Feeling nervous about post placement contact with the birth family is one of the most common concerns adoptive parents share—and these worries are completely valid.

Surrogates typically take medication before embryo transfer for 3 to 6 weeks, though individual timelines may vary based on your body’s response and cycle synchronization needs.

Get answers about the medical process timeline for surrogates today when you fill out our form.

Understanding what to expect during this medication phase helps you feel confident and prepared for your surrogacy journey.

Disclaimer:This content is for informational and educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment.

How Long Are Surrogates on Medications Before Embryo Transfer?

How long you’ll be on medication before embryo transfer depends on several factors specific to your situation. Most surrogates begin their medication protocol 3 to 6 weeks before the scheduled transfer date.

Your fertility clinic creates a personalized medication schedule based on your menstrual cycle, how your body responds to hormones, and the intended parents’ timeline.

Some surrogates may need a shorter preparation period if their body responds quickly, while others might require additional time to achieve optimal uterine lining thickness.

The medication before embryo transfer serves a vital purpose: preparing your uterus for a successful embryo transfer.

This careful timing coordination ensures the best possible environment for pregnancy.

Essential Medications Surrogates Take Before Transfer

Birth control pills often start your medication protocol, helping synchronize your cycle with the intended parents’ timeline. This synchronization is fundamental to the entire process and typically begins several weeks before other medications.

Lupron

Lupron suppresses your natural ovarian function, allowing doctors to control your hormone levels precisely.

You might experience mild menopausal symptoms like hot flashes or headaches, but these side effects are temporary and manageable.

Estrogen

Estrogen medications build up your uterine lining and come in various forms including pills, patches, or injections. Your doctor monitors your estrogen levels through regular blood tests and adjusts dosages as needed to achieve optimal lining thickness.

Progesterone

Progesterone supports embryo implantation and early pregnancy maintenance.

This medication before embryo transfer comes as intramuscular injections, vaginal suppositories, or gel applications. If pregnancy occurs, progesterone continues through the first trimester.

Concerned about needles? Learn pain management techniques for before, during and after injections for surrogacy.

Monitoring and Adjustments During the Medication Phase

Regular blood tests monitor your hormone levels to ensure medication before embryo transfer is working effectively. These tests help your medical team adjust dosages and timing for optimal results.

Transvaginal ultrasounds measure your uterine lining thickness, with the goal of achieving at least 8-10 millimeters before transfer. Your doctor tracks this measurement throughout your medication cycle to determine transfer readiness.

Medication adjustments are common and expected during this process. Your fertility team may modify dosages, timing, or medication types based on your body’s response. These changes optimize your preparation and improve transfer success rates.

American Surrogacy coordinates with your clinic to ensure seamless communication throughout this process.

Learn more about the surrogacy medical process.

What If the Transfer Timeline Changes?

Transfer timelines sometimes change due to various factors, and this flexibility often improves success rates. Your uterine lining might need additional time to reach optimal thickness, or the intended parents may need schedule adjustments.

Medical teams prioritize giving embryos the best chance for successful implantation, even if it means extending your medication before embryo transfer period.

These delays typically occur for important medical reasons and don’t negatively impact pregnancy outcomes.

Many successful surrogates have experienced timeline changes without affecting their journey’s success. Trust that your medical team’s decisions prioritize both your health and the pregnancy’s viability.

Common Questions Surrogates Ask About Medications

“Are the shots going to hurt?”

Progesterone injections are often surrogates’ biggest concern, but they become manageable with practice.

Many partners learn to administer these shots, and techniques like ice application before injection or heat afterward can minimize discomfort.

“What happens if I forget to take something?”

If you forget to take medication before embryo transfer, contact your clinic immediately. Medical teams handle missed doses regularly and will provide specific instructions for your situation.

Don’t panic—they’re prepared to help you get back on track.

“What kind of side effects should I expect?”

Side effects typically resemble PMS symptoms including mood changes, bloating, breast tenderness, and fatigue. These effects are temporary and resolve once your medication protocol ends.

“Can I still work out?”

