Monday, October 21st, 2013
The number of women who become pregnant using donor eggs has risen in the last decade, although the number of healthy babies born on time and at a healthy weight remains less than ideal for that group. More from The Associated Press:
That ideal result occurred in about 1 out of 4 donor egg pregnancies in 2010, up from 19 percent a decade earlier, the study found.
Almost 56 percent resulted in a live birth in 2010, and though most of these were generally healthy babies, 37 percent were twins and many were born prematurely, at low birth weights. Less than 1 percent were triplets. Low birth weights are less than about 5½ pounds and babies born that small are at risk for complications including breathing problems, jaundice, feeding difficulties and eye problems.
For women who use in vitro fertilization and their own eggs, the live-birth rate varies by age and is highest — about 40 percent — among women younger than 35.
Women who use IVF with donor eggs are usually older and don’t have viable eggs of their own. Because the donor eggs are from young, healthy women, they have a good chance of success, generally regardless of the recipient’s age.
The average age of women using donor eggs was 41 in 2010 and donors were aged 28 on average; those didn’t change over 10 years.
The study, by researchers at Emory University and the federal Centers for Disease Control and Prevention, was published online Thursday in the Journal of the American Medical Association and presented at the American Society for Reproductive Medicine’s annual meeting in Boston.
Image: Pregnant woman, via Shutterstock
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Friday, June 21st, 2013
A growing body of research is emerging around the emotional health of babies who are born via gestational surrogate or donor eggs, which is a phenomenon that’s been on the rise in recent years. A new British study from the Centre for Family Research at the University of Cambridge has found that children born via surrogates are more likely to have emotional adjustment problems by age 7 than those who were born by means of a donor egg or sperm. More from NBC News:
Their results, published in the June issue of the Journal of Child Psychology and Psychiatry, suggest that it’s more difficult for youngsters to deal with the idea that they grew in an unrelated woman’s womb, than with the concept that they are not biologically related to one or both parents.
With the number of births involving a surrogate or donated sperm or eggs on the rise, this issue may become increasingly relevant.
The latest statistics from the American Society for Reproductive Medicine (ASRM) show that the number of children who were created with a donated egg rose more than 30 percent from 7,284 in 2004 to 9,541 in 2011, while the number of births involving a surrogate jumped more than 200 percent, from 530 in 2004 to 1,179 in 2011. No one knows how many births have resulted from sperm donations, but estimates range from 30,000 to 60,000 per year, according to a New York Times report.
For the study, [family research professor Susan] Golombok and her colleagues followed 30 surrogacy families, 31 egg donation families, 35 sperm donation families and 53 natural conception families until the children were 10 years old. The researchers surveyed the moms when the children were ages 3, 7 and 10 to get an idea of how well-adjusted the youngsters were.
“Signs of adjustment problems could be behavior problems, such as aggressive or antisocial behavior, or emotional problems, such as anxiety or depression,” Golombok says.
There was no difference between children born through egg and sperm donation or children conceived naturally in terms of behavioral adjustment, the researchers found.
While all the children seemed to be doing well by age 10, Golombok says, the concern is, trouble could crop up later as kids hit their adolescence and are trying to find their identities and place in the world, experts say.
The most important thing, experts agree, is for parents to find a way to tell their kids about their beginnings.
Golombok and her team hopes to revisit the subjects when they are 14 years old, to see how these emotional issues play out in adolescence.
Image: Mother and daughter, via Shutterstock
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Wednesday, March 6th, 2013
Surrogate pregnancy is not uncommon, and it usually ends well for all involved. But a story out of Connecticut and Michigan is almost operatic in its complexity, drama, and high stakes. CNN.com tells the story of Crystal Kelley, who acted as a gestational carrier to a Connecticut couple who wanted a fourth child and had frozen embryos from previous in vitro fertilization cycles.
Kelley became pregnant, but a routine ultrasound uncovered a number of severe birth defects in the fetus, including brain and heart abnormalities as well as a severely cleft lip and palate. The biological parents, on hearing the news, wanted Kelley to terminate the pregnancy, but Kelley refused.
After a legal battle erupted–the contract Kelley had signed stipulated “abortion in case of severe fetus abnormality,” but didn’t specify what that meant–the biological parents said they wanted to take custody of the child at birth and then turn her over to Connecticut’s state-run foster care system. The case became even more complicated when it was discovered that the couple had used an anonymous egg donor to make the embryo.
Kelley, disturbed by all options on the table, fled to Michigan, where she would be considered to be the baby’s mother under that state’s laws.
While in Michigan, Kelley gave birth to the girl and found adoptive parents for her. From CNN:
Baby S. — her adoptive parents are comfortable using her first initial — has a long road in front of her. She’s already had one open-heart surgery and surgery on her intestines, and in the next year she’ll need one or two more cardiac surgeries in addition to procedures to repair her cleft lip and palate. Later in childhood she’ll need surgeries on her jaw and ear and more heart surgeries.
Her adoptive parents, who asked to remain anonymous to protect their family’s privacy, know Baby S. might not be with them for long. The cardiac procedures she needs are risky, and her heterotaxy and holoprosencephaly, though mild, carry a risk of early death, according to doctors.
If Baby S. does survive, there’s a 50% chance she won’t be able to walk, talk or use her hands normally.
In some ways, Baby S. looks different from other 8-month-olds babies. In addition to the facial abnormalities, she’s very small, weighing only 11 pounds and she gets food through a tube directly into her stomach so she’ll grow faster.
Her adoptive parents know some people look at her and see a baby born to suffer — a baby who’s suffering could have been prevented with an abortion.
But that’s not the way they see it. They see a little girl who’s defied the odds, who constantly surprises her doctors with what she’s able to do — make eye contact, giggle at her siblings, grab toys, eye strangers warily.
“S. wakes up every single morning with an infectious smile. She greets her world with a constant sense of enthusiasm,” her mother said in an e-mail to CNN. “Ultimately, we hold onto a faith that in providing S. with love, opportunity, encouragement, she will be the one to show us what is possible for her life and what she is capable of achieving….”
….Just as there are two ways to look at Baby S., there are two ways to look at Crystal Kelley, the woman who carried her.
In one view, she’s a saint who fought at great personal sacrifice for an unborn child whose own parents did not want her to live. In another view, she recklessly absconded with someone else’s child and brought into the world a baby who faces serious medical challenges when that wasn’t her decision to make.
Image: Pregnant woman in hospital, via Shutterstock
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Tuesday, October 23rd, 2012
A new way of freezing donors’ eggs for transfer to women undergoing in vitro fertilization (IVF) is improving the chances for many women to achieve a successful pregnancy when they cannot become pregnant using their own eggs. From CNN.com:
Egg freezing technology has improved so much that in the past six months, egg banks have started websites where patients can order frozen eggs and have them shipped. Fertility experts say it constitutes a paradigm shift, and they predict that in the not-too-distant future, nearly all donor eggs will be bought frozen online instead of fresh locally, making the eggs more accessible—logistically and financially—to more women.
“This really makes a huge difference,” says Dr. Serena Chen, director of the Ovum Donation Program at the Institute for Reproductive Medicine and Science at Saint Barnabas in New Jersey, where [Debbie] Vernon is a patient.
Last week, the American Society for Reproductive Medicine took the “experimental” label off frozen eggs, which will likely help the industry grow even faster.
Image: IVF lab, via Shutterstock
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