Introduction
In recent years, some IVF clinics have begun requiring surrogates to complete a consultation with a Maternal-Fetal Medicine (MFM) specialist—sometimes even asking intended parents to join the conversation. While this may feel like “one more step” in an already complex process, the purpose of an MFM consultation is to ensure the safest possible surrogacy journey for both the surrogate and the baby.
This article will explain what an MFM consultation involves, why it matters, and what both surrogates and intended parents should expect.
What Is an MFM Consultation?
MFM stands for Maternal-Fetal Medicine, a subspecialty of obstetrics that focuses on high-risk pregnancies. An MFM consultation is not a routine check-up but rather an expert medical review and risk assessment.
During the consultation, the MFM doctor:
- Reviews medical records of the surrogate, including past pregnancies, deliveries, and any complications. (See also Surrogate Requirements)
- Assesses risk factors related to carrying another pregnancy, such as a history of cesarean sections, preeclampsia, gestational diabetes, or placental issues.
Unlike regular OB visits, the goal of this meeting is not ongoing care but providing a specialized opinion on whether the surrogate is a medically appropriate candidate.
👉 Timing: Some clinics require this consultation before a match is finalized, so that everyone has clarity before moving forward.
Why Do Surrogates Need MFM Consultations?
- Medical Clearance – To confirm the surrogate’s body is well-suited for another pregnancy.
- History Review – To take a deeper look at previous pregnancies and deliveries.
- Risk Stratification – MFM specialists evaluate potential complications such as placenta previa or pregnancy-induced hypertension, and create proactive plans to minimize risks.
- Guidance on Embryo Transfer – MFM doctors may advise on whether a single or double embryo transfer is appropriate.
- Safety First – To ensure both the surrogate and the future baby have the highest level of protection.
Why Are Intended Parents Sometimes Asked to Join?
While surrogates are the primary focus of MFM consultations, there are situations where intended parents are invited as well.
- Concerns Identified in the Records – If the MFM doctor reviews the surrogate candidate’s medical history and identifies multiple concerns, intended parents may be asked to join so they can be fully informed before proceeding.
- Shared Understanding – Intended parents can hear directly from the MFM about potential risks.
- Decision-Making Support – Helps families make informed choices about embryo transfer strategy, monitoring, and delivery planning.
- Expectation Management – Provides a realistic view of the surrogacy journey, reducing stress later on.
- Transparency & Trust – Keeps everyone aligned and avoids misunderstandings.
Benefits of MFM Consultation for Everyone
- For Surrogates – Extra peace of mind, knowing an expert has reviewed their medical background.
- For Intended Parents – Confidence that their surrogate has undergone a thorough risk evaluation.
- For Clinics & Agencies – Reduces liability, ensures best practices, and provides an added layer of safety.
Common FAQs About MFM Consultation in Surrogacy
1. Is an MFM consultation mandatory in surrogacy?
Not in every case, but some IVF clinics make it a requirement.
2. When does it usually take place?
Typically before a surrogate is matched with intended parents, so risks can be identified early.
3. How long does the consultation last?
Most appointments take 30–60 minutes, depending on the complexity of the surrogate’s medical history.
4. Does an MFM consultation mean the surrogate has a medical problem?
No. It is a precautionary measure to ensure everything is in the best interest of the surrogate and the baby.
5. Who pays for the consultation?
The cost is covered by the intended parents.
6. How much does an MFM consultation cost?
It usually costs several hundred dollars, depending on the clinic and location.
7. If the MFM doctor approves the surrogate, does that mean the IVF doctor will also approve her?
Not necessarily. While MFM approval is a strong indicator of suitability, the final clearance always rests with the IVF physician, who considers additional clinical factors.
8. What happens if the MFM doctor does not recommend me as a surrogate?
This can feel disappointing, but the primary goal is to protect everyone’s health. An MFM recommendation against proceeding helps clinics and agencies avoid greater risks and heartache later in the journey. It ensures that only the safest and most appropriate candidates move forward with surrogacy.
Conclusion
MFM consultations are not meant to add extra hurdles; instead, they exist to protect the health of the surrogate, the baby, and provide reassurance to intended parents. By reviewing medical records, assessing risks, and ensuring everyone is fully informed, MFM specialists play a key role in building a safe and transparent surrogacy journey.
For surrogates, it is a valuable extra layer of support. For intended parents, it provides peace of mind that their family-building process is backed by the highest level of medical expertise.