Exercise guidelines vary by clinic, but most surrogates can continue light to moderate physical activity during their medication phase.

Follow your specific clinic’s recommendations for the safest approach.

How American Surrogacy Supports You Through the Process

Here’s what sets us apart: we get that this whole medication thing can feel overwhelming, so we’re with you every single step of the way.

• We Handle the Coordination: We stay in constant contact with your fertility clinic so you don’t have to worry about miscommunications or feeling lost in the shuffle.
• You Get Paid What You Deserve: We believe surrogates should get top-dollar compensation because what you’re doing is priceless. All the time you spend on meds, appointments, and everything else—it’s all valued.
• Expert Support: Our team knows this process inside and out. We’re here for questions, reassurance, celebration—whatever you need.
• Great Matches: We take our time helping you find intended parents who truly appreciate what you’re doing. These relationships often turn into lifelong friendships.

With our support, you can feel confident that you’re making someone’s dream come true while getting the respect and compensation you absolutely deserve.

Ready to start your surrogacy journey with expert support? Fill out our form today to hear from a specialist who understands the medication process and can answer all your questions.

Disclaimer: This content is for informational and educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment. All medical decisions should be made in consultation with a licensed healthcare provider or reproductive specialist familiar with your personal medical history.

Approximately 5-15% of healthy adults don’t develop detectable immunity after completing the hepatitis B vaccination series, yet many successfully become surrogates.

Being a hep B vaccine non-responder doesn’t automatically disqualify you from surrogacy—it simply means you’ll need to explore alternative pathways and work with agencies and clinics that understand this medical situation.

Reach out today to learn more about how you can qualify to be a surrogate.

We’re here to help you understand your options, navigate medical requirements, and connect you with fertility clinics experienced in working with vaccine non-responders.

Can I Be a Surrogate if I Have No Immunity to Hep B after Vaccination?

Yes. Having no detectable immunity to hepatitis B doesn’t automatically end your surrogacy journey.

Many prospective surrogates discover they lack immunity after vaccination, yet still qualify for surrogacy programs through alternative pathways.

Having no detectable immunity to hepatitis B is fundamentally different from having an active hepatitis B infection. You can still qualify for surrogacy when your hepatitis B surface antigen (HBsAg) test is negative, meaning no active infection exists.

Learn more about the health requirements to be a surrogate.

Medical Reasons Behind Hepatitis B Vaccine Non-Response

Understanding why some people have no immunity to hep B after vaccination can help you feel more confident about your situation and explore potential solutions with your medical team.

Primary medical reasons for non-response:

• Genetic factors: Some people have genetic variations affecting immune response to hepatitis B vaccines
• Individual immune system variations: Different people process and remember vaccines differently
• HLA (Human Leukocyte Antigen) variations: Specific genetic markers that can predict vaccine response

Protocol and administration issues:

• Incomplete vaccine series: Missing doses or not completing the full three-shot series
• Improper vaccine administration: Incorrect location, needle depth, or technique
• Storage problems: Vaccines not properly stored may lose effectiveness
• Concurrent medications: Certain drugs can interfere with vaccine response

Important Reassurance: Being a hep B vaccine non-responder doesn’t indicate serious health problems or increased risk of other infections.

Interpreting Hepatitis B Immunity Test Results

Test results for hepatitis B immunity can be confusing. Understanding what different results mean for your surrogacy eligibility is vital.

Testing protocols can vary between facilities, so always consult with a medical professional to interpret your specific results.

Key Tests and Their Meanings:

Anti-HBs (Hepatitis B Surface Antibodies):

• Positive (≥10 mIU/mL): Indicates immunity from vaccination or recovery from infection
• Negative (<10 mIU/mL): Shows no detectable immunity to hepatitis B

This test identifies whether you have no immunity to hep B after vaccination

HBsAg (Hepatitis B Surface Antigen):

• Negative: No active infection present (essential for surrogacy qualification)
• Positive: Active hepatitis B infection (would disqualify you from surrogacy)

Anti-HBc (Hepatitis B Core Antibodies):

