Friday, January 30, 2009

Octuplet Mom's 14 Kids Living Her At Parents House

According to the New York Daily News, the mother of the octuplets born this week is a single woman who lives with her bankrupt parents - and her six other kids!
The name of the 33-year-old California woman has not been released, but her mother, Angela Suleman, revealed her daughter underwent in vitro fertilization to get pregnant.
She never expected so many of the implanted embryos would develop into fetuses, but rejected the idea of aborting some of them.
The octuplets were born Monday, nine weeks premature. They weighed between 1 pound, 8 ounces and 3 pounds, 4 ounces and will be in the hospital for weeks.
The Web site momlogic.com quoted a neighbor as saying a sperm donor was used to conceive the octuplets and the six previous children, who range in age from 2 to 7.
Suleman said raising 14 children will be "difficult" - perhaps an understatement considering the family's reported financial troubles.
They filed bankruptcy and abandoned a home less than two years ago. The babies' grandfather is hoping to raise some cash by heading to his native Iraq as a contractor.
According to the AP, an ethical debate erupted Friday after it was learned that the Southern California woman who gave birth to octuplets this week had six children already. Large multiple births "are presented on TV shows as a 'Brady Bunch' moment.
They're not," fumed Arthur Caplan, bioethics chairman at the University of Pennsylvania. He noted the serious and sometimes lethal complications and crushing medical costs that often come with high-multiple births.
But Dr. Jeffrey Steinberg, who has fertility clinics in Los Angeles, Las Vegas and New York, countered: "Who am I to say that six is the limit? There are people who like to have big families."
Kaiser Permanente announced the mega-delivery Monday in Bellflower, with delighted doctors saying they had initially expected seven babies and were surprised when the cesarean section yielded an eighth.
Multiple births this big are considered impossible without fertility treatment, but the doctors who delivered the babies would not say whether the 33-year-old woman had used fertility drugs or had embryos implanted in her womb.
However, the children's grandmother, Angela Suleman, was quoted as telling the Los Angeles Times that her daughter had embryos implanted last year, and never intended to give birth to eight, but "they all happened to take." Suleman said her daughter rejected an offer from doctors to abort some of the embryos.
More common among younger women is the use of fertility drugs that stimulate egg production; doctors are supposed to monitor budding eggs and stop the drugs if too many develop.
Some medical experts were disturbed to hear that the woman was offered fertility treatment, and troubled by the possibility that she was implanted with so many embryos.
Dr. David Adamson, former president of the American Society of Reproductive Medicine, said he was bracing for some backlash against his specialty.
In 30 years of practice, "I have never provided fertility treatment to a woman with six children," or ever heard of a similar case, said Adamson, director of Fertility Physicians of Northern California.
Women seeking fertility treatment are routinely asked to give a detailed history of prior pregnancies and births, and "it's a very realistic question to ask about someone who has six children: How does this fit into the concept of requiring fertility treatment?" Adamson said.
The woman's fertility doctor has not been identified. The hospital has not released the mother's name, citing her desire for privacy. There was no immediate information on whether she is married or who the father of the babies is. Her six other children range in age from 2 to 7.
Records show that she held a psychiatric technician's license from 1997 to 2002. It was unclear whether she is now employed.
It was only the second time in U.S. history that eight babies survived more than a few hours after birth. The six boys and two girls were said to be in remarkably good condition but were expected to remain in the hospital for several more weeks.
The mother of the octuplets lives with her parents in a modest, single-story home on a quiet cul-de-sac in Whittier, a Los Angeles suburb of about 85,000. Children's bicycles, a pink car and a wagon were scattered in the yard and driveway.
On Thursday night, the children's grandfather came to the door and angrily told reporters to leave the property.
Court records show Suleman filed for bankruptcy last March, but after she failed to make required payments and appear at a creditors' meeting, the case was dismissed. She reported liabilities of $981,371, mostly money owed on two houses she owns in Whittier.
The births were a hot topic of conversation on the Internet, with many people incredulous that a woman with six children would try to have more — and that a doctor would help her do so. Some criticized the doctor and suggested that the mother would be overwhelmed trying to raise her brood and would end up relying on public support.
Jessica Zepeda, who identified herself as a friend of the mother, said the woman and family would have enough money to raise 14 children. "She is not on welfare," Zepeda said. "She is an awesome mom, and will be able to take care of her babies."
Several doctors said it is not their role to dictate family size.
"I am not a policeman for reproduction in the United States. My role is to educate patients," said Dr. James Grifo, professor of obstetrics and gynecology at the New York University School of Medicine.
But Caplan said not enough attention is paid to the well-being of the children in high-multiple births. Such babies are often premature and underdeveloped, and are almost always found to have some health problem.
Caplan said everyone has a stake in mega-multiple births because they cause insurance premiums to rise when hospitals cannot get reimbursed for the huge costs such babies incur, and because those with disabilities typically require social services.
"To say all you need is cash and the will to have more kids should not be a sufficient standard to access services," he said. "It is insufficient for adoption. It isn't sufficient to be a foster parent. Why would it be sufficient to run down to the fertility clinic to get embryos transplanted or super-ovulated?"
A few years ago, Caplan and others did a survey of U.S. fertility clinics. They found few had policies for deciding whether to help a woman get pregnant. Most clinics said they had patients meet with financial coordinators, but only 18 percent had them see a social worker or psychologist.
With in vitro fertilization, doctors frequently implant more than one embryo to improve the odds that one will take. Mothers-to-be who are found to be pregnant with several babies are given the option of aborting some of them to increase the chances the others will survive.
The U.S. fertility industry has guidelines on how many embryos doctors can implant, with the number varying by age and other factors. The guidelines call for no more than one or two for a generally healthy woman under 35, and no more than three to five, depending on the embryos' maturity, for women over 40.
If eight embryos were implanted at once, that is "well beyond our guidelines," Dr. R. Dale McClure, president of the reproductive medicine society, said in a statement.
Clinics that clearly violate guidelines can be kicked out of another group, the Society for Assisted Reproductive Technology, which in turn affects whether insurance covers their services. But the guidelines do not have the force of law.

