Blunder at top clinic sparks fresh IVF fears - How to Protect Yourself

With the new blunder discovered at a UK clinic, more patients are afraid of what if it happens to them....

In fact, as discussed by By Susie Mesure in The Independent, donor sperm with chromosomal abnormalities went unscreened, raising the risk of miscarriage and birth. defects. 

"A serious blunder at one of Britain's top fertility clinics dramatically increased the risk its patients would suffer a miscarriage or give birth to a child with serious health problems, sparking fresh fears about how IVF centres are run in the wake of a series of scandals."

In fact, "Fertility experts believe the LWC's error could be the "tip of the iceberg", and that it raises serious concerns about how the industry is regulated. It is the latest in a series of high-profile incidents, including a couple's last viable embryo being implanted into another woman, and eggs fertilised with the wrong sperm, forcing three couples' embryos to be destroyed."

"The blunder constituted the most severe mistake that a clinic can make, according to the Human Fertilisation and Embryology Authority, which regulates the multimillion-pound IVF sector. In future, the watchdog will name and shame clinics for similar incidents under new rules to expose mistakes and near misses."

Yes, mistakes do happen, and we need to keep an eye on regulations that will make this field of medicine as error free as possible.  In fact, there are many things that the fertility patient can do for themselves to ensure that they set themselves up for success versus the failures that we have seen in the UK, Ohio and even Louisiana.

I suggest to each one of my clients that following:

1. Make certain that your doctor and clinci is board certified and cleared by the FDA, including their lab being accredited.  Look to SARTCDC, and the AMA.

2. Speak with your clinic to understand how they label embryos, sperm, eggs, etc.  Also, ask questions regarding all testing provided by the clinic on embryos, sperm, and eggs.

3. Always check to see if there are any complaints against the clinic and/or the doctor;

4. Ask the clinic if they have a policy for disclosing mistakes or errors to patients?  Also, what is their history of any such mistakes/errors.

5. DO NOT BE AFRAID to ASK QUESTIONS - no question is stupid or silly. 

For more information, also look to Dawn Davenport's article on this issue.

Anger over Croatian Law & IVF Blunders

Good Monday Morning to all!   Today's focus in Europe, specifically Croatia, where they have some of the strictest IVF laws.  At this point the legistlature has voted to restrict IVF treatment to married couples and only those who can prove that they have been together for at least three years.  Furthermore, they are also prohibiting the freezing of embryos left over from any treatment.   Donors of eggs and sperm can also no longer be anonymous, and the information can be accessed at the age of 18 by the child. 

Critics claim that this new legislation is going to stop IVF treatment all across the country.  The President has referred the legislation to the Constitutional Court, where childless couples and individuals will have to wait until next April for a hearing. 

In the UK, a leading IVF lawyer is appalled at the latest figures regarding IVF clinic blunders just released by HFEA.  "Figures released yesterday by the HFEA under the Freedom of Information Act showed a catalogue of blunders at some of the countrys top IVF clinics, including staff dropping embryos, eggs and sperm on the floor or samples being mistakenly thrown out with the rubbish. Failed storage equipment also meant that frozen embryos and sperm samples thawed which could in some cases lead to a familys last chance of having a natural child of their own being lost. "

"The figures show that between April 2005 and March 2006 140 incidents and near misses were reported to the HFEA. Of these 91 were categorised as Grade A being the most severe with 38 Grade B incidents and 11 near miss incidents. The report Driving Improvement which is available from the HFEA website here confirmed that the most serious incidents include the loss of gametes (eggs or sperm) and embryos through dropping dishes or tripping or accidental disposal and that equipment failure compromised viable embryos."

This is certainly a tragedy for all patients involved. 

"Muiris Lyons added I have acted for a number of people who have lost gametes or embryos in claims against the clinics involved. The recent report shows the scale of the problem which has plainly affected a significant number of people.

The most serious IVF blunder in the UK occurred in Leeds in 2002 when mixed race babies were born to a white couple after a womans eggs were fertilised with the wrong man's sperm."

"The case gave rise to the recent acclaimed Channel 4 docu-drama Born with Two Mothers "Born with Two Mothers" in which Muiris appeared as himself advising one of the couples involved in the mix-up. The plot device was also used in the third series of hit American show Desperate Housewives which aired on Channel 4for the first time in the UK last week where childless couple Gabrielle and Carlos Solis were the victims of an IVF clinic blunder which resulted in their surrogate mother giving birth to a black child following an embryo mix-up."

Ouch! 