• Negative: No previous exposure to hepatitis B
• Positive: May indicate past infection or vaccination response patterns requiring evaluation

Common Test Result Scenarios:

Scenario 1 – Typical Non-Responder Pattern:

• Anti-HBs: Negative
• HBsAg: Negative
• Anti-HBc: Negative

Translation: Not immune but no active infection – most amenable to surrogacy workarounds

Scenario 2 – Past Exposure with Lost Immunity:

• Anti-HBs: Negative
• HBsAg: Negative
• Anti-HBc: Positive

Translation: May have had past exposure but lost detectable immunity – requires medical evaluation

Critical Distinction: A negative hep B antibody test doesn’t mean you have hepatitis B—it means you don’t have detectable immunity. This is a vital distinction many people misunderstand when evaluating surrogacy eligibility.

Alternative Pathways for Hep B Vaccine Non-Responders

If standard protocols don’t accommodate your situation, several alternative approaches may still lead to surrogacy qualification for those with no immunity to hep B after vaccination.

• Additional booster shots may stimulate immunity in people who didn’t respond initially
• Higher-dose vaccines sometimes work for those who didn’t respond to standard doses
• Alternative vaccine formulations may be more effective for certain individuals

If after these changes you are still non-responsive to the vaccine, you and the intended parents may have the opportunity to sign a waiver acknowledging the results.

Many surrogates with no immunity to hep B after vaccination have successfully carried pregnancies by finding flexible clinics and maintaining excellent communication throughout the process.

Surrogacy Agency Approaches to Hepatitis B Immunity Requirements

Different surrogacy agencies and fertility clinics have varying approaches to handling candidates with no immunity to hep B after vaccination.

Most surrogacy programs require a negative hepatitis B surface antigen (HBsAg) test, confirming no active infection exists.

However, the critical distinction between having no immunity and having an active infection allows many agencies to work with vaccine non-responders.

Agencies typically look for medical honesty about vaccination history and test results. Required documentation usually includes vaccination records, recent hepatitis B panel results, and a letter from your healthcare provider. Some may require consultation with an infectious disease specialist.

Learn more about what you can expect from the surrogate screening process.

Working with American Surrogacy: Specialized Support for Medical Complexities

Navigating surrogacy qualification with no immunity to hepatitis B after vaccination requires an agency with experience and commitment to finding solutions. Here’s how we do it:

• Our personalized screening process: We analyze your medical history to understand vaccination timeline and response patterns.
• Transparency with the intended parents: We educate prospective parents about your medical situation and facilitate honest discussions about actual versus perceived risks.

Our communication support helps explain your situation to intended parents, while our documentation assistance helps present medical information effectively.

Moving Forward: Your Surrogacy Options with Hepatitis B Vaccine Non-Response

Many women in your exact situation have successfully become surrogates by working with the right medical teams and agencies. With proper precautions, you can safely participate in surrogacy.

Ready to explore your surrogacy options despite having no immunity to hep B after vaccination? Fill out our form to discuss your specific situation and learn about available pathways forward.

Shipping breast milk in surrogacy gives intended parents the best possible start for their newborn while providing irreplaceable immunological benefits that only you can offer.

The nutritional and emotional value you provide through breast milk shipping gives intended parents peace of mind and their child optimal health benefits during those critical first weeks.

Ready to make an even greater impact as a surrogate? Learn how American Surrogacy supports your entire journey. Fill out our simple form now.

Can Surrogates Provide Breast Milk After Birth?

Yes, surrogates can absolutely provide breast milk after birth.

This decision is entirely voluntary and depends on your personal preferences, physical ability to pump and the intended parents’ wishes regarding shipping breast milk in surrogacy arrangements.

Shipping breast milk in surrogacy represents a continuation of the nurturing relationship that develops during pregnancy.

Many surrogates find this emotionally fulfilling, as it allows them to provide ongoing benefits while helping intended parents give their child optimal nutrition during those critical first weeks.

The decision should be discussed during matching and clearly outlined in your surrogacy agreement.

Learn more about how surrogacy agreements work and what they include to ensure your journey is protected.