Monday, January 26, 2009

Eight is Enough - Octopulets Are Born

The medical miracle of multiple births went one step further when a woman gave birth to eight babies in Southern California on Monday, the world's second live-born set of octuplets.
The Huffington Post has reported that the mother, who was not identified, gave birth to six boys and two girls weighing between 1 pound, 8 ounces and 3 pounds, 4 ounces, doctors at Kaiser Permanante Bellflower Medical Center told The Associated Press.
The hospital had scheduled a Caesarean section for seven babies, but doctors were surprised by the eighth.
"My eyes were wide," Dr. Karen Maples said, explaining her reaction to the last birth.
Doctors said the babies were born nine weeks premature but are in stable condition. Two newborns were placed on ventilators and a third needs oxygen.
Forty-six hospital staff and four delivery rooms were used for the births. After a baby was born, staff rushed the newborn into another room and waited for the next, the hospital said. But despite weeks of preparation, doctors did not expect the eighth child.
"It is quite easy to miss a baby when you're anticipating seven babies," said Dr. Harold Henry, chief of maternal and fetal medicine at the hospital. "Ultrasound doesn't show you everything."
Kaiser spokeswoman Myra Suarez said she could not release any information about the mother, including her condition or whether she used fertility drugs. Such drugs make multiple births more likely.
"They are all doing the best they can," Suarez told the AP.
The first baby was born at 10:43 a.m.; the eighth one at 10:48 a.m.
"They were all screaming and kicking around very vigorously," Henry told KCAL9.
The first live-born octuplets were born in Houston in 1998, and one baby died about a week later. The surviving siblings _ girls Ebuka, Gorom, Chidi, Chima and Echerem, and their brothers Ikem and Jioke _ celebrated their 10th birthday in December.
Their parents, Nkem Chukwu and Iyke Louis Udobi, said they are astonished and grateful that their children have grown up to be healthy and active kids who are now in the fourth grade.
Chukwu told the AP that the parents of the newest octuplets have much to look forward to.
"Just enjoy it. It's a blessing, truly a blessing," Chukwu said. "We'll keep praying for them."
The Bellflower medical center is about 17 miles southeast of Los Angeles.
Can you image how much it is going to cost those "lucky" parents for diapers, baby food, clothes and medical expenses?