Being a surrogate may still be possible if you have a history of shoulder dystocia in prior pregnancy.
Understanding your risks and options can help you move forward with confidence, whether you’re considering becoming a surrogate now or in the future.
In this article, we’ll explain how shoulder dystocia may impact your ability to become a surrogate and what medical professionals consider when reviewing your eligibility.
Have more questions about your eligibility? Speak with a surrogacy specialist today to get personalized guidance tailored to your medical history.
Can I Become a Surrogate After Experiencing Shoulder Dystocia During Birth?
In some cases, yes, but your medical history will be reviewed by a doctor.
While a history of shoulder dystocia in a prior pregnancy can increase the chances of it happening again, surrogacy may still be an option if your doctor determines the pregnancy would be safe and low-risk.
Having experienced shoulder dystocia during birth, you know how frightening it can be when complications arise during delivery. Many intended parents have waited a long time to become parents and don’t want to take any unnecessary risks.
The possibility of recurrence may make surrogacy less viable, as doctors must ensure both you and the baby are safe.
Wondering if you’re eligible for surrogacy after shoulder dystocia? Contact us today for a free consultation.
Potential Complications of Shoulder Dystocia
Shoulder dystocia during birth occurs when the baby’s head is delivered, but the shoulders are stuck behind the pubic bone.
This can cause complications for both you and the baby, which can be mild or severe.
Fetal Complications from Shoulder Dystocia
When shoulder dystocia occurs, the baby is at risk of several potential complications, including:
- Fractures of the arm or collarbone: the baby’s arm or upper chest may sustain fractures as a result of the force needed to release the shoulder.
- Hypoxia: If the baby’s shoulder becomes stuck for an extended period, oxygen flow may be compromised, leading to low oxygen levels in the baby’s blood (hypoxia).
- Injury to the baby’s nerves: Apart from brachial plexus injuries, there may be damage to other nerves that can lead to weakness or loss of function in certain parts of the body.
Shoulder dystocia is not only dangerous for the baby, but it can also pose serious risks to you.
Maternal Complications from Shoulder Dystocia
The complications that mothers may experience as a result of shoulder dystocia include:
- Postpartum hemorrhage: Excessive bleeding after birth, which can occur if the uterus does not contract properly or if there is significant tearing. Shoulder dystocia can increase the risk of this complication due to the force and pressure applied during the delivery.
- Tearing or lacerations: The pressure from the baby’s shoulders can cause tears in the vaginal walls, cervix, or perineum.
- Infection: Any lacerations or surgical interventions required to resolve shoulder dystocia increase the risk of infection, particularly if the area is not properly cleaned or stitched during the immediate postpartum period.
What Are the Chances of Shoulder Dystocia Happening Again?
A handful of studies have shown the risk of recurrence of shoulder dystocia to be around 10-16%, which is higher than the rate of occurrence in the general population.
While experiencing shoulder dystocia increases your chances of shoulder dystocia happening again, it is still possible to have a healthy pregnancy in the future.
It is up to your agency and medical provider to determine if surrogacy can be a safe option for you.
Can I have a normal birth after shoulder dystocia or will I need a C-section?
One of the most common concerns after experiencing shoulder dystocia is whether a C-section is required for future deliveries.
While a past occurrence of shoulder dystocia does increase the risk of it happening again, it does not automatically mean that all future births must be delivered via cesarean section.
Medical providers will evaluate factors such as:
- The severity of the previous shoulder dystocia event
- The baby’s birth weight and size
- Whether additional medical interventions were needed to complete the delivery
- The mother’s overall health and pelvic structure
In some cases, doctors may recommend a planned C-section, especially if the baby is expected to be large or if the previous dystocia event was severe.
However, many women still have the option of a vaginal delivery if the risks remain low. If you are considering surrogacy, a medical professional will help determine if a vaginal birth is a safe option based on your medical history.
How Do Surrogacy Agencies and Clinics Evaluate This Condition?
Surrogacy agencies and fertility clinics follow strict medical guidelines to ensure both the surrogate and baby remain safe throughout the pregnancy.
If you have a history of shoulder dystocia, your medical records will be reviewed carefully to determine if you meet the medical requirements for surrogacy.
Our Surrogacy Requirements at American Surrogacy
Our surrogate requirements are based on industry standards set by the American Society of Reproductive Medicine (ASRM) and built to protect surrogates, babies, and intended parents. Some of our requirements include:
- Age range: 21–40 years.
- At least one successful pregnancy.
- No more than five vaginal or three C-section births.
- Currently raising a child.
- No felony convictions.
- No major pregnancy complications
We have medical professionals who review every surrogate’s medical records before you are approved to become a surrogate.
Knowledge of any complications or potential complications can be critical in helping ensure your safety as well as the safety of babies.
That being said, in some cases there are exceptions to the surrogate requirements on a case-by-case basis, and in some cases that may include the complication of shoulder dystocia.
Am I Eligible to Become a Surrogate after Shoulder Dystocia?
Ultimately, the decision to become a surrogate after shoulder dystocia will depend on a variety of factors, including your medical history, overall health, and the evaluations conducted by healthcare professionals.
Contact a surrogacy specialist today for a free consultation to discuss your unique situation and get the answers you need to make an informed decision.
Frequently Asked Questions
What disqualifies you from being a surrogate?
Several factors can disqualify you from becoming a surrogate including: age, lack of previous successful pregnancy, felony convictions, and pregnancy complications, among others. However, in some cases there are exceptions.
Can I be a surrogate if I had a placental abruption?
If you have had a placental abruption, it is unlikely that you will be a good candidate to become a surrogate, however, you can always talk to a surrogacy professional who can help you determine what is best in your unique situation.
Can you be a surrogate if you had a postpartum hemorrhage?
If you have had a postpartum hemorrhage, it is unlikely that you will be a candidate for surrogacy, however, you can always talk to a surrogacy professional to confirm.
Can you be a surrogate if you had a C-section?
Having an uncomplicated C-section does not disqualify you from becoming a surrogate, however, if you have had multiple C-sections, you may be unable to become a surrogate.
You can read more about surrogacy complications and requirements here.