Friday Legal Updates™- Surrogacy/Adoption Scam, Dr. Phil, and IVF/Embryo Adoption Law Updates

Surrogacy,Embryo Donation & Dr. Phil - well, it has been a slow week for news, but again the legislation that is being considered in Tennessee and Oklahoma should cause us all to pause - patients and industry professionals alike.  TGIF!

Chicago - A Federal Appeals Court has upheld the conviction (rightly so) of a woman who scammed would-be parents by posing as a pregnant woman seeking to place her baby for adoption.  She also responded to ads placed by people looking for surrogate mothers with the false claim that she was already pregnant and was planning to give the baby up for adoption.  Beware and be careful out there.  

Dr. Phil - More on the Michigan Surrogacy Debacle - Should a mental illness prevent a woman from being a mother? Shelly made headlines when she agreed to be a surrogate for Amy and Scott, but later reclaimed the babies when she says she discovered that Amy had a mental disorder. It’s an emotional Dr. Phil you don’t want to miss! 

Oklahoma - The state is considering an embryo adoption law similar to Georgia.  As we know this is disasterous as it increased costs to the Intended Parents.  Take action!

Tennessee - This state is also following Georgia with bills on both the Senate and House Floors.  However, the House Bill does not make an adoption petition required, and it does have some good points, such as the maintenance of records for 21 years and the right of the child to obtain information at the age of 18 years.  It does require a written contract.  This bill is much easier to stomach, and actually would do alot of the things that are needed in this industry, including maintenance of records and release of information at the age of majority. 

Italy - The Italian Court has modified the legislation on Assisted Reproduction by finding the previous legislation regarding the protection of all embryos to be unconstitutional.  The future of this is unknown, as it appears that the Parliment will now need to step in, which is unlikely. 

Another great place to watch for legislative updates and where to find a place to help join the fight is Resolve - Take Action! 

 

 

IVF - How Old is Too Old?

IVF & Age - Britain's oldest woman to undergo fertility treatments is now 59 years old.  She herself thinks that there should be an age limit, but she believes that it should be in the 60's.

"Mrs Tollefsen, who turns 60 in October, said: "I agree there should be a cut-off point. Perhaps 65 is too old, but I'm full of life and healthy.

'I know other people are looking forward to retirement while I'm looking forward to kindergarten and infant school.'

'"But if the circumstances are right I'd encourage other women my age to do this.' She had her first baby aged 57 after travelling to Russia for the fertility treatment that had been refused in Britain.

The decision to help her has sparked an angry response from people who think it is unnatural for OAPs to have families using IVF.

Her case could provoke a wave of old mums who can afford the £5,000 to overcome infertility."

Based on this angry response from those opposed to this, legislation is now being considered in Britain in order to set an age limit on IVF.  In fact, politicians think that this move by Mrs. Tollefsen may set a "dangerous precedent". 

Furthermore. a pro-life group commented as follows: "What's missing from this, apart from consideration of the rights of the child, is that there's no real focus on egg donation and this is very bad news.

"Would women expose themselves to the risks of donation if they knew the eggs were going to a woman of 59? You're exploiting a woman and putting her at risk to fulfil the fantasies of another woman who can't accept that she's gone beyond the menopause."

In fact, the following facts are worth noting - the oldest woman in Britain to give birth is 66-year-old Elizabeth Adeney, a company director from Lidgate, Suffolk, who had a boy last May.  The world's oldest new mum, Rajo Devi, 70, from Haryana, India, had a daughter last year. Maria del Carmen Bousada de Lara was 66 when she gave birth to twins in Barcelona, Spain, in 2006. She died in July 2009.  the first famous elderly mum was Rosanna della Corte from Canino, Italy, who was 64 when she gave birth to a son in 1994.

What do you think?

Television, Modern Families & 2010

With time on your hands over the holidays, I thought I would update everyone on a few interesting additions to the television line up.  Modern Families on ABC is a great show in many ways, as is shows how different families can be while poking fun at itself.  Some things are clearly cliche; but, you can't have everything! 

On the other hand, there is a new show, which Fertility Authority actually brought to my attention, called Find My Family.  It sounds like a good premise; however, what concerns us the most is the fact that it claims to bring families back together.  What I do hope is that they address what a family is and that they come in all shapes and sizes regardless of origin.

Happy New Year to all - this will be my last blog post until next week, so have a great week.  See you in 2010!!

Friday Legal Updates™ - Catholicism and Reproductive Technologies & Southern Australia Surrogacy Update

IVF, Reproductive Technologies, Catholicism, and Surrogacy in Australia are our updates for today.  In fact, just this week, the Catholic Church issued a statement that can be found here regarding couples who are infertile and how the Church views how they proceed in creating a family.  I found it to be interesting, but certainly painful for those Catholics who cannot conceive naturally. 

What is absolutely great; however, is that the American Fertility Association is having an upcoming webinar on Catholics and IVF: A Pastoral Approach as follows:

"Are you a Roman Catholic or married to one and considering IVF or other forms of ART for your family?  Does the Roman Catholic Church’s position raise concerns regarding your decision? 

This webinar will help prepare Catholics who are considering IVF / ART or have a child born as a result of IVF / ART to have a productive and respectful conversation with their pastors from the perspective of their lived experiences. The guest speaker will be Father Jon Pedigo, STL.

For more information, please email Corey at:  Corey@TheAFA.org"

Please consider attending if this is something that you are currently dealing with in your life.  I am certain it will be informative. 

Australia - Surrogacy is now legal for childless South Australian Couples.   Unfortunately, it only applies to heterosexual couples and for non-compensation surrogacy.  Definitely a step in the right direction - but there needs to be more inclusiveness.

TGIF and have a great weekend!

Friday Legal Updates - Embryo Mix-Up, California Update, & Lawsuit over Donation to Stem Cell

TGIF!  Today is short and sweet as I am on my way to ASRM.  Blog posts on the conference to follow.

CaliforniaA move that went largely unnoticed by the media on Monday, California governor Arnold Schwarzenegger quietly signed a bill that adds new rights for gay and lesbian couples.