The Complete Guide to Safe Breast Milk Shipping for Surrogates (7 Essential Steps)

Shipping breast milk in surrogacy requires careful attention to safety protocols to ensure the milk arrives nutritionally valuable for the baby.

• Step 1: Pump and Store Properly Use clean, sanitized equipment and store immediately in breast milk storage bags designed for freezing. Label each container with date and pumping time.
• Step 2: Freeze Completely
  Ensure all milk is frozen solid before shipping. Freeze milk flat in storage bags to maximize space and promote even freezing.
• Step 3: Prepare Shipping Container Use an insulated container designed for frozen goods. Line with plastic bags to prevent leaks and contamination.
• Step 4: Pack with Adequate Dry Ice Place dry ice in the bottom, add frozen milk, then top with more dry ice. Use 5-10 pounds of dry ice per 24-hour shipping period.
• Step 5: Seal and Label Correctly Seal tightly and apply required shipping labels, including hazardous material labels for dry ice. Include recipient contact information.
• Step 6: Ship Overnight Use overnight or express shipping to minimize transit time and ensure milk stays frozen throughout transport.
• Step 7: Communicate Delivery Details Notify intended parents of tracking information and expected delivery so they can receive and store milk immediately.

The One Thing Intended Parents Want Most – A Happy and Healthy Baby

When intended parents request shipping breast milk in surrogacy arrangements, it stems from their desire to provide optimal nutrition and health benefits.

Breast milk offers unique immunological properties—antibodies, enzymes, and beneficial bacteria—that formula cannot replicate.

It ensures their baby receives the same nurturing sustenance that supported healthy development in utero, which can be especially meaningful for parents who felt disconnected from the pregnancy experience.

The immunological benefits are particularly valuable during those first months when babies’ immune systems are developing.

Antibodies in breast milk help protect against infections and allergies, giving intended parents peace of mind about their baby’s wellbeing.

How Long Should You Really Pump? (The Truth About Duration)

Duration of pumping for shipping breast milk in surrogacy varies significantly among surrogates. Most who choose this path pump anywhere from two weeks to three months postpartum.

• Short-term pumping (2-6 weeks) is most common. This allows surrogates to provide valuable colostrum and early breast milk while bodies naturally transition away from lactation without extended intervention.
• Extended pumping (2-3 months or longer) requires more commitment but provides substantial benefits. These arrangements need clear communication and flexibility built in to accommodate changing circumstances.

The decision about duration should be collaborative between you and intended parents.

Remember, milk supply naturally fluctuates, and you should never feel pressured to continue if pumping becomes physically or emotionally challenging.

What Nobody Tells You About Low Milk Supply (And How to Handle It)

Milk supply challenges are completely normal when shipping breast milk in surrogacy.

Several factors impact supply: delivery stress, separation from baby, irregular pumping schedules, and the body’s natural tendency to decrease production without consistent stimulation.

These challenges don’t reflect failure—they’re simply reality of pumping without nursing.

If experiencing supply issues, communicate openly with intended parents and your support team. Sometimes adjusting pumping frequency, ensuring proper nutrition and hydration, or consulting with a lactation specialist helps.

Remember that any amount of breast milk provided through surrogacy shipping is valuable. Intended parents understand supply can be unpredictable.

Don’t Worry About the Costs—Here’s Who Actually Pays

Financial responsibility for shipping breast milk in surrogacy is typically covered by intended parents, though arrangements should be clearly outlined in your surrogacy agreement.

This includes pumping equipment, storage supplies, shipping materials, and shipping fees.

Pumping equipment costs range from $200-$500 for quality electric pumps, while storage bags and supplies add ongoing expenses. Shipping costs vary by frequency and distance, but overnight shipping with dry ice typically costs $75-$150 per shipment.

At American Surrogacy, we work with both parties to ensure clear understanding of financial responsibilities.

