Use of gestational surrogacy for a patient with recurrent pregnancy loss from early onset of severe pre-eclampsia: Case report.

Abstract

Introduction: The use of a gestational carrier deserves consideration as a treatment option in patients with poor reproductive histories because of early onset severe pre-eclampsia (PET) and hemolysis, elevated liver enzymes, and low platelets syndrome (HELLP). The case report is of 33 years old woman and 35 years old husband who presented with bad obstetric outcome of 7 pregnancies losses in the second trimester due to severe PET. After the 7th pregnancy loss, the couple opted for gestational surrogacy. In a traditional surrogacy arrangement, the surrogate mother provides the oocyte and the uterus to foster a pregnancy. With a gestational surrogate IVF cycle, the gestational surrogate is not the genetic mother because she does not provide the oocyte. In Vitro Fertilization (IVF) was undertaken using the patients oocytes and her husband’s sperm with the transfer of three embryos to a gestational surrogate where conception occurred with subsequent twin delivery. 
 The objective of this case report is to report a case of gestational surrogate treatment in the prevention of severe early onset pre-eclampsia (PET) with subsequent term twin delivery.