Schwarzenegger signed the bill, SB-54 by Senator Mark Leno (D), on Sunday, his office said. Leno's bill requires California to recognize marriages performed in other states where same-sex marriages are legal.

Supporters and people opposed to gay marriage have been in court battles for years, with voters in the state approving Proposition 8 in last year's election. Proposition 8 was a ballot proposition that defines marriage to be between a man and a woman.

Louisiana -   A hearing was held Tuesday in the case of in-vitro fertilization labeling problems at Ochsner Medical Center that led the hospital to suspend its in-vitro program indefinitely.

The judge was asked to decide whether Ochsner should be prohibited from communicating with in-vitro patients who don't have lawyers. A ruling is expected next week.

Attorneys for two couples who are suing the clinic don't want other patients who may have been affected by the mislabeling practices to be allowed to communicate with Ochsner directly, unless they've been advised they may need to contact a lawyer first. A hearing was held Tuesday in the case of in-vitro fertilization labeling problems at Ochsner Medical Center that led the hospital to suspend its in-vitro program indefinitely.

 

The judge was asked to decide whether Ochsner should be prohibited from communicating with in-vitro patients who don't have lawyers. A ruling is expected next week.

 

Attorneys for two couples who are suing the clinic don't want other patients who may have been affected by the mislabeling practices to be allowed to communicate with Ochsner directly, unless they've been advised they may need to contact a lawyer first.

New York - Feminists Choosing Life of New York (FCLNY) filed suit Friday in New York State Supreme Court (Albany) to block the use of taxpayer funds to pay women recruited to donate their eggs for embryonic stem cell research.

FCLNY Executive Director, Wendy McVeigh stated: "New York State has the responsibility to protect women. Instead, the state is using taxpayers' dollars to entice young, economically vulnerable women to experiment in this medically risky procedure."

New York State is the first governmental entity anywhere in the U.S. to approve taxpayer money to pay women to undergo an invasive procedure to harvest eggs for embryonic stem cell research.

The legal complaint was filed on October 9, 2009 in Feminists Choosing Life of New York v. Empire State Stem Cell Board.  In part, the complaint states, "The Payment for Eggs Program provides significant monetary inducements to women to engage in this painful and risky procedure, which in part disproportionately appeals to economically vulnerable women...(it)...fails to satisfactorily provide for informed consent and other safeguards to ensure adequate disclosure to women of the risks of egg harvesting."
 

Anonymity - Egg Donors, Sperm Donors, Embryo Donors, & the Donor Conceived Children

Alot of conversations have been going on these days regarding anonymity in the field of third party reproduction, and I agree that something needs to be done in the US very soon.    In fact, the recent case of Doe v. XYZ Company (75 Mass.App.Ct.311) has increased that attention, as it involves a case of a woman who gave birth to twins after artificial insemiantion using donor sperm.  The Plaintiff, the mother of these two girls, is asking for both Donor #D237's identity from the sperm bank, as well as child support from the donor himself

For now, the Massachusetts Court of Appeals has  remanded the issue to the trial court but declared "such cases cry out for legislation defining rights of the participants."  Unfortunately, without any statute in place, the Court cannot compel the defendant to reveal the identity of the anonymous donor.  

As a side note, the Plaintiff has since placed the children in state Department of Children and Families - for reasons not made clear in the ruling. 

So, where does that leave us as a society?  Many other countries require that the egg or sperm donor's information be released to the child once they are 18 years of age; h0wever, many fear that this will cause the number of donors to diminish as they have done overseas.

My other thought is that these donor conceived children should have some rights in this matter at some point - but how should we as a society handle this?  Donation is a positive thing in many aspects, as these children would not be in existence without the donation.  How does a donor conceived child respond to that aspect?

On the other hand, if someone is donating their genetics to help someone have a child, why should they be burdened with the obligations of a parent?   And, why should people have to give up the right to have a child with the use of a donor just because some people do not agree with it?   Julie Shapiro attempted to tackle this issue several times in her blog.

Well, I am currently working to develop my actual opinion at this point, as I was once an egg donor for quite a few couples as a matter of fact (including married couples, gay couples and  a single woman).  Do I mind if the children want my information?  Not at all.  Do I want to pay child support?  Hell no!  I have my own children, who are legally, genetically and socially my children. 

On the other hand, I also have twin nephews who are my brother's children legally and socially, yet not biologically.  Should he pay for their support?  Yes, as he chose to bring these children into this world.  But should my donor conceived nephews have access to their donors' information in the future - I think so but intially on a limited basis.  Maybe there is a way that we can compromise for all parties, as these children that are donor conceived are certainly loved and wanted.  

If the states want to legislate, we need to move towards a system where the donors information is stored for medical purposes and for potential contact in the future if all parties agree.  Most egg donors in particular are open to having contact in the future; however, not without being contacted beforehand by me so they can access the situation at the time they are asked. 

In fact, my office now offers Information Storage, which will maintain the  files for a minimum of 21 years (or longer if requested by the Parties).  In reality, we have been offering that service for over a decade, as I have always felt compelled to ensure that this information is available to the children and/or their parents.  Maybe this is  a compromise that will allow donor conceived children to be born to those families who need to use a donor to have a family, while permitting these children access without obligating the donors legally into support or parenting. 

Let me know your thoughts, as I think that a continued discussion will help me develop my opinion, as well as help others with theirs.

 

THERESA ERICKSON ON EMBRYO MIXUP

Enjoy, and let me know your thoughts! 

http://video.yahoo.com/watch/6086410/15814600

Theresa Erickson
Egg Donation Lawyer
www.ericksonlaw.net

Woman Implanted with Wrong Embryo & Carrying Baby to Term for Couple

A woman in Ohio was implanted with the wrong embryo eight months ago, and she and her husband decided to keep the pregnancy, despite the fact that they know that they will be saying "hello and goodbye" at the same time to the child that is not theirs. 

According to the couple, when they received the call from the doctor telling them that they were pregnant, the doctor also told them in the same sentence that it was the wrong embryo.  The doctor gave them the option to abort; however, they could not go against their religious beliefs.  I find this couple to be an honorable couple, and I hope that their journey ends well.  It appears that they intend to use their remaining embryos in a gestational carrier very soon, as the woman can no longer carry. 

