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Sienna May was born via surrogate in fall 2014. That October, Pompeo shared a photo of her newborn daughter on Instagram, writing, "We love you more than words can say."
She and Ivery did not announce her arrival for some time, which she then explained during a 2014 appearance on "Jimmy Kimmel Live!" Said Pompeo, "The covert thing is kind of fun. This baby was born via surrogate, so I felt an obligation to keep the surrogate's privacy. That was of utmost importance to me," according to the New York Daily News. Pompeo praised her surrogate, calling it "an incredible thing to do with your life, to give the gift of carrying someone's child." She added that she was "forever grateful" and felt "very blessed."