Showing posts with label multiple birth. Show all posts
Showing posts with label multiple birth. Show all posts

Sunday, February 15, 2009

Octuplet Doc Has Another Patient Pregnant With Quadruplets

The doctor who helped Nadya Suleman get pregnant with octuplets has implanted at least 7 embryos in another patient. According to the LA Times, a woman in her late 40s underwent in vitro fertilization at the octuplet doctor, Dr. Michael Kamrava's West Coast IVF clinic.

The woman is reported to be 5 months pregnant and is hospitalized. Furthermore, the woman does not have insurance and was transferred to a county hospital where she will remain until the births. That could be two or three months and could run into hundreds of thousands of dollars that taxpayers will end up paying.

This new case has fueled the controversy over the ethical standards of Kamrava's practice and whether the fertility industry needs more regulation.

The American Society for Reproductive Medicine has guidelines limiting the number of embryos that can be transferred depending on the woman's age and other circumstances. The guidelines calll for the allowance of 2 embyos to be implanted, and in some cases 3 - but no more.

Since the American taxpayers will end up footing the bill for the medical treatment of the mother and infants, the American public has a right to know what the heck the medical establishment is going to do to prevent this in the future. It is estimated that the costs to raise these children throughout their lifetimes could end up in the millions.

It's interesting to note that Dr. Kamrava's latest successes come at the most inopportune time. Before the birth of Nadya Suleman's octuplets, his success rate of live birth in women under 35 was only ten percent.

Maybe he finally got the knack of it!

Tuesday, February 10, 2009

Octuplet Fertility Clinic Identified

The fertility clinic that performed the in virto fertilization on Nadya Suleman, the octuplet mom, has been identified. According to Nadya Suleman, she went to West Coast IVF Clinic in Beverly Hills in Beverly Hills, California. The clinic is headed by Dr. Michael Kamrava who's specialties are Obstetrics & Gynecology, Reproductive Endocrinology & Infertility.

On his website, he describes himself as "an internationally recognized leader in the field of in vitro fertilization" who has helped pioneer "breakthrough technology that revolutionized IVF, reducing risks to both the mother and child."

According to statistics collected by the U.S. Centers for Disease Control and Prevention, his clinics performed 20 in vitro procedures in 2006 on women younger than 35. Of those procedures, four resulted in pregnancies and only two of those resulted in births. One of the patients delivered twins. His pregnancy rate and live birth rate are far below the national average, according to the statistics.

At the same time, the average number of embryos that he transferred per procedure -- 3.5 -- was among the highest in the country for women younger than 35. Fertility specialists say that a high number of embryo transfers usually reflects either a patient population with an especially poor prognosis or problems with the laboratory.

Medical guidelines established by the American Society of Reproductive Medicine recommend transferring no more than two embryos per procedure in women younger than under 35 except in "extraordinary circumstances."

Suleman told NBC's Ann Curry that her treatment was "very appropriate." He implanted six embryos, which she had remaining from previous procedures because of her medical history, which included scarred fallopian tubes.

"At the time I was so focused, so fixated on wanting so many that I just kept going," said Suleman, who is single, unemployed and lives with her mother. "The most I would have ever anticipated would have been twins. It wasn't twins times four."

Dr. Richard Paulson, who heads the fertility program at the University of Southern California, cautioned against rushing to judgment in this case because questions remain about the quality of Suleman's eggs and whether there were any extraordinary circumstances that would lead Kamrava to transfer so many embryos.

Suleman, who said she is not on government assistance, said that with six children, she was struggling financially to support them and probably would not have been able to make it without the support of her mother, who allowed the family to stay with her in her three-bedroom suburban home southeast of downtown L.A.

However, her publicist Mike Furtney said Suleman receives $490 a month in food stamps. She also receives disability payments for three of her six previous children, but Suleman did not want to disclose the nature of her children's disabilities or the nature of those payments.

Asked how she could afford in-vitro -- it typically costs between $8,000 and $15,000 -- Suleman said she had saved money and used some of the more than $165,000 in disability payments she received after being injured in a 1999 riot at a state mental hospital where she worked.

Before we jump to conclusions - Dr. Kamrava has not been identified as the doctor who performed the in vitro procedure on Nadya Suleman. But in the same light, he is responsible for everything that goes on in his clinic. Expect more details to surface regarding an investigation by the Medical "police" in California.

source: LA Times, Associated Press

Sunday, February 8, 2009

Doc "Ock" Broke Medical Guidelines In Octuplet Case

It appears that Doc "Ock", the unnamed doctor who performed in vitro fertilization on Nadya Suleman, broke the medical guidelines for implanting embryos. The American Society for Reproductive Medicine recommends that a woman under the age of 35 should have no more than two embryos implanted by way of in vitro fertilization (IVF). That limit was chosen in order to avoid multiple births through IVF which exposes both mother and offspring to significant health risks.
According to her mother, Angela Suleman, all 14 children were conceived through in vitro fertilization with the same sperm donor. Nadya Suleman confirmed that six were implanted, two of which resulted in twins. Angela Suleman told the Associated Press that her daughter opted for IVF treatment because her fallopian tubes were "plugged up," and decided to have more children so that the frozen embryos left over after her previous pregnancies wouldn't be destroyed.
While it makes recommendations, the American Society for Reproductive Medicine does not have the legal power to enforce guidelines. It can only oust unethical members from its ranks. But the Medical Board of California does have the ability to investigate claims filed against physicians and impose sanctions. The board will be looking into whether the as-yet unnamed physician or clinic that treated Suleman violated the standard of care for the profession. Candis Cohen, spokeswoman for the medical board, says they are at the beginning of the inquiry, which could take several months to conclude. If found guilty of misconduct, the medical practitioner involved could face punishment ranging from a letter of reprimand to the surrendering of his or her medical license.
The big question that needs to be answered is did the public indirectly end up footing the bill for the procedure? One cycle on IVF can cost up to $10,000 and questions have arisen about how Nadya Suleman, earning just $625 a week, could afford the procedure.
Though it is true that Nadya received approximately $168,000 due to an injury sustained on the job, she hasn't worked for some time and has six children to support. In addition, her mom has filed bankruptcy, claiming almost $1 million in debt.
Stay tuned! Once Doc "Ock" comes out of hiding, I'm sure new questions will be raised!

source: time.com