What Happens If a Surrogate Has Twins? Surrogacy is a carefully planned process, but sometimes, unexpected surprises arise—like twins! While twin pregnancies can be exciting for intended parents, they also come with increased medical considerations, additional compensation for the surrogate, and an overall more demanding pregnancy experience. This article will explore how twins occur in surrogacy, the medical aspects of carrying multiples, and what compensation adjustments surrogates can expect when
How Do Surrogates End Up Carrying Twins?
Twins in surrogacy occur in one of two ways: elective double embryo transfer or natural splitting of an embryo. Both scenarios have unique risks and benefits, which should be carefully considered before proceeding with a surrogacy arrangement.
One of the most common reasons a surrogate carries twins is an elective double embryo transfer. In this scenario, the intended parents and their fertility specialist choose to implant two embryos instead of one. This decision is often made to increase the chances of a successful pregnancy, particularly if embryo quality is a concern or if the intended parents desire twins. However, double embryo transfers significantly raise the likelihood of a multiple pregnancy, which comes with additional medical considerations.
The second way twins can occur is through natural splitting, in which a single embryo divides into two, resulting in identical twins. Unlike an elective double transfer, this scenario is unpredictable and cannot be controlled. Though rare, it is a natural process that sometimes occurs despite implanting only one embryo.
Both methods of achieving a twin pregnancy in surrogacy have pros and cons. While double embryo transfers offer a higher chance of success, they also increase the likelihood of complications for both the surrogate and the babies. Natural splitting is less common but carries similar risks once a twin pregnancy is established.
Medical Considerations for Twin Pregnancies
Carrying twins is significantly more demanding than a single pregnancy, requiring additional medical attention and precautions. Surrogates carrying twins will need increased prenatal monitoring, including more frequent doctor visits, additional ultrasounds, and specialized medical care.
Twin pregnancies also have a higher risk of complications, including gestational diabetes, preeclampsia, and preterm labor. Because the surrogate’s body is under increased stress, her doctor may recommend reduced physical activity or even bed rest to ensure a safe pregnancy. In some cases, hospitalization may be required if complications arise.
The possibility of preterm birth is another concern. Twin pregnancies often result in early labor, requiring careful planning and medical support to ensure the best outcomes for both the surrogate and the babies.
Delivery and Recovery Differences
Delivery and Recovery Differences Delivering twins is different from delivering a single baby, and many twin pregnancies result in a C-section. The increased likelihood of surgical delivery means a longer recovery period for surrogates, with additional postpartum medical needs and healing time.
Intended parents and agencies typically provide extra support for surrogates carrying twins, including covering additional medical expenses and offering emotional support. The physical toll of carrying and delivering twins means surrogates will need more time to rest and recover before resuming normal activities.
Surrogate Compensation With Twins
One of the most common questions about twin pregnancies in surrogacy is whether compensation increases. Because carrying twins places greater physical, emotional, and medical demands on the surrogate, most agencies and intended parents provide additional compensation.
How Is Surrogate Pay Structured?
Standard surrogate pay includes base compensation, monthly allowances, and coverage for medical and travel expenses. These payments are designed to ensure the surrogate is financially supported throughout the pregnancy.
Does Compensation Increase for Twins?
Yes, surrogates carrying twins typically receive higher compensation due to the increased risks and challenges associated with a multiple pregnancy. With Surrogacy By Faith, surrogates receive $10,000 more for twins and $20,000 more for triplets. Additional payments account for the added medical appointments, higher likelihood of complications, and the greater physical toll on the surrogate’s body.
How Much Do Surrogates Make for Twins?
Compensation for carrying twins varies, but most surrogates receive an increased payment ranging from several thousand to tens of thousands of dollars more than a single pregnancy.
Typical Payment Range for Twin Surrogacy The exact amount a surrogate earns depends on multiple factors, including state laws, agency policies, and the surrogate’s experience. Compensation can range from $5,000 to $10,000 (or more) in additional pay for carrying twins.
Comparing Total Compensation: Single vs. Twin Pregnancy
A single pregnancy may come with a base compensation of $40,000 to $50,000, while a twin pregnancy could increase this amount to $50,000 to $70,000 or more. Additional benefits such as medical allowances and lost wages further enhance the total compensation package.
What Affects the Final Compensation? Factors that impact final compensation include:
- State laws regarding surrogacy
- Experience level of the surrogate
- Whether the surrogate has previously carried twins
- The specific agency or independent agreement terms
Agency vs. Independent Surrogacy Compensation
Compensation Compensation can differ between agency-assisted and independent surrogacy arrangements. Agencies provide structured payments and legal protections, ensuring surrogates receive fair compensation for carrying twins. Independent surrogacy allows for negotiation flexibility, but it also requires surrogates to advocate for their needs and ensure proper legal agreements are in place.
For more, read our article on How Much Do Surrogates Get Paid?
What Might Be Included in the Additional Compensation?
Surrogates carrying twins often receive higher base pay, additional medical stipends, and allowances for maternity needs. Below are some of the key areas where compensation increases.
Base Pay Increase
At Surrogacy by Faith, base surrogate compensation is $50,000 plus $13,000 in extras. Each experience earns repeat surrogates an additional $10,000. When carrying twins, surrogates earn $10,000 more due to the increased challenges.
Medical and Health-Related Stipends
Surrogates carrying twins require more frequent medical visits, which may lead to additional travel expenses and time off work. Many agencies offer higher medical stipends and extra allowances for hospitalization or bed rest.
Maternity Clothing and Nutrition Stipends
Because a twin pregnancy leads to a larger belly and more weight gain, surrogates often need extra maternity clothing. Additionally, surrogates carrying twins have higher nutritional needs, which may be covered through additional stipends.
Lost Wages, Childcare, and Housekeeping Support
If a surrogate is placed on bed rest, she may require financial compensation for lost wages. Many surrogacy agreements also include additional funds for childcare and housekeeping support, ensuring the surrogate’s family is cared for during the demanding pregnancy.
Start Your Family With Surrogacy By Faith
Carrying twins as a surrogate is both rewarding and challenging. While additional compensation helps account for the increased physical and medical demands, surrogates should carefully consider the risks before agreeing to a multiple pregnancy. If you are considering surrogacy or looking for intended parents, Surrogacy By Faith can guide you through the process and ensure you receive the support and compensation you deserve. If you’re interested, fill out our surrogate form or intended parent form to begin this life-changing journey.