The Top-Rated Services Surrogates Trust for Breast Milk Shipping

Several specialized companies handle shipping breast milk in surrogacy with proper safety protocols:

• Milk Stork offers comprehensive breast milk shipping with specialized packaging, dry ice handling, and temperature monitoring throughout transit. They provide complete shipping kits and handle door-to-door logistics.
• FedEx offers specialized frozen shipping services for breast milk when properly packaged with dry ice. These include temperature monitoring and guaranteed delivery times.
• Local Medical Supply Companies often provide breast milk shipping services or recommend appropriate solutions for your specific location.

When selecting services for shipping breast milk in surrogacy, consider reliability, temperature monitoring, insurance coverage, and cost. Many offer tracking and temperature verification.

Your Must-Haves for Shipping Breast Milk (Don’t Ship Without These)

Proper supplies ensure safe shipping breast milk in surrogacy arrangements:

• Storage Containers: Heavy-duty breast milk storage bags designed for freezing, or hard plastic containers made specifically for breast milk storage.
• Insulated Shipping Container: Styrofoam or specialized insulated containers designed for frozen shipping, appropriately sized for milk quantity.
• Dry Ice: Food-grade dry ice in sufficient quantities—generally 5-10 pounds per 24-hour shipping period.
• Protective Packaging: Plastic bags to line containers, bubble wrap for cushioning, and tape to secure packaging.
• Labels and Documentation: Shipping labels, hazardous material labels for dry ice, and required documentation.
• Safety Equipment: Insulated gloves for handling dry ice safely, and ensure adequate ventilation when packing.

This Temperature Mistake Could Ruin Everything (Critical Requirements)

Maintaining proper temperature when shipping breast milk is vital for preserving nutritional and safety qualities. Breast milk must remain frozen at 0°F (-18°C) or below throughout the entire shipping process.

Temperature fluctuations compromise safety and quality, potentially causing bacterial growth or nutrient breakdown. This makes adequate dry ice quantities and proper insulation non-negotiable for safe shipping.

Temperature monitoring devices provide additional assurance that proper temperatures were maintained. Some specialized services include temperature logging as standard.

7 Pro Tips That Make Breast Milk Shipping Actually Manageable

Managing pumping and shipping breast milk in surrogacy while recovering from childbirth requires organization and realistic expectations:

• Establish Routine Early: Start pumping within hours of delivery if possible. Maintain consistent schedules that work with your recovery and daily activities.
• Prepare Supplies in Advance: Have all shipping supplies ready before delivery so you’re not scrambling for materials while managing recovery.
• Communicate Regularly: Maintain open communication with intended parents about supply, shipping schedules, and challenges. They can provide encouragement and practical support.
• Focus on Self-Care: Adequate rest, nutrition, and hydration are essential for supply and recovery. Don’t sacrifice your health for pumping goals.
• Set Realistic Expectations: Supply fluctuations are normal. It’s okay to adjust plans based on your circumstances—quality matters more than quantity.
• Plan for Flexibility: Build flexibility into shipping schedules to accommodate unexpected changes in supply or circumstances.

You Don’t Have to Navigate This Alone—American Surrogacy Has Your Back

Many surrogates find fulfillment in shipping breast milk in surrogacy arrangements, and we support you through every aspect of this process.

Your commitment demonstrates the incredible generosity that makes surrogacy possible.

Ready to learn more about shipping breast milk in surrogacy and the support we provide? Contact American Surrogacy today—we’re here for every step of your journey and beyond.

Yes, you can still become a surrogate after three C-sections and one vaginal birth with the right support and medical clearance.

With the right medical history and a supportive agency like American Surrogacy, your journey could continue, helping someone else begin theirs.

Every woman’s path to surrogacy is unique. That’s why our team takes a personalized approach, reviewing your delivery history, current health, and overall readiness not just checking boxes.

Take the first step toward helping someone grow their family — your story may be the one they’ve been waiting for. Apply today to find out if you meet the surrogate qualifications.

Can You Be a Surrogate After 3 C-Sections and One Vaginal Birth?

Yes, if all of your deliveries were safe and without major complications, you may still be eligible to become a surrogate. Having a history of safe outcomes, especially paired with a successful vaginal birth, can strengthen your candidacy.