A very sad story, and we hope them, as well as the child and his family, the best.  As for the IVF doctor and clinic, it was honorable that they informed the couple right away unlike Dr. Katz in California, who has since lost his license and who did not inform the woman until the child was 10 months old.  Unfortunately, providing the information right away still does not take away the damage that was done.

I am not sure what to say on this one.  I think this couple is incredible, but what an experience.  What do you think?

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Botched IVF Procedure at Clinic Finally Settles & Yet Another is Filed

The San Francisco Gate recently reported the following:

"A San Mateo County couple filed suit against a San Francisco fertility clinic this week, claiming the doctors implanted the wrong sperm into the woman's eggs and then destroyed the embryos without consent.

According to the complaint, filed Monday in San Francisco Superior Court, Katie Aschero, 31, of El Granada underwent egg retrieval in February in an effort to have a child with her husband, Robert, via invitro fertilization.

The Ascheros later learned that seven of the 13 viable embryos had been inseminated with another man's sperm and that the clinic's staff destroyed those embryos in violation of the couple's contract with Laurel Fertility Care in San Francisco, the complaint said.

The Ascheros' attorney, Nancy Hersh, said the clinic's decision to discard the embryos violated their contract."

[Editor's Note: This post was originally based upon a National Law Journal article.  Laurel Fertility Care has disputed some of the reporting by the National Law Journal; therefore, we are removing the disputed information in order to keep our readers from being influenced by material that may not be correct.]

Friday Legal Updates - Florida Personhood, UK Update, Wisconsin Surrogacy Insurance, & Croatia

Wow, can you believe that summer is officially over already?  I can't because of the blistering heat here in Southern California; however, another Friday is upon us with some legal updates for your thoughts and comments.

Florida - Last November, Colorado pro-life groups placed a ballot measure before the voters in order to extend "personhood" to the moment of conception.  This amendment was rejected by 73% of the voters in Colorado; however, the groups have now set their sites on Florida.  The new amendment would define even a newly formed embryo as a person.  The implications of this becoming law is an issue those suffering from infertility and living in Florida need to consider. 

Wisconsin - Two women have filed a case in Wisconsin where their insurers have denied them maternity coverage due to the fact that they were surrogates.  This issue is now before the State Supreme Court, so we will have to wait and see how this one ends and if it will have implications elsewhere. 

UK - Women whose embryos were to be destroyed in the next few weeks have been given an extension.  With the new HFEA of 2008, which comes into force on October 1, everyone with embryos in storage will be able to keep them there for a decade versus the previous law of 5 years.  "These new rules will come into effect on October 1 and I will be seeking to make an Order to Parliament to ensure this applies to embryos that are 'out of time' on that date."

Professor Lisa Jardine, chair of the Human Fertilisation and Embryology Authority (HFEA), said: "I am delighted that the Government has listened and made this common-sense decision.

"This will be an enormous relief to all of those people who faced the heartbreak of seeing their embryos destroyed all because of a matter of timing. We will be contacting clinics immediately so that they can inform the patients concerned and make appropriate arrangements for the continued storage of their embryos."

Croatia - The government moved Thursday to amend a law involving IVF after strong criticism from human rights and parents groups over its criteria for couples entitled to treatment. 

"Under the amendments forwarded to parliament, couples will now only have to sign a notarised statement confirming they are in a relationship rather than have to prove before a court they have been together for three years, Health Minister Darko Milinovic told a cabinet session.

Also as part of the changes, children conceived by donated eggs or sperm will now be allowed to obtain information about his or her biological parents once turning 18 only if donors have given their prior agreement.

However provisions in the law which ban the freezing of embryos will not be altered.

Croatia's original legislation on medically assisted reproduction dates back to 1978, when the world's first test-tube baby was born. The former Yugoslav republic had its first IVF baby five years later."

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Dessert & Learn: A Touch of Sweetness - Innovative Program Educates Hopeful Parents on Third Party Reproduction

SAN DIEGO, Sept. 10 /PRNewswire/ -- The American Fertility Association's Dessert & Learn, a free program designed to educate individuals and couples about their family-building options in a fun and relaxed setting, is coming to La Jolla, California September 21st. Those who attend Dessert & Learn La Jolla will engage in a conversation with Theresa Erickson, Esq., of Erickson Law, about third party reproduction options like egg donation, sperm donation, and surrogacy. To make the event inviting, Cups Organic Bakery will be on hand serving up a buffet of complimentary organic cupcakes and The AFA will be serving the Fertilitini(TM), the wildly popular all-organic, non-alcoholic cocktail. To make the evening even more relaxing, it's being held poolside at Ranch La Jolla, with magnificent views overlooking the Pacific Ocean.

"I felt that the Dessert & Learn series would be a great opportunity for me to connect with couples and individuals who desperately want a family but were afraid to ask the questions that they absolutely need to ask and to pose those questions that they absolutely have to ask," says Erickson. "In an intimate setting such as this, everyone can be in a relaxed environment that provides great food and great learning!"

Dessert & Learn La Jolla really benefits two different populations: the gay and lesbian population and those who are experiencing infertility issues and need a donor or surrogate to build their families.

"Family-building can be stressful. If you're experiencing infertility or simply require third party reproduction because you're gay, we don't want people's lives to stop when they are trying to have a baby and build a family," says Corey Whelan, The AFA's Program Director. Whelan went on to say, "We've created soft spaces for people to learn in. Life is hard enough. Our job is to make the journey kinder as well as informative.

This is Dessert & Learn's premiere event. 7.3 million American women face some form of infertility and men aren't far behind. While infertility prevention is extremely important, there are also steps that can and should be taken by those experiencing infertility and options that should be explored, like third party reproduction.

