Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019, 163(2):155-160 | DOI: 10.5507/bp.2018.040

Gestational surrogacy in the Czech Republic

David Rumpika,b, Tatana Rumpikovaa,c, Michal Pohankab, Pavel Ventrubab, Silvie Belaskovad
a Clinic of Reproductive Medicine and Gynecology Zlin, Zlin, Czech Republic
b Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, Masaryk University Brno, Brno, Czech Republic
c Faculty of Humanities, Bata University Zlin, Zlin, Czech Republic
d International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic

Background: Gestational surrogacy, is a treatment option for women with certain clearly defined medical problems, usually an absent uterus, to help them have their own genetic children. The aim of our study was to review, evaluate and share our experience and outcomes over the last 13 years of the largest surrogacy program in the Czech republic.

Methods: A total of 75 intended mothers and 82 surrogate mothers participated in this study. A retrospective cohort study was performed. Anonymized data were collected on 130 cycles of gestational surrogate (2004-2017) directly from the Clinic database.

Results: We performed 130 in vitro fertilization cycles with gestational surrogacy which involved 73 fresh embryo transfers and 57 frozen embryo transfers. We achieved 57 (43.9%) pregnancies and 42 (32.3%) live births. The rate of multiple pregnancies was only 2.3 %. The most common indication for using was an absent or damaged uterus (65%), followed by medical conditions precluding pregnancy (23%) and repeated in vitro fertilization cycles or pregnancy failure (12%).

Conclusion: In the 14 years of our experience, we have shown that treatment of young women with specific indications for gestational surrogacy is beneficial, successful and relatively free of complications. However, it is imperative to follow the medical indications for this treatment and specialist recommendations.

Keywords: gestational surrogacy, surrogate mother, intended parents, pregnancy rate, live birth rate

Received: April 20, 2018; Accepted: July 12, 2018; Prepublished online: September 20, 2018; Published: June 25, 2019  Show citation

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Rumpik, D., Rumpikova, T., Pohanka, M., Ventruba, P., & Belaskova, S. (2019). Gestational surrogacy in the Czech Republic. Biomedical papers, 163(2), 155-160. doi: 10.5507/bp.2018.040
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