/
Shared Motherhood and PRISM

MellowoodMedical Online Help

Shared Motherhood and PRISM

HFEA have provide guidance on this here - prism-advanced-scenarios_including-swap-role-for-shared-motherhood.docx (live.com), in particular Task Adv5

We know that HFEA has refined their definitions and a shared motherhood cycle, where one partner creates embryos with her eggs and then the other partner has the embryo transfer and hopefully carries the pregnancy , is no longer referred to as a donation cycle, and the participants are not known as a donor and a recipient. However the events the you need to use in IDEAS are still referred to as donations. This does to reflect in HFEA, as the participants are registered with appropriate roles

From HFEA;

In PRISM, for female:female couples the egg provider is registered as the “patient” (P1) and the partner is registered as normal “partner” (P2).

  •  Stimulation, egg collection and embryo creation and use (including storage) are recorded under the patient (P1).

  •  To record an FET or fresh embryo transfer under P2 (partner). The clinic will first need to swap the role from “partner” to “patient".  


NOTE THIS ADVICE IS FOR UK CLINICS REPORTING TO HFEA ONLY

SCENARIOS

Fresh embryo donation - shared motherhood

REGISTRATION 

  • PRISM - Register P1 - egg source - as ‘Patient’ 

  • PRISM - Register P2 as ‘Partner’ 

 P1 - Fresh embryo donation

  • IDEAS - Create Embryo Donation or IVF treatment cycle 

    • PRISM - Submit Tx cycle form 

  • IDEAS – Collect eggs – laboratory details 

    • PRISM - Submit Egg Collection form 

  • IDEAS – Create embryos using P1 eggs and donor sperm - and donate these embryos using the ‘donate’ lab event and selecting the embryos by clicking the grey tick. It will turn green (example below)

  • Any remaining embryos can be frozen or discarded in the donor cycle

  • PRISM – Submit Embryo Creation and Use 

Gamete source will be ‘Patient eggs and donor sperm’ 

Fresh donated section should have the number donated in field ‘No. of embryo's donated fresh / For use in surrogacy’  - see example screenshot below

P2 - Recipient of fresh donated embryos

  • PRISM – Edit the registration form and change the role of P2 to ‘Patient’ 

  • PRISM - Edit the registration form and change the role of P1 to ‘Partner’ 

  • IDEAS - Create Embryo Recipient treatment cycle 

    • Gamete source - indicate the ovum source, and also the treatment cycle that the embryos were created in

  • PRISM - Submit Tx cycle form making sure that the role is selected as patient and choose the treatment type as indicated below

  • IDEAS – Laboratory details

 

  • Click ‘get eggs/embryos’ and select ‘from donor cycle’ option

    • Select the donated embryos from P1 

    • Transfer, Store or Discard these embryos 

  • PRISM - Submit Embryo Recipient form

 

  • Click ‘collect’

  • Enter the registration number of P1 

  • Click search, which should provide the inventory of donated embryos from P1 

    • click ‘thaw’ for appropriate embryos, complete the form and save 


Frozen embryo donation - shared motherhood

Registration with HFEA

  • Register P1 - egg source - as ‘Patient’ 

  • Register P2 as ‘Partner’ 

P1 - Embryo storage for donation

  • IDEAS - Create a cycle to create the embryos

    • PRISM - Submit Tx cycle form 

  • IDEAS – Collect eggs – laboratory details 

    • PRISM - Submit Egg Collection form 

  • IDEAS – Create embryos using P1 eggs and donor sperm

    • Store these embryos - any embryos that are definitely known to be donated to P2, store with the purpose ‘donation for use by others’

  • PRISM Submit Embryo Creation and Use  - Gamete source will be ‘Patient eggs and donor sperm’ 

What do I do if the embryos are initially created for the patient use and then she decides to donate to P2 for thaw and transfer?

  • change the purpose in the cryomodule to ‘cryo for donation’

  • add a ‘donation’ lab event to the original embryo creation cycle, for the embryos to be donated - ONLY DO THIS WHEN YOU ARE PREPARING TO THAW FOR TRANSFER TO THE PARTNER NOT BEFORE

  • Amend the embryo creation form freeze details to indicate that the relevant number have been stored for donation

P2 - Recipient of frozen donated embryos 

  • IDEAS - if the embryos have been originally stored as ‘for patient use’ you should change the purpose to ‘donation for use by others’ OR ‘cryo for partner’s use’

 

  • IDEAS - in the cryomodule, claim the embryos that are to be thawed in the P2 cycle for P2 'Claiming' frozen gametes or embryos for recipient use

    • PRISM – Edit the registration form and change the role of P2 to ‘Patient’ and the role of P1 to ‘partner’

  • IDEAS - Create Frozen Embryo Transfer recipient treatment cycle NO DONATION CYCLE IS REQUIRED IN THE RECORD OF P1

  • IDEAS – Laboratory details - Click ‘Get Eggs and Embryos’ and select ‘Thaw from previous or donor cycle’ ;

  • Select the donated stored embryos from P1 

    • Transfer, Store or Discard these embryos in IDEAS lab events.