"Dessert & Learn is part of The AFA's Education Outreach Series, which takes education to people in uncommon but relaxing settings, whether poolside in La Jolla, at an intimate space in a restaurant, or in a manicure parlor," says Ken Mosesian, Executive Director of The AFA. "We knew we had hit on something big when our first Manicures & Martinis Infertility Prevention event was the cover story in Newsweek and our second event hit national network news on CNN American Morning. Like that event, Dessert & Learn La Jolla will also help us take a huge leap forward in normalizing the conversation about fertility, this time with an emphasis on third party reproduction."

The American Fertility Association, a 501(c)(3) national non-profit organization, is a lifetime resource for infertility prevention, reproductive health and family-building. AFA services and materials are provided free of charge to consumers and available to everyone without reservation. These services include an extensive online library, monthly online chats, telephone and in-person coaching, a resource directory, hosted message boards, daily fertility news and a toll-free support line.

http://www.theafa.org or  888.917.3777 

UCI Egg Stealing Case Appears to Have Finally Settled

According to the California Bar Journal, the case of Beasley v. Regents of the University of California has been settled for $4,230,000.00.   It states that the doctors at UCI Center for Reproductive Health were found to have engaged in the misappropriation and nonconsensual transfer of donor eggs, several of which resulted in live births.  The original case was initiated in 1995.  Look to the Orange County Courts website for case #JCCP 3213 for additional information on the actual case. 

Also, don't forget about our upcoming egg donation and surrogacy conference in San Diego on September 23, 2009

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Surrogacy and Egg Donation Online Seminar Hosted by California Surrogacy Lawyer Theresa Erickson

Surrogacy Lawyer, Theresa M. Erickson, is conducting an online seminar about Surrogacy and Egg Donation to air on September 23, 2009. “We realized there is a need for information on the process of Surrogacy and Egg Donation.  We also realize that with the current state of the economy, people just don’t have the funds or time it takes to travel to a conference, with that in mind we are holding an online seminar that anyone with a computer can attend,” states Theresa M. Erickson, Surrogacy Lawyer, CEO and founder of Conceptual Options. 

This Surrogacy & Egg Donation Seminar is aimed at informing and educating those suffering from infertility on the possibilities that exist for family building.  The topics to be discussed include explaining the process of third party assisted reproduction, as well as helping alleviate the uncertainty of the journey, such as medical insurance issues, obtaining birth certificates and passports, citizenship issues, and taking your baby home.  Attendees will also receive a “goodie bag”  for attending via mail after the seminar.

“During these times of uncertainty and with the recent media coverage of surrogacy and egg donation, we are certain that these informational seminars will help dispel some of the miss-information that is being dispensed by the uninformed.  Assisted reproduction is a safe, legal and effective way for those who are unable to build their family through traditional methods,” states Surrogacy Lawyer Erickson.

We have combined our drawing for a Free Egg Donation Cycle with our recent conference in Genève, Switzerland.  One lucky seminar attendee from these two events will be awarded a Free Egg Donation Cycle, which can also be used in conjunction with someone using a surrogate.  “Dr. David Smotrich and La Jolla IVF have generously given their services for this Free Egg Donation cycle, while Conceptual Options is providing the egg donor and cycle coordination.  The surrogacy and egg donation law firms of Myers & O’Hara and Erickson Law will be providing free legal representation for the egg donation cycle and Egg Donation Lawyer Theresa M. Erickson will be sponsoring all of the donor medications,” states Ms. Erickson. 

The keynote speaker at this seminar will be Surrogacy lawyer Theresa M. Erickson.  Ms Erickson is a globally recognized expert in this specialized area of law. Attorney Erickson is also involved in this community by volunteering her time for as a board member of the American Fertility Association and as the legal director of Parents Via Egg Donation, while sponsoring events that promote awareness in this field.  She is also the author of Assisted Reproduction, the Complete Guide to Having a Baby with the Help of a Third Party. Her next book is currently being finalized for publication.

For additional information on The Surrogacy & Egg Donation Seminar please contact Sabrina Scialpi at 858-748-4133 or visit
www.ericksonlaw.net/surrogacy_egg_donation_seminar.html

 

 

UPDATE - Whew...Woman "Pregnant" with 12 Babies is NOT true!

I don’t think that I ever hoped that someone was NOT pregnant, but this case certainly was one.  And, now she has been exposed as a “fraud” – thank goodness for those “babies.” 

 

Apparently, officials in Tunsania interviewed her – they found her not to be pregnant.  They also think that she has some psychological issues, as she is likely not even pregnant with one baby.  I will not even get into the issue of psychology in this post, as the officials were more focused on the fraud then on the fact that this woman may have fertility problems.  (Side note: I hope that they get her some psychological help if needed)

 

First, what surprised me was that her husband had been quoted in the last article – interesting, as he should know that she is pregnant or not, or so I would hope.  This fact points more to fraud as they were likely trying to cash in on a story.

 

Secondly, I was surprised that Dr. Manny Alvarez from Fox News stated that any pregnancy over five babies is “high risk.”  "When you get to a pregnancy with that many multiples, often some of them spontaneously die," Alvarez said. "Anything more than five babies becomes a very high-risk pregnancy. The rates of premature labor for multiples are astronomical."

 

Fox News, please do not pass that sort of information around, as I am certain that many, if not all, doctors would disagree with that number, which appears to be awfully high.  We certainly do not want to be informing people that up to five babies is okay, especially after the “Octomom.” Again, I am not a doctor of any type, but I am certain they would all agree with me.  

 

As I included in my comment of Monday from Dr. David Kreiner (FACOGI), I wanted to remind everyone the following from him: “I site the SART recommendations on the number of embryos transferred and my endorsement of making this a regulation. I talk about the benefits of IVF where one can control the number of embryos transferred compared to IUI where as many eggs as you make can fertilize and implant. I am sure you know that 99% of REIs were absolutely against that 6 embryos were transferred into one woman. Perhaps this Tunisian pregnancy of a dozen implanted embryos should teach us that it is cheaper for insurance companies, the government and society to support IVF treatment rather than put people in a position where they feel compelled to play roulette with their lives by doing gonadotropins and IUIs rather than IVF.”


Well, thankfully for all involved, this story was untrue!

 


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Cheaper by the Dozen? Pregnant with 12 Babies? Come On, Didn't the "Octomom" Teach Them Anything?

