PRE-BIRTH PARENTAGE ORDERS: Intended Parents who use a traditional surrogate or gestational carrier should have a court enter a pre-birth parentage order (or PBO) during the third trimester of the pregnancy.  The PBO requires the hospital and the Department of Health to enter the name of the IP on the child's birth certificate, so that the IP is considered the child's legal parent(s) at birth.  The PBO process should be commenced no later than the beginning of the second trimester.