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What Does a Successful Surrogacy Journey Look Like? Three ACRC Pregnancy Milestones


A successful surrogacy journey is built through many meaningful moments from embryo transfer and the first ultrasound to pregnancy monitoring and preparation for delivery.

This week, ACRC Surrogacy is pleased to share three encouraging pregnancy updates from our surrogates.


Surrogate I.’s Seven-Week Ultrasound Shows Positive Early Development


Surrogate I.’s Seven-Week Ultrasound Shows Positive Early Development

Surrogate I. recently completed her early pregnancy ultrasound at approximately seven weeks.

The ultrasound showed that the embryo had implanted successfully. The fetal pole and early cardiac activity were visible, and the pregnancy was progressing appropriately for this stage based on the medical team’s assessment.

An early pregnancy ultrasound is an important milestone in a surrogacy journey. It can help the fertility clinic confirm:

  • That the pregnancy is developing in the uterus

  • The number of gestational sacs

  • Whether development is consistent with the gestational age

  • Whether early cardiac activity is present

The first trimester is an especially important period of development. Surrogates may continue taking prescribed medications while attending regular appointments with their fertility clinic or obstetric provider.

Surrogate I. has also benefited from a supportive home environment. Her family helps her with daily responsibilities, and her two children have been eager to assist around the house. This encouragement has helped her feel cared for during the early weeks of pregnancy.

The ACRC Surrogacy team will continue supporting Surrogate I. and coordinating with the appropriate medical professionals as she reaches her next milestones.


Surrogate S.’s Ultrasound Confirms a Twin Pregnancy

Surrogate S.’s Ultrasound Confirms a Twin Pregnancy

Another exciting update came from Surrogate S., whose recent ultrasound confirmed that she is carrying twins.

Both gestational sacs were visible, and early cardiac activity was identified for both embryos. According to her medical team, the pregnancy was developing appropriately at the time of the ultrasound.

Surrogate S. previously worked as a member of our team, so she is already familiar with the importance of communication, medical appointments, and following post-transfer instructions. Her knowledge and preparation helped the early monitoring period progress smoothly.

Twin pregnancies generally require closer medical monitoring because they can place additional physical demands on the surrogate. Nutrition, hydration, rest, prenatal appointments, and adherence to medical guidance are particularly important.

ACRC will continue checking in with Surrogate S., supporting her throughout the pregnancy, and helping coordinate communication with the professionals involved in her care.


Another Surrogate S. Reaches 37 Weeks of Pregnancy


Another Surrogate S. Reaches 37 Weeks of Pregnancy

Our third update comes from another surrogate whose first initial is also S. She has now reached 37 weeks of pregnancyan exciting milestone that marks the beginning of the early-term period.

Her latest ultrasound showed reassuring fetal development based on her provider’s assessment. One especially touching image even captured the baby’s tiny hand.

As delivery approaches, preparation becomes increasingly important. Throughout the later stages of pregnancy, Surrogate S. has remained stable and continued attending her recommended medical appointments.

The ACRC Surrogacy team has also worked with the parties involved to prepare for labor and hospital admission. Advance planning helps the surrogate and intended parents understand what to expect and ensures that important practical arrangements are addressed before delivery.

At this stage, the team remains attentive and ready to provide support as everyone awaits the baby’s arrival.


How Does ACRC Support Surrogates During Pregnancy?

ACRC Surrogacy provides ongoing coordination and individualized support throughout each stage of the journey. Depending on the surrogate’s needs and the requirements of the program, this may include:

  • Regular check-ins with the surrogate

  • Coordination with fertility clinics and other professionals

  • Assistance with appointment-related logistics

  • Emotional and practical support

  • Communication between the surrogate and intended parents

  • Preparation for delivery and hospital admission

Medical decisions and pregnancy care remain under the direction of the surrogate’s qualified healthcare providers. Our role is to help everyone stay informed, supported, and prepared throughout the journey.

Celebrating Every Step of the Surrogacy Journey

These three updates represent different stages of pregnancy, but each one is an important part of a larger path toward parenthood.

For intended parents, seeing early cardiac activity, learning that a pregnancy is progressing, or reaching 37 weeks can bring renewed hope and excitement. For surrogates, these milestones reflect months of commitment, medical care, communication, and extraordinary generosity.

We are grateful to Surrogate I. and both surrogates identified as S. for allowing us to celebrate these meaningful moments. ACRC Surrogacy looks forward to continuing to support them and their intended parents through the next stages of their journeys.


Frequently Asked Questions About Pregnancy During Surrogacy

When is the first ultrasound performed after an embryo transfer?

The fertility clinic determines the exact schedule, but an early ultrasound is often performed several weeks after a positive pregnancy test. It may confirm the location of the pregnancy, gestational age, number of gestational sacs, and early cardiac activity.

How are surrogates supported during pregnancy?

Surrogates receive medical care from their healthcare providers and ongoing coordination from their surrogacy agency. At ACRC, support may include regular communication, appointment coordination, practical assistance, and preparation for delivery.

Do twin surrogate pregnancies require additional monitoring?

Twin pregnancies often involve more frequent medical monitoring because they may carry additional risks. The surrogate’s obstetric provider determines the appropriate care plan based on her individual pregnancy.

What happens when a surrogate reaches 37 weeks?

At 37 weeks, the pregnancy has entered the early-term period. The surrogate continues following her provider’s guidance while the agency, intended parents, legal professionals, and hospital prepare for delivery.

Begin Your Surrogacy Journey With ACRC

Whether you are considering becoming a surrogate or exploring surrogacy as an intended parent, the ACRC Surrogacy team is here to provide personalized guidance and trusted support.

Contact ACRC Surrogacy to schedule a complimentary consultation and learn more about the next steps in your journey.

Every pregnancy is different. The information in this article is educational and should not replace guidance from a qualified medical professional.


About the author:

Jessie ACRC Surrogacy marketing team

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ACRC Global Surrogacy Office Network

ACRC Global supports intended parents and gestational surrogates through a network of offices across the United States and internationally, providing surrogacy, egg donation, and fertility coordination services. Our California headquarters is located in Irvine.

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ACRC Surrogacy provides surrogacy, egg donation, and fertility services to Intended Parents, Surrogates, and Donors worldwide. All services are subject to applicable laws and regulations. Information on this website is for informational purposes only and does not constitute medical or legal advice.

ACRC Surrogacy & Egg Donation is a New York State Department of Health Licensed Surrogacy Agency (GSP220901) and an ASRM Member (00108609), providing surrogacy, egg donation, and IVF concierge services to families in 45+ countries worldwide.

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