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Published on: August 17, 2022
Screening of gestational carriers in the United States
Erika L Fuchs1, Abbey B Berenson1
1Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas.
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:
Not applicable.
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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