The key factors here are:

• Uterine health and healing
• Absence of serious complications
• Medical clearance based on current condition

Each surrogacy journey is unique, and American Surrogacy approaches every potential surrogate with a personalized review of her medical history.

Curious about how C-sections affect surrogacy eligibility? Learn more about surrogacy after C-sections.

Who Qualifies for Surrogacy After Multiple C-Sections?

Medical guidelines like those from the American Society for Reproductive Medicine (ASRM) typically recommend:

• No more than three C-sections
• No more than five total deliveries

But these are just starting points. What really matters is:

• Uterine health and recovery after each delivery
• Absence of major complications, such as uterine rupture or placenta accreta
• Clearance from a fertility specialist after a medical evaluation

Tip: A successful vaginal birth after C-sections (VBAC) can enhance your surrogate eligibility by demonstrating that your uterus recovered well and withstood labor.

Learn more about how to qualify to be a surrogate.

What Do Medical Guidelines Say About Surrogacy After C-Sections?

Medical professionals, including the American Society for Reproductive Medicine (ASRM), provide the following guidance:

A woman may not be considered an ideal surrogate candidate if she’s had more than three C-sections or more than five vaginal deliveries.

However, these are not rigid rules. These guidelines serve as a starting point. What matters most is:

• Your overall reproductive health
• Successful recovery from past surgeries
• Absence of chronic complications, like uterine rupture or placenta previa

How We Evaluate Your Eligibility at American Surrogacy

We go beyond the checklist. Here’s how we ensure it’s safe for you and for the intended parents:

Step 1: Review of Your OB/GYN Records

We’ll request your medical records, with a focus on:

• Total number of births and delivery types
• Recovery outcomes from each delivery
• Any complications that may impact future pregnancies

Step 2: Surrogacy Pre-Screening

You’ll speak with a surrogate specialist about your goals, lifestyle, and any concerns. We’ll look at your:

• Overall physical and emotional readiness
• Support system
• Motivation for becoming a surrogate

Step 3: Post-Match Clinical Evaluation

Once you’re matched, you’ll undergo:

• Hormonal screening
• Uterine lining assessments
• Additional tests as required by the fertility clinic

Wondering what these requirements look like? Review the full list of surrogate qualifications here.

Does Having a Vaginal Birth Improve Your Chances?

Yes. A vaginal birth, especially after C-sections, can be a strong indicator that:

• You successfully gave birth vaginally after previous C-sections
• Your uterine wall withstood the pressure of labor
• You may have a lower risk of uterine rupture than someone without a VBAC

However, VBAC doesn’t erase your C-section history. Our team still reviews all your past deliveries holistically. Every pregnancy adds valuable information to your story and we want to understand it in full.

I’ve Had 3 C-Sections—Can I Still Help Someone Become a Parent?

Absolutely. If your past C-sections and vaginal birth were complication-free, and your uterus has healed well, you may still be the perfect candidate to help someone build their family.

Each story is different and many surrogates come from medical backgrounds that don’t fit a one-size-fits-all mold.

Imagine the impact you could make. Your strength and experience could be exactly what someone needs to start their parenthood journey.

Ready to See If You Qualify?

You don’t have to figure this out alone. Apply today to get a personalized review and find out if you’re eligible to become a surrogate with American Surrogacy. Reach out today to find out if you qualify.

Surrogates give deeply of themselves physically, emotionally and spiritually to make someone else’s dream of parenthood come true.

One of the most meaningful additions to that support team is a surrogacy doula.

Whether you’re currently carrying a baby for another family or preparing to begin your journey, a surrogacy doula can offer emotional stability, physical comfort and advocacy tailored to your unique experience.

Curious how a surrogacy doula fits into your birth plan? Talk to a surrogacy specialist to learn how to thoughtfully include this care in your journey.

What Is a Surrogacy Doula?