Friday Legal Updates™ - Embryo Mix-Ups, India Surrogacy, Lesbians Settle Lawsuit, Indiana Triplet Update & Texas Gay Divorce

TGIF, fellow bloggers and readers.  We have more information on the embryo mix-up case, as well as a new development in India with Baby Manji and the Louisiana clinic that mislabeled embryos.  Happy reading!

California - the lesbian couple who sued the clinic in San Diego for refusing IVF treatment based on their sexual orientation has settled.  According to a joint statement, the defendants are "sincerely sorry that Ms. Benitez and Ms. Clark have felt this way, and have never meant to treat Ms. Benitez with disrespect."

"Defendants want all of their patients, including those who are lesbian and gay, to feel welcome and accepted in their medical practice, and are committed to treating all of their patients with equal dignity and respect in the context of the highest quality of medical care."

Benitez sued, and the case went all the way to the state Supreme Court, which ruled last year that Benitez was entitled to be treated like other patients with her same health problem, and that constitutional protections for religious liberty do not excuse unlawful discrimination.

"I didn't look for this fight, my doctors forced it on me," said Benitez, now a mother of three.

"We felt helpless, humiliated and trapped, and it's been a long, hard fight to get to this point," she said. "But we know we've made a difference in the law that will help people in California and hopefully, across the country. We are very proud of that."   Bravo!

IndianaA 62-year-old New Jersey man who adopted twins born to a surrogate mother in Indiana must go through the adoption process again, Indiana's Supreme Court ruled.

Reaffirming its earlier decision, the court said child-welfare officials in New Jersey must determine whether Stephen F. Melinger can 

provide a safe and stable home for the twins, Kathy Zee and Karen Zaria Melinger, who were born in April 2005, the Indianapolis Star reported Thursday.

The girls, now 4, can stay with Melinger in New Jersey while he goes through the adoption process again, the Star said.

The court expressed concerns about false statements by Steven Litz, a lawyer who represents Melinger and owns a firm that solicits clients and surrogate mothers on the Internet.  

provide a safe and stable home for the twins, Kathy Zee and Karen Zaria Melinger, who were born in April 2005, the Indianapolis Star reported Thursday.

The girls, now 4, can stay with Melinger in New Jersey while he goes through the adoption process again, the Star said.

The court expressed concerns about false statements by Steven Litz, a lawyer who represents Melinger and owns a firm that solicits clients and surrogate mothers on the Internet.

During adoption proceedings, the high court found, Litz had told a Indiana, court Melinger lived in Indianapolis when in fact he had lived in Union City, N.J., for 10 years. Litz also had indicated the surrogate mother was inseminated with sperm from Melinger and another donor when Melinger actually did not donate sperm, the court found.

TexasA Texas judge has cleared the way for two Dallas men to get a divorce, ruling that Texas' ban on same-sex marriage violates the constitutional guarantee to equal protection under the law. District Judge Tena Callahan's ruled Thursday that the court "has jurisdiction to hear a suit for divorce filed by persons legally married in another jurisdiction."

Texas Attorney General Greg Abbott has argued that because the state doesn't recognize gay marriage, its courts can't dissolve one through divorce. Voters approved a state constitutional amendment banning gay marriage in 2005.

Abbott says he'll appeal the ruling.

"The laws and constitution of the State of Texas define marriage as an institution involving one man and one woman," Abbott said in a written statement. "Today's ruling purports to strike down that constitutional definition — despite the fact that it was recently adopted by 75% of Texas voters."

Embryos Mix Up Updates - Ohio & Louisiana - Updates on these cases, as well as a response by the Ohio clinic and the ASRM. 

A Lafourche Parish (Louisiana) couple said that Ochsner Hospital Elmwood can't find four embryos that its fertility clinic froze more than two years ago.  Kim and Abraham Whitney "hoped (that one of) these embryos would be their future child and a sibling to their only child," said their attorney, Melanie Lagarde, who earlier this month filed suit on behalf of the Whitneys against Ochsner and the embryologist they believe was responsible.

This is the second class-action lawsuit filed against the clinic in recent months. In July, a St. Charles Parish couple, Heather and Duane Hebert, filed suit after a pair of embryos they had frozen also disappeared.

The Heberts were also notified that, even if genetic testing could determine which embryos were theirs, they would not be able to implant them because the Food and Drug Administration found that required screenings for sexually transmitted disease were not done prior to freezing, the lawsuit stated.

The clinic in Ohio responsible for the embryo mix-up between a Metro Detroit couple and a Toledo couple is promising it will "never happen again," the attorney for the clinic announced Friday.

"This has never happened to this medical practice before, and they are working day and night so that it will never happen again," Paul Manion, a Detroit attorney, said in a prepared statement.

