The Ramblings of a Middle Aged Fertility Physician whose life revolves around Eggs, Sperms & Embryos....
Tuesday, June 22, 2010
World's Oldest New Mom Dying At Age 72, Child Is Only 18 Months
When she was 70, Rajo Devi Lohan and her husband Balla took out almost $3,000 in loans for IVF treatments in Baddhu Patti, India, to conceive their only child, Naveen.
Now 72, Rajo is bedridden and doesn’t have the strength to lift 18-month-old Naveen. She admits she is dying, and too weak to recover from the pregnancy.
Dr. Keith Ablow, psychiatrist, fears that technology could be partly to blame for this controversial question of ethics.
“This is crossing the boundary into the inevitable results of when people use technology without guidance or conscience. And the trouble is that even reprehensible people can do so,” Ablow told the media.
After her cesarean birth, Rajo’s womb ruptured and she suffered severe internal bleeding.
Rajo and Balla, 73, farmers who have not received any education, say they did not know it was high risk to have a baby at their age, and were never warned of any complications by their doctor.
The doctor who performed the IVF treatments, Anurag Bishnoi, says Rajo’s medical state has nothing to do with his care or her pregnancy so late in life.
"Even though Rajo's health is deteriorating, at least she will die in peace. She does not have to face the stigma of being barren," Bishnoi told The Sun.
Ablow said he believes that after this incident, Bishnoi should be prevented from being able to make these kinds of medical decisions.
“This is not a doctor; this person should not be regarded as a doctor and stripped of any credentials regarding him as medical professional. He is a co-conspirator in a medical experiment,” Ablow said.
The National Fertility Centre in Haryana, where Rajo received her treatments, was criticized for helping another Indian woman, Bhateri Devi, give birth to triplets through IVF when the woman was 66. The center claims no wrongdoing in the pregnancies of both women.
Besides physical complications, another concern is the soundness of mind at the advanced ages of these women, as well as their ability to rationally think through her feelings of wanting to be a mother.
“If this doctor doesn’t have convincing data on hand that these women are competent to make medical decisions, then him impregnating them artificially should be viewed as an assault and treated criminally,” Ablow said.
“These are women who put their own feelings about wanting to have children, maybe even regret for not having them earlier, ahead of any concerns about the development of their children,” he said.
Aside from the physical health risks to a child being born to an elderly mother, the potential for psychological damage could be significant.
“These children have to live with people who make irrational decisions based on their well being with no concern for others, which is something no one wants in a parent, Ablow said. “Later on, it is likely that these children will be anxious when they understand how old their parents are and that they may not survive very long — and that will have its own psychological impact.”
Monday, June 21, 2010
IVF mother died in Caesarean surgery without seeing baby
A Nurse who spent years undergoing IVF treatment died after suffering brain damage giving birth and never saw the baby she had longed for, an inquest was told today.
Joanne Lockham had an emergency Caesarean operation to deliver her son but surgeons accidentally starved her brain of oxygen for as long as 30 minutes, it was claimed.
Mrs Lockham, 45, and her husband Peter had been through several rounds of failed IVF treatment when she finally became pregnant. Her baby was six days overdue when she went to Stoke Mandeville Hospital in Aylesbury to have labour induced on 9 October 2007.
Coroner Richard Hulett told the inquest in Amersham today that surgeons had intended to give Mrs Lockham an epidural but because her labor was taking so long it was decided at 6pm to give her a general anesthesia.
Mrs Lockham sobbed to midwives as she was told of the change of plans but was assured that she would soon be holding her first child in her arms.However, problems arose in the operation theater after Mrs Lockham went under anesthesia.
The jury heard that three attempts were made to give her oxygen via a tube before it was eventually believed to have been successful.
However, within moments of the birth, Mrs Lockham suffered a cardiac arrest.
When a consultant anesthetist arrived at the hospital at 7.30pm after being paged because of the complication, he was unhappy with the placement of the tube and removed it.
Dawn Swaffer, who assisted the anesthetist despite not having been medically trained, broke down in tears as she told the inquest how the consultant was "not happy with its placement".
Asked if the intubation had been successful she added: "From my point of view, it was possibly not correct."
Mrs Lockham was transferred to the hospital's intensive care unit but was certified dead two days later after sustaining irreversible brain damage.
Her husband Peter is now bringing up their son Finn alone at their home in Wendover, Buckinghamshire.
A post-mortem examination concluded that she died as a result of a lack of oxygen to the brain resulting in cardio-respiratory arrest, with a second cause as multi organ failure.
The case continues.
Sunday, June 20, 2010
Saturday, June 19, 2010
Friday, June 18, 2010
Thursday, June 17, 2010
Wednesday, June 16, 2010
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