The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Saturday, May 8, 2010
Accidental surrogate hands over baby after IVF mistake
Carolyn Savage gave birth to a beautiful baby boy at Mercy St Vincent Medical Centre in Toledo, but he wasn't hers.
Due to a mix up at the fertility clinic, Mrs Savage had been implanted with an embryo belonging to Shannon and Paul Morell.
Given the choice of terminating the pregnancy or handing the baby over once he was born, she chose to carry the child to term.
Mrs Morell, whose maiden name was also Savage, had six embryos frozen after giving birth to twins. But when they were ready to try for a third child they got an urgent call from their fertility doctor, the New York Post reports.
"I'm so sorry, Shannon, but there's been a terrible incident in our lab," he said. "Your embryos have thawed."
"Your embryos were transferred to another woman."
Due to a human error at the lab, Mrs Morell's embryos were filed under her maiden name and transferred to Mrs Savage.
"I couldn't have felt more violated," Mrs Morell wrote in a new memoir, Misconception. "Of all the people in the world - of all the people who have embryos at this clinic - why did this happen to us?"
The two couples met during the pregnancy and the women warmed to each other. They bonded and became friends. The baby, named Logan, also has the middle name Savage.
"There's a connection with these people," Mrs Morell said in an interview with The New York Post. "He's given that name so he'll always remember what happened."
Friday, May 7, 2010
Birds, Bees & IVF
First it was the birds and the bees. Now children are being taught about modern reproduction including IVF and adoption along with traditional methods in a new sexuality education book.
Adelaide author and former school teacher Gina Dawson introduces the idea in her book So That's Where I Came From that families are no longer necessarily a mum, a dad and their naturally-conceived children.
Instead, the Black Dog Books title for six to 10-year-olds explains some families are made through "alternatives" including the help of science (in vitro fertilisation) and adoption.
It also touches on gay and lesbian family structures.
It is an updated resource for families who have turned to the pages of international best-seller Where Did I Come From? for more than 30 years to learn the basics of reproduction.
"It talks about conception the natural way, but also shows some people can't make a baby like that so they might need help," Ms Dawson said.
The book says "there are several ways to start a baby. . . Most babies start when an egg and sperm meet through sex, some begin through IVF when doctors help the sperm and egg meet and occasionally babies start with a donor egg or sperm".
Ms Dawson, who is now the director of Family Life SA, said she was unable to find an up-to-date resource that tackled the topic.
"Many parents want to address this with their children early in life but don't know how. This gives them a warm and friendly way to open up discussion about the topic," Ms Dawson said.
"It is inclusive of all children and families who didn't fit into the original book."
University of South Australia senior lecturer in early childhood Dr Elspeth McInnes said often parents - particularly those in non-conventional families - felt anxious about broaching the topic with their children.
Glandore mother of two Vicki Mangelsen appreciated having a book on this sensitive subject.
"It's a great way for families to sit down together and talk about it," Ms Mangelsen said.
Thursday, May 6, 2010
Financial compulsions lead to patients asking for more Embryos
Birth rate of twins and triplets is set to increase as more Australian women undergoing in-vitro fertilization (IVF) insist doctors to implant multiple embryos to reduce the cost of fertility treatment.
Despite multiple births carrying a five-fold greater risk of death, premature delivery or other complications, clinic chiefs say more couples are taking the chance.
According to experts, cuts to health care rebate have pushed up patient costs by about $1500 for each IVF cycle, forcing many to delay or abandon attempts to conceive. There is more pressure from cash-strapped patients to implant multiple embryos to boost chances of pregnancy in one cycle, Sydney Morning Herald reported.
'They're saying, we understand that it's more dangerous but we can't afford to do another cycle so we'll have two embryos put back and we'll deal with the consequences. If our (premature) baby... has to have eight weeks in intensive care, well medicare pays for that,' said Gab Kovacs, international medical director at Monash IVF in Melbourne.
