Friday 26 February 2016

Surrogacy seminar - more good information





Remember:
You are no less of a mother if you don’t carry your own child, no father has ever carried his child.



Again, Families Through Surrogacy provided an insightful and thoughtful seminar on surrogacy options.

Each time I attend these events I meet lovely people and learn a little more about surrogacy.

I have to admit that I was late so did not hear all the presenters but with only attending half the seminar I still learnt so much.

Surrogacy Solutions Inc

Kathryn and Lauri from Surrogacy Solutions Inc spoke to us about the agency they set up in USA, after dealing with infertility issues of their own.


Kathryn Kaycoff-Manos, MA – Co-Director & Agency Owner


When my husband and I married in 1999, we decided to start a family right away. Five years, 6 fresh IVFs, 3 frozen embryo transfers, over 100 embryos and 2 Gestational Surrogates later, we became the proud parents of identical twin boys.

Lauri Berger De Brito BS – Co-Director& Agency Owner


I had no idea the roller coaster ride my husband and I were about to take when we decided to start a family. I was 36 years old when we got married. We decided to cut to the chase and went straight to a fertility doctor. My pregnancy was uneventful and my daughter announced herself to the world 3 1/2 weeks early. We quickly started trying for #2.
We immediately got pregnant with another non-medicated IUI but at ten weeks, the baby’s heartbeat was gone. This was the beginning of what proved to be a very long descent into the depths of infertility. For 6 ½ years, we tried everything — immune testing and therapies, consultations with top clinics and REs from around the country, donor egg — nothing worked. I did IVFs, ZIFT, DE/IVF, heparin, etc. We were at the end of our rope when my husband brought up surrogacy.

The ladies say:

Because we have been through this process ourselves (and many times over for our clients), we know how easy it is to feel overwhelmed by the multitude of details at any point. Our first-hand knowledge of the process is the unique thing that we bring to the table as agency owners. We will always be able to see things from your perspective in a way that other agencies can’t. Let us put our experience to work for you. We deal with the details of the surrogacy so that you can concentrate on the miracle of creating your baby.

If you are interested in this approach you can obviously get in contact with that agency.

They did raise some interesting matters during their talk. (NOTE: Surrogacy in USA is completely different to Australia, you must be aware of the legal implications)
  • In USA surrogacy costs about USD $130,000 to $150,000. Some agencies such as Surrogacy Solutions Inc spread this cost out over four stages:
  • Stage 1:
    • Setting up the surrogacy agreement and paying the related agency fees
    • Approx. $50,000
  • Stage 2:
    • Contracts signed with surrogate
    • Escrow fees $35,000 to $50,000
  • Stage 3:
    • Second trimester
    • At this stage everyone will be aware of the number of babies that the surrogate is carrying
    • Prebirth parentage order
  • Stage 4:
    • Escrow account must have at least $3,000 available for the surrogate
    • Final health bills come in
  • In SOME states of USA, a child born to a surrogate is your child and an American citizen. You need to be aware of the different laws as each state are very different.
  • In USA, surrogates can ask for payments to assist with the pregnancy, they can include (but not limited to:
    • A fee for the “pain and suffering”
    • House keeping every two weeks
    • Childcare fees for their existing children
    • Maternity clothes etc
  • USA state aid cannot be used to cover surrogacy, it is illegal.
  • 50% of Surrogacy Solutions Inc’s surrogates are carrying a child for international clients
  • Make sure you work with a bonded escrow agency
  • Creating your embryos in Australia will be cheaper for intending parents. It seems that Australian women are not as “stimulated” as American women. The average number of eggs in Western Australia from a cycle is 8, whereas the number in America is 15 eggs.
  • In 12 years and 500 surrogacy journeys, Surrogacy Solutions Inc has only had 5 surrogates that have needed to utilize their counseling services. They have three on-line surrogacy coordinators that were surrogates, they give support to the surrogates.
  • People are often scared that the surrogate will want to keep the baby. In 12 years of Surrogacy Solutions Inc no surrogate has ever wanted to keep the baby. (My clinic in Western Australia has also said they have never heard of a surrogate wanting to keep the baby)
  • If the intending parents are international, the expectation is that they will visit the surrogate 2-3 times during the pregnancy.
  • Understand what an appropriate "gift" for your surrogate is. Trips to Disney Land are over the top. 
  • In America, they test they embryos for chromosomal abnormalities before the transfer, they do not in Australia.
  • Often if surrogacy is legal in the state then the clinic will also be allowed to undertake sex selection.