All I can say this morning, is come on, people!  Thank goodness this is not in the US....did the "Octomom" not teach everyone a good lesson. 

So, for those of you who have not heard, a woman in Gafsa, Tunisia is apparently pregnant with 12 babies.  No one is certain how the 12 were conceived, but Dr. Dr. Mark Hamilton, of the British Fertility Society thinks that "the woman could have been receiving ovulation induction treatment, which stimulates egg production. You don't have the same control as with IVF."  But, again, there is a responsibility on behalf of the clinic when the follicle count is that high.  Don't you think?  Or, am I way off base?

The teacher, who has not yet been named, is expecting six boys and six girls, according to reports. She conceived the babies following fertility treatments, after suffering a number of miscarriages.  Fertility experts confirmed the extraordinary pregnancy was possible, but carried "colossal" risks - Really?  We did not know that.  

Sorry for being cynical, but I certainly hope that this is not some hope for a reality show. 

According to Fox News and Dr. Manny Alvarez, managing health editor of FOXNews.com, he has said it is possible for someone to be pregnant with 12 babies, and he has in fact seen a woman pregnant with nine babies. However, the likelihood of this woman carrying all 12 babies to term is very slim.

"When you get to a pregnancy with that many multiples, often some of them spontaneously die," Alvarez said. "Anything more than five babies becomes a very high-risk pregnancy."

If the woman does succeed in carrying a majority of the babies to term, Alvarez said she will need constant monitoring, and will more than likely need to be hospitilized.

"The rates of premature labor for multiples are astronomical," he added."

Nadya Suleman of Bellflower, Calif., currently holds the record for the longest-living octuplets in history.

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The Debate on Justice Sotomayor is About to Come to a Vote - How Does This Affect Us?

Hello, I am finally back after a long trip away in Europe. And, just in time since it appears the vote on Sotomayor will happen today.  I wanted to reiterate my previous post regarding how she may or may not vote in this area of Assisted ReproductionSee previous post here.  

In addition, since the California case involving Prop 8 may also come before her as a justice, her views will be very important to those this would affect.  On the other hand, it is clear from the news that the Department of Justice is trying very hard to get this out of the federal court system.  We will have to see where this goes in the coming months. 

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Justice Sotomayor - How Will Her Confirmation Affect Those Suffering from Infertility?

As was posted today on the AFA website, I wanted to provide you something interesting to read today on the Supreme Court Nominee:

While watching the confirmation hearings last week (yes, I am one of those dorky lawyers), I was listening for any cues regarding how she may address a case that involved fertility treatments, fertility coverage, pregnancy discrimination (including pre-pregnancy for IVF treatments) and, of course, a woman’s right to chose, including the right to privacy involving medical treatments.  Now, mind you, I understand regulation may be needed in some areas of this industry, but I also do not want to see the government restricting our ability to create a family, regardless of marital status, age, or sexual orientation.  Again, these are issues that must be determined between a physician and their patient when he or she is accessing the health risks for the woman carrying the children, as well as any harm that may come to the future children in terms of prenatal health. 

I did discover, despite her attempts otherwise, that she appeared to hold a liberal point of view in many ways, which despite my own leanings, is important when it comes to autonomy for those patients and those involved in this industry.  However, regardless of her political stance, what is important is that she applies the law neutrally with a perspective of her life experience.  I know that many do not agree with that statement, but we all must agree that it is not humanly possible to take one’s own life experiences out of the picture when making decisions.  What we do want is for judges to use that experience, while simultaneously utilizing an objective vision when making decisions that will affect us all, as well as future generations.

Of course, much of what we do and what our clients/patients deal with is family law.  Judge Sotomayor has little experience in that area due to her previous posts as a federal judge, as most Supreme Court judges.  Even the Supreme Court itself has little experience in that area.  The most notable family law case is the case of Troxel v. Granville in which the Supreme Court did strike down a trial court judge’s decision to allow grandparent visitation involving a completely fit mother.  They were concerned that the judge had used his personal experience in making the decision since he stated he truly enjoyed his time with his grandparents as a child.  But, as I stated above, personal experiences do shape our lives and how we shape our decisions; however, in this case, the Court did not state that the judge did anything wrong in doing so, it was merely that it was a case with a backdrop of a fit mother.  Different set of facts could have created a different ruling. 

Now, with that in mind, Justice Sotomayor is a woman – she has no children, and she has been battling diabetes since the age of 8.  Does that make her more sympathetic to our plight or not?  I am not certain, as we do not know why she does not have children or if it was a path she chose.  But, we do know that she knows what it is like to battle a disease that controls your life, which should be good for those of us in the community. 

Remarkably, after reviewing her previous decisions, I was unable to locate much information on how she would rule if any such case comes before her.  In fact, she has not dealt with stem cell research regulation of Assisted Reproductive Technologies, healthcare choices, or on-point abortion cases; however, there are a few notable cases that she has dealt with as a judge:

1.  Saks v. Franklin Covey Co (316 F.3d 337 (2d Cir. 2003)) – This is a bioethical issues case in which she joined a Second Circuit opinion rejecting a claim that exclusion from coverage of surgical impregnation procedures, including in vitro fertilization, violated Title VII and the “Pregnancy Discrimination” Act.  Note that this does not assume that she is against IVF, only that she did not judge that that particular case was within the parameters of the Pregnancy Discrimination Act, which is her duty as a judge – to interpret law, not make laws.  For changes like this to be made, we need to address our Congress to have them amend these laws as they currently stand. 

2.  Center for Reproductive Law and Policy v. Bush (304 F.3d 183 (2d Cir. 2002)) – Judge Sotomayor found that a “reproductive rights” group had standing to challenge the Mexico City Policy.  She concluded that the group had “competitive advocate standing,” on the grounds that the government’s allocation of a benefit “creates an unequal playing field” for organizations advocating their views in the public arena.  She agreed that the government had a rational basis for favoring “the anti-abortion position over the pro-choice position” with public funds.  Again, as the above case, since this case is not on point, we truly do not know how she would rule regarding the right to life, the right to abortion, status of embryos, etc.

