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Gestational Carrying

Three Embryos
A Gestational Carrier is a woman who becomes pregnant, carries a fetus throughout a pregnancy and delivers the child for another couple. The Gestational Carrier has no genetic link to the fetus that she is carrying. RMAPA with the help of RMA of New Jersey nurses coordinates Gestational Carrier cycles for parents who have a clinical indication for this service.The patient's RMA physician (or sometimes a patient's specialist physician in another field) will determine if a clinical indication exists for the Gestational Carrier service. Upon the determination for the need for this service, RMA will coordinate the care of the patient, as well as any potential Gestational Carriers identified. If an ovum donor is being used, her care and cycle protocol will also be coordinated by the RMA team.

Who is a candidate for GC (Gestational Carrier)?

Basically any women who cannot successfully carry a pregnancy to term:
  • Women who have had their uterus removed.
  • Women whose uterus does not function normally.
  • Women who have had recurrent unexplained pregnancy loss.
  • Women who have had multiple poor pregnancy outcomes such as second trimester losses and/or very premature births.
  • Women who have medical conditions for which a pregnancy would put their lives at substantial risk and some have had severe complications resulting from a pregnancy.
How does a GC cycle work?

Candidates for gestational carriers either use the eggs of the intended mother or the eggs of a third party ovum (egg) donor. The woman supplying the eggs in a Gestational Carrier case must be stimulated with fertility drugs to produce multiple eggs just like a regular IVF (in vitro fertilization) cycle. These eggs are then removed to undergo IVF at which time the eggs will be fertilized with the intended father's sperm or the sperm of a donor. The developing embryo will be transferred into the Gestational Carrier three, five or six days after the eggs have been retrieved. With the consent of the Gestational Carrier, the parents are welcome to be present for the embryo transfer. In the following weeks, the Gestational Carrier will self-administer hormone shots to help establish and support a pregnancy. If a pregnancy is confirmed, it will be followed weekly with blood work and ultrasounds. Typically the Gestational Carrier will be followed by RMAPA until 6 weeks after the egg retrieval, at which time she will be discharged to her obstetrician. This entire process will be explained to you in much greater detail at your initial visit. We have a specialized team that handles all of our Gestational Carrier cases to provide the most individualized care possible.

For more information, please call our patient coordinator at 973-656-2800.

Many of RMAPA's patients have worked with Melissa B. Brisman, Esq. to find a carrier, organize the screening, negotiate and draft contracts. Melissa Brisman is an attorney admitted to practice in Massachusetts, New Jersey, New York, and Pennsylvania, and is a licensed certified public accountant. For more information about her practice and services provided, visit