Successful pregnancy after 24 consecutive fetal losses: lessons learned from surrogacy.
OBJECTIVE
To offer surrogacy as a treatment option to patients in whom maternal rather than fetal factors are responsible for high-order unexplained habitual abortions.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 36-year-old woman with 24 consecutive abortions over 11 years.


METHODS
A regular IVF procedure in the aborting woman and transfer of two good-quality embryos to the surrogate mother, who had previously received hormones.


METHODS
Ovarian response, oocytes, fertilization, and embryo quality in the aborting patient. Endometrial thickness, implantation, pregnancy, and delivery in the surrogate mother.


RESULTS
Transfer of two embryos to the surrogate mother led to a clinical pregnancy, which was uneventful until term. Cesarean section was performed for breech presentation, with delivery of a healthy male.


CONCLUSIONS
Surrogacy can be offered as a treatment option to patients in whom maternal rather than fetal factors are responsible for high-order unexplained habitual abortions.
Raziel
A
A
IVF and Infertility Unit, Assaf Harofeh Medical Center, Zerifin, Israel. ivf@asaf.health.gov.il
Friedler
S
S
Schachter
M
M
Strassburger
D
D
Ron-El
R
R
D000026:Abortion, Habitual; D000328:Adult; D004624:Embryo Transfer; D005260:Female; D006801:Humans; D007247:Infertility, Female; D008297:Male; D011247:Pregnancy; D013533:Gestational Carriers