Ultimately, based on her performance at the hearings and her record, and despite a few bumps in the road involving the case of the firefighters, it does appear that she will be confirmed prior to the start of the next Supreme Court session.  And, of course, I am truly excited, as a woman, as a lawyer, and as a member of the US Supreme Court Bar, that there is another woman on the bench.  Call me sexist, call me whatever you want, but we need diversity on the bench so that those who have never “walked in our shoes” can see the perspective, albeit objectively, when our cases come before them. 

Who is Entitled to Becoming a Parent? Does Age, Marital Status or Sexual Orientation Matter?

I have been pondering all of the recent media attention regarding acccess to IVF and age, remember the "World's Oldest Mom," and Michael Jackson's children created via IVF and surrogacy (and possibly egg donor and/or sperm donor).  Again, I am surprised by the number of people who want to restrict access to IVF, or more importantly access to having a family.  They want age limits, marital status limits, as well as sexual orientation limitations. 

Now, for those of us who have families, we may or may not have walked in the shoes of those that cannot have children on their own without the help of medical intervention or adoption.  But, I will tell you that I am not any more entitled to having my children than Michael Jackson or even Maria del Carmen Brousada.  Why, you may ask? Because having a family is something that is inate in all of us - albeit some stronger than others.  And, when I have stated in the past that it is a biological imperative, I do not mean the need to pass on genes - I mean the inate human desire deep in our DNA to have a family - to be a part of something bigger than ourselves. 

With that in mind, why should gays and lesbians be restricted to having children via IVF or adoption?  In fact, a study recently out of Tufts University School of Medicine stated that they found "overwhelming" that these children of same sex couples do as well as those children of heterosexual parents.   

Now, back to the age issue, do I think that this woman had a right to treatment?  Yes, I do; but, I also think that her age placed her and her children into harm’s way as far as their health during the pregnancy was concerned.  And, should are worry carry over into being concerned for their health and livelihood after her death?  Well, I did not know Maria, nor do I know if she provided for them financially after her death or if she provided them with guardians who will love and take care of them as if they were their own.   But, this is an issue again that all parents must deal with one way or another regardless of age - her risk factors were just higher. 

As for Michael Jackson, we are learning so much more about the life that he too created with these children whom he dearly loved and wanted to protect from the media spotlight.  Let's take out all of the allegations of child molestation for a minute and only address those children.  Should he have children because he wants them or because he can afford them?  Or, should he be able to have children so long as the allegations were not proven? 

Oh, and by the way, all of those pundits out there claiming he is not the father since he did not adopt them - you are way off base.  Adoptive and foster parents also do not need to worry since surrogacy, egg donation, and sperm donation is a different area of law, specifically here in California.  Whether he used sperm donors, egg donors and/or surrogates, he is the father of these children, with Debbie Rowe being the only possible outsider with a chance at custody.  And, despite reports she did not make Michael the adoptive father by signing away her rights - and no need for an adoption. 

Ultimately, as a country, we do need to take all of this into consideration, but we also need to allow doctors and their patients to make the best decisions for their family, their bodies, and, most of all - the children that we are creating. 

What are your thoughts on today's ponderings?

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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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Embryo Mix-Up, Resulting Abortion, and Adequate Justice?

Well, in case that is catching alot of media attention involves a couple who went back to their IVF clinic in the UK to use their last remaining embryos to create a second child.  The reports are as follows:

"A couple who were having IVF treatment when their final embryo was implanted in another woman by mistake said today they might use the compensation they received to try for another child.

The couple, from Bridgend, south Wales, who have a six-year-old son and are identified only as Deborah and Paul, won a legal battle against the IVF Wales clinic, in Cardiff. The woman who received their embryo was told of the mistake shortly after it occurred and decided to terminate the pregnancy.

Deborah and Paul said they would consider trying for another child but it would be two years before they seriously thought about attempting another cycle of IVF treatment because they were not "emotionally ready" after the blunder by the Cardiff and Vale NHS trust.

They turned down an offer of another round of IVF treatment by the trust free of charge after the mix-up and reiterated today that they could never return to the trust because they had lost faith in its staff and procedures.

Nine embryos had been created using IVF in 2000, and Deborah, a 38-year-old hospital worker, subsequently gave birth to a son.

The remaining embryos were stored until 2007, when she and her husband, a 40-year-old print plant manager, decided to try for a second child. One of the embryos had survived and they travelled to the clinic for treatment, only to be told of the mix-up.

Deborah said the couple had been hoping to provide their son with a sister. Describing the moment when they were told about the mistake, she said: "We felt absolutely devastated. Both of us got very tearful.

"We just wanted to get out of there. The actual mention of the termination part of it really upsets us because we tend to think of the embryo as the little boy that we have got because he was from the first batch of embryos."

Paul said: "It took some time afterwards for it to sink in. We decided then we wanted to investigate and we wanted a full report. They were supposed to send us an investigation and they weren't sending anything. That was when we involved a solicitor to look into the case and investigate it."

The causes of the blunder remained secret until lawyers obtained reports into the incident. Documents acquired by their solicitor, Guy Forster, showed that the previous year there had been "near misses" because of problems in monitoring the ownership of embryos."

As you can see the couple is devasted, and the age of the mother, who is now over 40, now works against them retrieving potentially new embryos.  Many are also debating whether the woman who became pregnant should have aborted.  Should she have agreed to be a surrogate mother for this couple?  I don't know - considering she was trying to get pregnant herself.  This is not an ideal solution in any stretch of the imagination.  What are your thoughts?  What should that woman have done?

As for the courts, they awarded the couple $50K according to reports.  Is that enough to compensate this couple?  Is any amount enough to compensate this couple? 

All I can say is that I feel deeply sorry for both couples - no one is a winner in this mess. 

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Suit over "Alleged Egg Sharing" Toss Again in Federal Court - ASRM & SART

In an order signed Friday in the District Court for the Northern District of California, Judge Fogel granted the Defendants' Motion to Dismiss, but ruled that the plaintiff, the Options National Fertility Registry, could file another amended complaint within 20 days.. 

