity.
3) At 8 weeks follow up scan done.
4) The 12th week scan is due to determine the normal formation of fetus for any congenital abnormalities & for nuchal translucency.

2nd Trimester:

1) Your surrogate is ready to go for obstetrician checkups, along with routine blood test done during pregnancy.
2) As the pregnancy advances at 16 weeks, your surrogate is ready for a triple marker test which explain for spina bifida, downsyndrome & neural tube defects, in addition to this your surrogate weight , BP & diet measurements will be taken care by the nutritionist in the obstetrician chamber.
3) As the pregnancy advances towards the the 20weeks, your baby is approximately, weight is 300gms & 25cm in length & all the organs are well formed.
4) Your surrogate is now ready for the Level-2 scan at this stage. We do a 3d scan at this stage which tells us all about the parameters of the baby in detail.
5) If Required a routine scan at 24 week will be done, according to the growth parameters.

3rd Trimester:

1) Your baby is app 1000 gms & length is 35cm.
2) Weekly checkups are done by the obstrician till the delivery happens.
3) During this period the surrogate is tested routinely for the blood & urine. Her blood pressure & weight measurement are under monitoring
4) If required at 34-36 weeks again a routine detail colour Doppler scan is done, if everything is okay, then the proposed delivery schedule is finalized by the obstrician.
5) At 37-40 weeks , we are ready to get the special gift from the surrogate for you & make sure that you are there to receive your bundle of joy…

Supplement given to surrogate during pregnancy:
1. Iron Supplement
Orofer – XT
Composition:-
Each film coated tablet contains:
Ferrous Ascorbate
Equivalent to elemental Iron 100 mg
Folic Acid IP 1.1 mg
Excipients q.s.
Appropriate overages of Vitamin added
2. Arachitol -O
Calcium citrate Malate equivalent to elemental Calcium 250 mg
Vitamin D3 IP 400 iu
Excipients q.s
Appropriate overages of vitamin adde
3. Mamaprotinex :-
Iron, Vitamins A, C, B2, B12, folic acid, copper, zinc, magnesium which are significant for blood cell formation and help prevent anaemia.
Calcium, phosphorus, magnesium, zinc, vitamin A, D & C which are important for skeletal development of the foetus & to maintain mother’s bone health
4. Lycored :-
Each softgel contains approximately
Lycopene ( as Natural Lyc-O- Mato) 2000 mcg
Zinc ( as Sulphate monohydrate) 7.50 mg
Selenium (as Monohydrated Dioxide) 35 mcg

Legal Part (baby registration/embassy)

Gestational surrogacy has been legal in Georgia since 1997. However, please note that in order to participate in the New Life “Georgia” surrogacy program you must be a legally married heterosexual couple able to provide an official marriage certificate. If you are a single parent or gay couple, you can contact our Thailand or Mexico branch.

Your child’s birth certificate can be obtained as soon as he or she is born. It takes a maximum of 5 working days. It should be mentioned that the birth certificate will declare the commissioning parents as mother and father of the child and there is no mention of surrogacy.

To receive a birth certificate parents need to submit the following documents to the public registry:

The notarized contract between the parents and the surrogate mother, which is taken care of before the embryo transfer takes place. The embryo transfer report provided by the IVF clinic where the embryo transfer procedure took place. Both parents’ (notarized) passports, their Marriage certificate (in the English language) also notarized and Apostiled in their country of origin.

An Apostle or Apostille stamp is used by a Hague convention compliant country to certify documents; simple put, you need this stamp on all the papers that the Town Hall requires.

Moreover, Apostle or Apostille is a stamp you must obtain from YOUR Ministry of Foreign Affairs; its purpose is to authenticate the legal papers you will be sending to us. The Apostle or Apostille stamp is a pre-printed form prescribed by the Convention. Only those nations party to the Hague Treaty will recognize the apostille certification. For more information please follow the link: http://en.wikipedia.org/wiki/Apostille_convention

As soon as we receive an enquiry from the parents, we advise them to contact their embassy right away, and get as much information as possible about the baby registration process.

We do so because it is important to collect detailed information about the paperwork that the embassy requires to register the child; this is just one of many ways we here at New Life can make a difference for intended parents no matter how small, by offering support were ever possible.

This is the lesser part of the bigger procedure which we get involved in. specifically, while the surrogate mother is pregnant, parents start collecting the needed paperwork so they have as much of it done in advance before the baby is delivered. This will help to speed up the registration process.

Please be aware that as soon as the baby is delivered, all our obligations and responsibilities will have been met in terms of the program, and it comes to an end.

Also, please be aware that we are always very busy with our ongoing programs; therefore, it is simply impossible to accompany you to the Embassy or for sightseeing. Also we will not be able to provide you with translation services during your stays in Georgia; unfortunately, none of this is within our means.