One of the biggest and most important message was to make sure that intending parents and surrogates have the right qualities to undertake the very emotional process of surrogacy.

Qualities of good intending parents:
  • Trusting your team
  • Trusting the doctors, agency and surrogate
  • Communicate – learn to speak up
  • Flexible – babies don’t follow a schedule so you will not be able to either
  • Realistic – make sure you are realistic about your expectations


Qualities of a good surrogacy:
  • Healthy lifestyle
  • Good network of support
  • Good communication skills
  • Good health and pregnancies
  • Able to consider others point of view and be compliant
  • Be 21- 40 years of age, surrogates are usually 28 – 38 years of age
  • Good levels of maturity
  • Good height / weight ratio (30-33 BMI)


It is important to establish a kind, respectful friendship between the intending parents and the surrogate.  If there is a mismatch in the communication styles of each party it can cause friction.


Dangerous Goods International

Dangerous Goods International (DGI) is a global logistics company that specialises in the transportation of hazardous goods worldwide. We focus on all 9 classes of dangerous goods and provide a complete dangerous and hazardous goods logistics service.


There are a range of legal issues surrounding the transfer of human embryo / sperm and a need to obtain an export / import permits.

If you get approval, embryos are transferred in a “dry shipper” you can hire a dry shipper for 10 days, and a transfer can be organised.

A really good starting point is to talk to people that regularly transport extremely rare and fragile goods internationally.


Conference

Families Through Surrogacy have an Annual Conference that is well attended and is a great way to get connected to other people in the surrogacy community.

When: 

Saturday 4th June 10am – 6pm

Sunday 5th June 9am – 3pm

Where: Hotel Pullman Brisbane, King George Square, Brisbane

Parents and Surrogates speaking will include:

Rachel Kunde, Marian Sandberg, Renee Golland, Clinton Bryan-Mathieson, Danni McGaughey , Sam Everingham

Two Days of Panels and Presentations

Understanding US Insurance, Managing Costs, Locating a Surrogate, Managing the Surrogate Relationship, Selecting an Egg Donor, Important IVF decisions, Surrogacy in Mexico, Understanding US Surrogacy, Surrogacy in Ukraine, Disclosure to Children, Latest Research



Renee Golland is amazing, she has such a commitment to the surrogacy community. She has met with Ryan and I to talk through different matters.


You will find some really giving and caring people on your journey.

Monday 15 February 2016

Surrogacy seminar




When I first started to look for surrogacy information it was quite hard to find anything, until I discovered the Families Through Surrogacy web site.

Families Through Surrogacy often run evening events across Australia. They provide a large amount of information in a condensed format.

The two seminars I have been to covered:

  • Legal impacts of overseas and local surrogacy
  • International surrogacy options
  • A story from someone that has undertaken the surrogacy process

While each seminar covers very similar information there is always something new to learn. Surrogacy and the maturity (or immaturity) of the sector means there is always new information, laws and options.

http://www.familiesthrusurrogacy.com/australia-seminar-series/

The next seminar is on Tuesday 23 February 2016, Metro Hotel Perth, 61 Canning Highway, South Perth

Welcome & Update on Recent Developments
Sam Everingham, Ella McNamara, FTS

Legal Issues related to Surrogacy & Parentage.
Paul Boers, Boers & Associates

Surrogacy agencies
The role of agencies in ensuring a good match between surrogate and intended parents.
Kathryn Kaycoff-Manos, Agency for Surrogacy Solutions, US

Controlling the costs of US surrogacy
US states such as California have some of the best surrogacy programs globally. Understanding the costs and what you can do to minimise these, can save you a lot of heartache and financial stress
Lauri De Brito, Agency for Surrogacy Solutions, US

