Why Reporting is Important
Why is pregnancy reporting important for every family?
We ask all recipients to report their pregnancies (including embryos stored for future use) and pregnancy outcomes. We use this information - most importantly - to maintain family limits and contact recipients and families in the event of a health issue.
Reporting pregnancies to TSBC has important benefits for families, donors and other recipients for the following reasons:
Ten Family Limit
We limit our donors to no more than ten families. While ten families may seem like a lot, it is one of the lowest limits nationally. We believe a lower family limit provides the best outcomes for families and donors, especially for families using donors in our Identity-Release® Program. Prompt reporting of pregnancies and pregnancy outcomes allows us to maintain this limit while unreported pregnancies or delayed reporting can lead to a donor having more than ten families.
Ongoing Family Services
TSBC’s ongoing family services, including our Identity-Release® Program and Family Contact List, are another reason it is important to report all pregnancies. Families must report their births to be eligible for these programs so that we can confirm the donor number and match the correct individuals. Furthermore, we believe our low family limit contributes to the success of these programs. The prospect of contact with two, five or even nine families can be exciting while the possibility of contact with twenty, thirty or more families is overwhelming for many. Similarly, we believe that the 10 family limit is reassuring to the donors when they are deciding whether to participate in our Identity-Release® Program.
Future Health Reports
Reporting conceptions and their outcomes is also critical to tracking and notifying recipients about health issues. Donor insemination is a human process and on occasion we receive reports from recipients about potentially genetic health issues in their children. When we receive such a report, or if we receive a report from a donor about a new condition in his family, we evaluate whether this new information causes any increased risk to other offspring from the donor. In some instances we conclude that sharing this information is in the best interests of other children conceived by the donor and we proactively notify families. If we are not aware that a family has a child from the donor then we are unable to provide them with this new health information.
Similarly it is very important for families to report miscarriages. The miscarriage rate for our recipients is 25% or greater depending on the age of the recipient. While we anticipate some miscarriages as a biological reality of the conception process, there have been cases were we stopped releasing vials from a donor with excessively high miscarriage rates.
TSBC keeps statistics on pregnancy rates by recipient age, insemination method, number of inseminations, and whether medication or alternative treatments were used to enhance fertility. A summary of this information is available on our website. This information helps us assess the success of our program and enables us to provide accurate information to women and couples about how long it takes to conceive and the likelihood of conception per cycle attempt.
For all of these reasons we ask our families to report pregnancies and pregnancy outcomes to us within 60 days. Timely reporting benefits all of our families—especially those doing the reporting—as well as those trying to conceive.