For more information on this case see Suit Over Alleged Egg-Sharing Tossed Once Again

"Options, a bankrupt international registry of data pertaining to egg donation arrangements, filed the suit in October 2007 on behalf of a group of donors whose eggs the defendants, two organizations that represent doctors and clinics, allegedly gave to unknown and unauthorized recipients via an industrywide practice known as “egg-sharing,” in violation of legally binding contracts.

The suit alleged that from 1992 through 2003, the defendants and Options had written and oral contracts by which the defendants agreed not to transfer, donate, sell, give or otherwise dispose of any eggs or embryos of the donors to anyone other than recipients specifically designated in profile transfer requests signed by doctors.

But from 1992 to the present, the defendants have breached those contracts by engaging in egg-sharing without obtaining the consent of the donors at least two weeks prior to egg retrieval, Options alleged.

Options claimed it did not learn of the practice until January 2005, when a doctor testified that infertility doctors were encouraged by the defendants to participate in egg-sharing, according to court documents.....

The donors also fear that their offspring may have increased risk of unknowingly engaging in incestuous relationships because of the defendants' actions, according to the complaint.

In addition to punitive damages and attorneys' fees and costs, the suit sought to enjoin the defendants from engaging in unauthorized egg-sharing.

After Judge Fogel dismissed the complaint in October, ruling that the court lacked subject matter jurisdiction, Options filed an amended complaint in January, alleging the same state law claims for breach of contract, fraud and others, as well as two federal claims for civil Racketeering Influenced and Corrupt Organizations Act and antitrust violations.

The amended complaint alleged racketeering because the defendants violated Options' and the donors' rights and property interests, as well as antitrust violations because Options was driven out of business as a result of the defendants' slanderous statements.

In dismissing the amended complaint, Judge Fogel concluded that the Options' claims under the federal statutes were “so devoid of factual support as to border on the frivolous.”

Although Judge Fogel said it was dubious that Options could allege a viable racketeering or antitrust claim in the case, he granted the plaintiff leave to amend the complaint yet again."

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Tips for Those Dealing with Infertility

Although most of my clients come to me after years of struggling with infertility to such as degree that they have to move into the area of third party reproduction; however, today, I wanted to provide some guidance to those who are "newbies."  In fact, I found a great blog that provides alot of useful information that one can refer back to over and over.  It is found at Quips & Tips for Couples Coping with Infertility

Some of the guidance that people at all stages should follow are as follows courtesy of this blog hostess:

"Tips for In Vitro Fertilization - IVF

Arm yourself with info, but don’t get alarmed. Our IVF doctor gave us a sheath of info and consent forms, and some of it revolves around the possible hazards of the egg retrieval and implantation surgeries. They list the possible problems (infection, intestinal punctures) and say “this is not to alarm or scare you!” One tip for IVF is to get all the info you can…but don’t let it freak you out.

Talk to couples who’ve tried IVF. When you get first-hand experiences, you’ll have more info than you ever wanted! To connect with other couples coping with infertility, ask your fertility specialist if they know of any support groups in nearby hospitals or communities. If you’re brave enough, you can ask your friends and family…and find blogs or websites like these!

Read fertility books. Current books about IVF, donor sperm, IUI, and natural treatments for infertility are great ways to learn about the procedure. The more you know about IVF, the more comfortable you’ll feel, which is why these tips for in vitro fertilization are so important.

Read Fertility Plus’ article called IVF Hints. I didn’t agree about the “don’t talk to your partner about his role, as this causes stress” part, but I think it depends on each couple. Everyone copes with infertility differently! If stress leads to performance anxiety, then by all means keep him calm…but if he’s not involved in the sperm donor process, then talk as much as you need!

Do a mock IVF transfer? This is one of the tips for in vitro fertilization suggested by Fertility Plus, but I don’t think we’ll do it. It may be good in theory, but I suspect it’ll cost more time, money, and energy than I can spare. A mock IVF transfer can give the fertility specialist an idea of the depth of your uterus, so when the real time comes, they’re ready.

Be prepared for anything. I’m prepared for pain, discomfort, mood swings, and the fact that this IVF could lead to pregnancy…or another disappointment. I’m prepared for things I can’t even fathom right now! I’m ready for anything.

Plan something fun for after the transfer! Some fertility specialists say to relax right after the egg and sperm are placed, while other say it’s not scientifically proven that increases the success of in vitro fertilization. My tip for a successful IVF is to rent a few of your favorite or new DVDs, make popcorn, snuggle up with your sweetie, and take a day or two off! Give yourself something enjoyable to look forward to.

Plan something fun for after the pregnancy test. If my in vitro fertilization isn’t successful, I’m getting laser eye surgery. Having 20/20 or better vision isn’t as good as a baby, but at least it’s something to look forward to!

What are your tips for or thoughts about in vitro fertilization? I’d love to hear from you - please comment below. Is IVF painful? How many times did you try? Did it eventually work for you? What would you do differently?"

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Adoption vs. IVF - a second look and Friday Legal Updates

I hate to beat up on a tired and worn horse, but I want to reiterate what I hear clients telling me all of the time - it should be their own personal decision on whether to pursue adoption in the first place or as a last resort.   My clients are tired of being judged and criticized when "there are so many children out there to be adopted."  Whether that is true or not, we cannot decide what is the best family building choice for anyone else.  And, we should not be judgmental.  Just be supportive. 

There are so many things to look at when making these decisions, such as cost (all of the options are actually about the same), timelines (how long do you have to wait), home study requirements, court procedures, age limitations, marital status requirements, and can the surrogate/birth mother change her mind in a surrogacy or adoption?   Each person has their own level of risk that they are willing to take.  What are your thoughts on this?  I would love to hear.

Listen to Creating a Family: Talk About Infertility and Adoption

Now, onto legal updates:

New England - Rhode Island seems to be the only hold out in the area of gay marriage.  We now have Vermont, Massachusetts, Connecticut, Maine and likely New Hampshire.  Fox News has their spin on RI's hold out.  What are your thoughts on this?

US - HR 697 Support the Family Building Act of 2009? - any thoughts on this particular piece of legislation? 