Q&A

Precious Cargo
Shipping frozen embryos out of Australia, or from one overseas country to another can be straightforward, impossible or highly problematic. This session guides intended parents through the policies of various recipient countries in regard to what is possible, paperwork requirements and timelines
Stuart Edwards, DGI Sydney

What Does The Australian Public Think of Compensating Surrogates?
Results of a recent national survey commissioned by Flinders University for submission to the Surrogacy Enquiry, detailing community opinions on which groups should have access to surrogacy and what compensation should be paid.
Sam Everingham / Ella McNamara

Personal Journeys
Parents & Surrogates share their surrogacy journeys via the US, Australia & Mexico
David Voisey (Gold Coast), Mel Holman (Gold Coast), Michael Langtree (Melbourne), Kerry Faggotter (Adelaide), Jennifer Lord (Perth tbc)


Q&A, Food & networking


I would be interested in see the outcome of the Flinders University research relating to compensation for surrogates. In all states of Australia surrogacy must be altruistic, so it would be interesting to see what the public thinks of that approach.

Friday 5 February 2016

Is it legal?



When I started this journey I thought I would have to put up with an avalanche of judgment.

It has been surprisingly limited, I have been supported by virtually everyone that knows me.

But by far the most regular question has been:

Is it legal?


I think this is such a shame. I fear that people thinking about being surrogates in Australia (and in particular WA) might think they are breaking the law.


It is legal, it is just not common.




(Refer to Surrogacy Act details on useful links section of this blog)

I think that there is such a lot of shame and guilt wrapped up in the surrogacy decision that is not useful.

It is obviously not a decision any one takes lightly. There are comprehensive processes that take months to get through, including psychological assessments, before you can even start a surrogacy process.

To feel ashamed of your ability to become pregnant, or ashamed to ask for help or fearful of what others think, complicates an already complex and emotionally challenging journey.

Then to be thought of someone who might break the law is heart breaking.

With a better attitude more people might be less likely to look to international options.


Monday 1 February 2016

Argument to support local surrogacy ... even promote local surrogacy



When the ABC fact check team place a photograph of baby Gammy as the opening picture on their fact file, it makes a case for a local altruistic surrogacy process.

Fact file: How easy is it to bring overseas-born surrogate babies back to Australia and what are their parents' rights?
21 August 2014

http://www.abc.net.au/news/2014-08-19/rights-of-surrogate-children-born-overseas/5654602

(Note: The fact sheet has many useful and factually correct statements)

I know for a lot of people think that surrogacy is a step too far. I think i might have been exactly the same until that was the best possible (and most likely to succeed) option for  my partner and I to create a family.

As someone that is "required" to go through a surrogacy arrangement it seems that a local option would be best.

The thing is a local surrogacy process is very difficult.

If there are hundreds of Australians risking international surrogacy to have a family, is it not more advantageous for the local option to be promoted? By promoting, I do not mean with flashing lights and cheap commercial providers.

In Western Australia, it is illegal for anyone to assist intending parents with their surrogacy journey for money, outside of the strictly regulated medical interventions.

So at the very start of a journey couples are usually confused, scared and have no where to go for help.

I think that this high "entry barrier" to surrogacy is a reason many intending parents quickly look to an international solution.

Perhaps there are some small interventions that might support a local surrogacy process.

Standardisation of laws across Australia would mean people in different states could support each other. In WA, we are many years behind the eastern states (our legislation was only enacted in 2009). There are far more people in Queensland, Victoria and New South Wales involved in the surrogacy process that could come together in a useful and supportive way.

A simple thing, for every bad news story about surrogacy we should encourage news organisations to publish a factual positive story. The most regularly asked question of me is "is surrogacy legal?". The poor reporting or terribly researched news stories that focus on sensationalism is the only way our community gets to learn about surrogacy. How can we expect our community to know the facts about surrogacy?

From my experience, intending parents tend to be made up of loving couples where the female has some health problem that prevents her from carrying a child herself.

The majority (I cannot say all because I have not met all) of people accessing surrogacy are not doing so for frivolous reasons. They are not thoughtless hollow humans readying to exploit another human, they are themselves desperate. Perhaps with small changes to the law and processes around surrogacy, more Australian's would choose to look for a local option.