A surrogacy doula is a trained, non-medical birth professional who provides continuous support to a surrogate throughout pregnancy, labor, and postpartum recovery. Unlike midwives, who provide medical care, surrogacy doulas focus on:

• Emotional reassurance
• Hands-on comfort techniques
• Personalized guidance during birth
• Advocacy for the surrogate’s preferences

The presence of a surrogacy doula adds another layer of safety and compassion to the birth space,  especially in third-party reproduction, where clarity and consent are paramount.

How a Surrogacy Doula Supports Surrogates

Being a surrogate involves unique emotional and logistical experiences. A surrogacy doula understands these nuances and is trained to support the surrogate holistically, before, during, and after delivery.

Before Birth

• Helps the surrogate develop a birth plan and prepare emotionally for delivery
• Offers space to process the upcoming transition and expectations

During Labor

• Provides physical support through massage, position assistance, water therapy and breath work
• Helps maintain a calm, respectful and empowering birthing environment

After Delivery

• Assists with emotional closure and physical recovery
• Supports the surrogate in feeling honored and grounded after birth

Having a surrogacy doula with trauma-informed training can be especially helpful in ensuring the surrogate feels emotionally safe, heard, and respected throughout the process.

Does a Surrogacy Doula Help Intended Parents Too?

Yes, a surrogacy doula doesn’t only benefit the surrogate. Their supportive role also enhances the experience for intended parents, particularly in the emotionally charged birth space.

A surrogacy doula can:

• Facilitate communication between the surrogate and intended parents
• Help all parties feel informed and included
• Offer reassurance and context about what’s happening during labor
• Support the development of trust and emotional connection in a vulnerable moment

This kind of balance can transform a clinical delivery into a collaborative, compassionate experience for everyone involved.

Doula vs. Midwife in Surrogacy Births

The distinction between a doula vs. midwife is important:

• Doulas offer emotional and physical comfort, but do not have medical training and cannot administer medicine.
• Midwives are licensed medical providers who can provide care and monitoring and deliver babies.

Both play vital, but different, roles. Most surrogate deliveries will involve an OB-GYN or midwife and can be enriched by the presence of a doula.

Is a Doula Included in Agency Services?

While American Surrogacy does not automatically include a surrogacy doula as part of the standard services or surrogate compensation, we’re happy to help facilitate this support.

• Surrogates can request a surrogacy doula as part of their birth plan or contract
• Intended parents can choose to fund this service as an investment in their surrogate’s well-being
• Our team can connect you with vetted surrogacy doulas in your area

We understand how meaningful this support can be and are committed to helping you integrate it into your journey.

Contact us today to learn more about how the surrogate compensation and benefits available to you throughout your surrogacy journey.

How Much Does a Surrogacy Doula Cost?

The cost of hiring a surrogacy doula typically ranges from $800 to $2,500, depending on location, experience, and additional services.

What to Know About Costs:

• Surrogates can request doula coverage as part of their compensation agreement
• Intended parents often include a surrogacy doula in the budget to ensure the surrogate feels well-supported
• American Surrogacy can match you with families willing to cover this cost

This kind of proactive support strengthens trust and communication throughout the journey.

How to Choose a Doula for a Surrogacy Birth

When selecting a surrogacy doula, it’s important to prioritize alignment emotionally, culturally and professionally.

Look for:

• Experience supporting surrogates or in third-party reproduction
• Trauma-informed or culturally competent care
• Comfort navigating hospital protocols and interacting with medical staff
• Values that resonate with your own

A good surrogacy doula will feel like a calming, affirming presence someone who respects your role, your boundaries and your emotional journey.

Find a Surrogacy Doula Near Me

Use these trusted sites to search for a local doula:

• DONA International
• DoulaMatch
• Hello Meela

You can also reach out to your American Surrogacy Specialist for help identifying surrogacy doulas familiar with surrogate birth dynamics.

We’re Here to Help You Feel Fully Supported

At American Surrogacy, we believe that every surrogate deserves comprehensive support, not just legal and medical, but emotional and physical as well. A surrogacy doula can be a powerful part of that support system.

If you’re interested in learning more or exploring how to include a surrogacy doula in your contract or journey plan, our team is here to help.Talk to a surrogacy specialist today and take the next step toward a deeply supported surrogacy experience.