Medical director of Fertility First in Hurstville, Anne Clark, said while some patients asked for more than a single-embryo transfer, more opted out of having a second child through IVF.
IVF Australia medical director and Fertility Society president Peter Illingworth said the trend would affect the health system.
'There can be long-term health complications for twins born as a result of IVF,' he said.
'Ideally, we would like to put one embryo in at a time because of those risks but we are getting more pressure from patients to do two.'
In January, federal Health Minister Nicola Roxon capped Medicare safety net payments - which paid 80 percent of the gap between doctors' fees and the Medicare rebate - after a review found specialists were charging patients excessive fees.
According to government, patients would be no worse off if specialists charged $6000, the cost of a typical cycle. But doctors said the average cycle cost up to $7500, or higher if patients required extra treatment.
Sandra Dill, from infertility support group Access Australia, said it had been receiving 30 to 40 calls and e-mails a week since the changes, from patients complaining to be under increased financial stress.
Despite multiple births carrying a five-fold greater risk of death, premature delivery or other complications, clinic chiefs say more couples are taking the chance.
According to experts, cuts to health care rebate have pushed up patient costs by about $1500 for each IVF cycle, forcing many to delay or abandon attempts to conceive. There is more pressure from cash-strapped patients to implant multiple embryos to boost chances of pregnancy in one cycle, Sydney Morning Herald reported.
'They're saying, we understand that it's more dangerous but we can't afford to do another cycle so we'll have two embryos put back and we'll deal with the consequences. If our (premature) baby... has to have eight weeks in intensive care, well medicare pays for that,' said Gab Kovacs, international medical director at Monash IVF in Melbourne.
Medical director of Fertility First in Hurstville, Anne Clark, said while some patients asked for more than a single-embryo transfer, more opted out of having a second child through IVF.
IVF Australia medical director and Fertility Society president Peter Illingworth said the trend would affect the health system.
'There can be long-term health complications for twins born as a result of IVF,' he said.
'Ideally, we would like to put one embryo in at a time because of those risks but we are getting more pressure from patients to do two.'
In January, federal Health Minister Nicola Roxon capped Medicare safety net payments - which paid 80 percent of the gap between doctors' fees and the Medicare rebate - after a review found specialists were charging patients excessive fees.
According to government, patients would be no worse off if specialists charged $6000, the cost of a typical cycle. But doctors said the average cycle cost up to $7500, or higher if patients required extra treatment.
Sandra Dill, from infertility support group Access Australia, said it had been receiving 30 to 40 calls and e-mails a week since the changes, from patients complaining to be under increased financial stress.
Wednesday, May 5, 2010
Prisoner's legal bid for IVF treatment
A Supreme Court judge has ordered a speedy trial for a Victorian prisoner seeking IVF treatment.
Kimberley Castles, 45, has a year left on her sentence for welfare fraud at the Tarrengower Prison near Maldon, north-west of Melbourne.
She has to have IVF treatment before her 46th birthday in seven months, otherwise she becomes ineligible for the procedure.
Her bid to access immediate treatment was refused in court today.
But her lawyer, Rachel Ball, says she is pleased the court has decided to expedite the trial.
"The key human rights in this case are Kimberley's right to privacy, to make her own decisions about her own family, her right to be treated fairly in prison," she said.
"That includes her right to access health care equivalent to the health care that's available to everyone else in the community."
Kimberley Castles, 45, has a year left on her sentence for welfare fraud at the Tarrengower Prison near Maldon, north-west of Melbourne.
She has to have IVF treatment before her 46th birthday in seven months, otherwise she becomes ineligible for the procedure.
Her bid to access immediate treatment was refused in court today.
But her lawyer, Rachel Ball, says she is pleased the court has decided to expedite the trial.
"The key human rights in this case are Kimberley's right to privacy, to make her own decisions about her own family, her right to be treated fairly in prison," she said.
"That includes her right to access health care equivalent to the health care that's available to everyone else in the community."
Tuesday, May 4, 2010
Monday, May 3, 2010
Sunday, May 2, 2010
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