Manion declined to name the clinic. But he said an unfortunate mistake had been made and, when it was discovered, the families were immediately notified.

Mixups Increase Scrutiny of Fertility Clinics

However, in a statement released today, ASRM executive director Robert W. Rebar said:

"Even with these efforts, the incidents reported this week make it clear that there is still work to do. As the leaders in reproductive medicine, we will redouble our efforts to develop systems that will assure our patients and the public that these kinds of mistakes will not happen. 
 
"The time has come for policy makers to sit down with the leading experts in the field to explore ways we can codify our standards to give them additional regulatory teeth.
 
"We will lead an effort involving our members, representatives of patient groups, policy makers and other stakeholders to work together to come up with solutions."

India - First, the Health Ministry in India send ART bill to law ministry for vetting.  The Bill is expected to find its way to the Union cabinet soon for its approval once it gets the Law Ministry's nod.

The Bill is being introduced to regulate thousands of infertility clinics that have mushroomed in the country over the past several years. The Bill will define the establishment and functioning of these clinics.

Senior Health Ministry officials confirmed that the Indian Council for Medical Research (ICMR) has finalised the redrafting of the Bill and the ministry has sent the Bill to the law ministry for its opinion. After getting the approval from the Union cabinet, the Bill be introduced in Parliament for final seal of approval before implementing it in the country.

Sources said that the ministry had incorporated several changes in the final draft as it had received a large number of suggestions and comments from foreign countries, embassies, legal institutions, international institutions, experts and others on the draft bill. The government had late last year published the draft bill and had invited suggestions and comments from the public on the proposed bill. The Bill, drafted by an 11-member expert committee appointed by the health ministry, proposes to establish a National Advisory Board and state Boards to regulate and supervise the establishment and functioning of the infertility clinics in the country.

The bill, once it gets the Parliament nod, will provide for a national framework for the regulation and supervision of assisted reproductive technology (better known as infertility clinics) and matters connected therewith or incidental thereto. Apart from putting strict parameters for the establishment of an infertility clinic, the Bill also defines the minimum requirement regarding staff in an infertility clinic and minimal physical requirements for a clinic.

Again, still no laws in India, so parents beware.  Plus, a suit has been filed to stop baby Manji from leaving the country.  The Jaipur bench of Rajasthan High Court on Tuesday issued notices to the union and the state home departments asking them to produce the Japanese surrogate baby Manji in court within four weeks and explain why the baby was being allowed to be taken to Japan. A division bench of Justice R C Gandhi and Justice Guman Singh issued notices citing ambiguity regarding surrogacy in India. The baby is at present in a Jaipur hospital under the supervision of her Japanese grandmother.

The notice was issued on a habeas corpus petition filed by a Jaipur-based NGO, SATYA, alleging that in the absence of any surrogacy law in the country, the surrogate child born out of the sperm of a Japanese father could not be kept in the custody of her Japanese grandmother, Emiko.

Friday Legal Updates - Surrogate Children, Georgia Embryo Law, IVF Treatments, Foreign Adoptions, & Embryo Mix-Ups

Hello and TGIF!  Sorry I missed you last week, but I was away relaxing on vacation in Hawaii.  We have quite a few updates today, so please comment on those that are interesting or those that make you want to respond.  Happy Friday!

California/Texas - Court Tosses Claim by Children Born to a Surrogate - The District Court of Appeal yesterday threw out the claims of 15 year old twins born to a surrogate mother against the Texas estate of their biological father asserting breach of the surrogacy agreement due to the father's failure to support them as time barred.  The actual story sounds like a scene from the show "Dallas," so be sure to read the link above. 

Georgia - The new law allowing families to adopt embryos is now in effect in Georgia.  The law aims to prevent embryo donors from later asserting legal rights to children born from embryo adoption.  Personally, I think that this will make embryo donation more costly, but we shall see. 

Federal - A Federal Appeals Court has ruled that a woman cannot be fired for absenteeism related to fertility treatments.  The US Court of Appeals for the Seventh Circuit ruled that Title VII does prohibit an employer from doing so.  A trial is still pending so we will have to see what happens as this case progresses.

Federal - Congress is introducing a bi-partisan bill, entitled FACE Act (S. 1359), which intends to eliminate many of the hurdles internationally adopted children of American citizens currently face before they can come home to the US, which is often a lengthy and expensive process. 

UK - Chairman of British Fertility Society warns that IVF mix-ups "will continue."  In fact, he is not certain if the new systems being put into place will help, as human error is always a possibility.  He did not that the number of mix-ups were small; however, he needs to think more of those that it has affected versus the number.  Don't you think?

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