    • PRISM - Submit Tx cycle form - with role ‘patient’

    • PRISM - Submit Frozen Embryo Transfer form - Select Gamete Source = ‘Partner’ which should provide the inventory of donated frozen embryos from P1 

      • Select the embryos, finish complete the form and save;

IN PRISM ENSURE THAT A FROZEN EMBRYO TRANSFER THAW FORM IS AVAILABLE, NOT A FRESH EMBRYO RECIPIENT FORM - IF NOT CONTACT SUPPORT AT MELLOWOOD AS YOUR CONFIGURATION MAY BE INCORRECT

Fresh egg donation - shared motherhood

Registration with HFEA

  • Register P1 - egg source - as ‘Patient’ 

  • Register P2 as ‘Partner’ 

P1 - Fresh egg donation

IDEAS

  • Create Egg Donation treatment cycle  

Laboratory Details folder

  • Collect egg 'using ‘get eggs/embryos’ button

  • Donate these eggs by setting the fate to ‘donate to partner’ in the egg collection lab event

  • Complete the treatment and cycle

PRISM

P2 - Recipient of fresh donated eggs

  • PRISM – Edit the registration form and change the role of P2 to ‘Patient’ and the role of P1 to ‘partner

  • Create Egg Recipient treatment cycle 

  • Gametes tab - Identify donor, the donation treatment cycle in the Gametes tab

Laboratory details 

  • Use ‘get egg/embryo’ and use the ‘from donor cycle’ option;

  • this will allow you to ''select and receive’ the selected eggs from the donation cycle identified in the gametes tab

  • Add the appropriate lab events up until Embryo Transfer

Frozen egg donation - shared motherhood

P1 - egg storage for donation

  • IDEAS

    • Create Egg donation/egg freeze cycle type or similar

    • Collect eggs – laboratory details 

    • Store these eggs - any eggs to be donated to P2, store with the purpose ‘donation for use by others’

What do I do if the eggs are initially frozen for the patient use and then she decides to donate to P2 for thaw, embryo creation and transfer?

  • change the purpose in the cryomodule to ‘cryo for donation’ and also amend the egg freeze form and resubmitting

P2 - Recipient of frozen donated eggs

  • ‘Claim’ the eggs for P2 in the cryomodule - 'Claiming' frozen gametes or embryos for recipient use

  • PRISM – Edit the registration form and change the role of P2 to ‘Patient’ and the role of P1 to ‘partner’

  • IDEAS - Create Frozen Egg recipient treatment cycle type NO DONATION CYCLE IS REQUIRED IN THE RECORD OF P1, the donation event happens in the cycle that the eggs were stored in

  • IDEAS - Gametes tab - Identify the cycle the eggs are being donated from in the Gamete Source tab

Laboratory details

  • Click ‘Get Eggs and Embryos’ and select ‘Thaw from previous or donor cycle’;

  • Select the donated stored eggs from P1 

  • Use the appropriate lab events to create, transfer, store or discard these embryos

 

Version Date Comment
Current Version (v. 24) Mar 04, 2025 10:46 Mhairi West
v. 23 Apr 18, 2024 12:07 Mhairi West
clarified role should be 'patient' on recipient treatment form
v. 22 Feb 16, 2024 12:14 Mhairi West
v. 21 Aug 04, 2023 13:38 Mhairi West
v. 20 Jun 20, 2023 15:18 Mhairi West
v. 19 Jun 20, 2023 14:58 Mhairi West
v. 18 Mar 30, 2023 13:54 Mhairi West
v. 17 Mar 30, 2023 13:46 Mhairi West
Screenshots and clarifications added regarding fresh embryo donation
v. 16 Mar 30, 2023 13:44 Mhairi West
v. 15 Mar 30, 2023 13:42 Mhairi West
v. 14 Mar 30, 2023 13:27 Mhairi West
v. 13 Mar 29, 2023 10:51 Mhairi West
v. 12 Mar 29, 2023 10:32 Mhairi West
v. 11 Mar 29, 2023 10:07 Mhairi West
v. 10 Mar 29, 2023 09:42 Mhairi West
v. 9 Mar 28, 2023 15:15 Mhairi West
v. 8 Mar 28, 2023 14:50 Mhairi West
v. 7 Mar 06, 2023 16:48 Mhairi West
v. 6 Feb 28, 2023 14:23 Mhairi West
v. 5 Nov 14, 2022 16:55 Mhairi West
v. 4 Nov 14, 2022 16:52 Mhairi West
v. 3 Nov 14, 2022 13:22 Mhairi West
v. 2 Nov 14, 2022 12:57 Mhairi West
v. 1 Nov 14, 2022 12:39 Mhairi West

Related content