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Follow Up to Why Not Adopt & the Vulnerability of Surrogacy Patients

Just wanted to give another great resource to those who are dealing with the issue of "Why Not Just Adopt."  Please listen to Dawn's radio blog post found here:

Listen to Creating a Family: Talk About Infertility and Adoption

Now, onto another issue that keeps coming up, which is called the "Surrogacy Racket."   Two articles were just posted today regarding the vulnerability of patients/clients and how they can be taken advantage of in so many ways.  My point is to be patient and educate yourself completely before you jump into any sort of journey, especially when it comes to creating your family - whether it be adoption, IVF, egg/sperm donation and/or surrogacy.

Here is a portion of one of the articles:

"It’s­ am­az­ing­l­y eas­y to­ fo­o­l­ infertil­e c­o­up­l­es­ - es­p­ec­ial­l­y tho­s­e w­ho­ are
d­esper­a­t­e , a­nd­ a­r­e clut­ch­ing a­t­ st­r­a­ws
. A­n excellent­ exa­m­ple is wh­a­t­ so­m­e IV­F clinics in Ind­ia­ wh­o­ o­ffer­ sur­r­o­ga­cy d­o­.

Even­­ t­hough t­hese cl­i­n­­i­cs kn­­ow t­ha­t­ t­here i­s n­­o l­ega­l­ met­hod of­ a­l­l­owi­n­­g t­he coupl­e t­o t­a­ke t­he ba­by­ a­f­t­er bi­rt­h wi­t­h t­hem out­ of­ I­n­­di­a­ ( beca­use I­n­­di­a­n­­ l­a­w on­­l­y­ recogn­­i­ses t­he bi­rt­h mot­her, whose n­­a­me must­ go on­­ t­he chi­l­d’s bi­rt­h cert­i­f­i­ca­t­e, whi­ch i­s a­ l­ega­l­ documen­­t­), t­hey­ use t­he ga­rb of­ t­he ” I­CMR gui­del­i­n­­es” ( whi­ch ha­ve n­­o l­ega­l­ va­l­i­di­t­y­ wha­t­soever) t­o put­ t­he i­n­­t­en­­ded pa­ren­­t­’s ( t­he i­n­­f­ert­i­l­e coupl­e’s) n­­a­me on­­ t­he chi­l­d’s bi­rt­h cert­i­f­i­ca­t­e. Whi­l­e on­­e ma­y­ just­i­f­y­ doi­n­­g t­hi­s f­or va­ri­ous rea­son­­s, t­he f­a­ct­ rema­i­n­­s t­ha­t­ t­he t­rut­h i­s bei­n­­g di­st­ort­ed out­ of­ sha­pe - a­n­­d on­­ce y­ou a­re wi­l­l­i­n­­g t­o do t­hi­s, i­t­’s very­ ea­sy­ t­o con­­t­i­n­­ue t­he di­st­ort­i­on­­ even­­ f­urt­her. T­hi­s i­s why­ t­hese cl­i­n­­i­cs ref­use t­o a­l­l­ow t­he surroga­t­e t­o gi­ve i­n­­t­ervi­ews t­o t­he medi­a­ ."

But, remember, that this applies to surrogacy in any area - India, Ukraine, or even the United States.  Also, look at the Stirrup Queens Blog, which has a great post today on emotional fraud, which I think also applies. 

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Why Don't You Just Adopt? Why even consider Surrogacy, Egg Donation, or IVF?

I have been reading alot of blogging regarding this question of "why not just adopt?", inlcuding several articles in well-known magazines questioning why anyone would choose surrogacy, egg donation or IVF over adoption.  But, we all know that it is not that simple.  And, what I really want people to do is think before you ask such questions.  Take your own life experience and personalisms out of the equation - instead, spend a moment to "walk in their shoes."  Literally. 

I suggest that you read "So You're Infertile, Why Not Just Adopt?" by Dawn Davenport.  I also suggest STRONGLY that you also read all of the comments listed by her participants.  Very enlightening, and it may help you when you are speaking to others about your journey.

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Law triggers IVF tourism in Germany

Found a great article on fertility tourism and how the restrictions on IVF are affecting infertile couples and individuals in Germany.  I like for us to consider this with  all of the current media attention on IVF, thanks to the Octomom, so that we tread lightly and not go too far as seems to be happening here. 

Please let me know your thoughts. 

"Women over 60 are becoming mothers, and parents can choose if they want a boy or a girl – all thanks to the wonders of modern medicine. But, such help is not available to couples in Germany.   

Instead, there are strict rules governing fertility treatment, which some believe are too restrictive on prospective parents.

Thomas Bartels and Birgit Brand have been trying to have a baby for 5 years. With no success naturally, they are now on their third IVF (In Vitro Fertilization) treatment, and they are hoping it will be the last. They say they are content with the fertility system in Germany at the moment, but with more options available abroad, such as egg donation and selection, they might be tempted to leave in the near future.

“It’s hard to say today what we will do, how much patience, how much strength do we have, how many attempts do we want to make, especially if it fails this time. And if so, then we will have to really think about whether we will go abroad to have a better chance of getting pregnant,” says Thomas Barlets."

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Law triggers IVF tourism in Germany

Found a great article on fertility tourism and how the restrictions on IVF are affecting infertile couples and individuals in Germany.  I like for us to consider this with  all of the current media attention on IVF, thanks to the Octomom, so that we tread lightly and not go too far as seems to be happening here. 

Please let me know your thoughts. 

"Women over 60 are becoming mothers, and parents can choose if they want a boy or a girl – all thanks to the wonders of modern medicine. But, such help is not available to couples in Germany.   

Instead, there are strict rules governing fertility treatment, which some believe are too restrictive on prospective parents.

Thomas Bartels and Birgit Brand have been trying to have a baby for 5 years. With no success naturally, they are now on their third IVF (In Vitro Fertilization) treatment, and they are hoping it will be the last. They say they are content with the fertility system in Germany at the moment, but with more options available abroad, such as egg donation and selection, they might be tempted to leave in the near future.

“It’s hard to say today what we will do, how much patience, how much strength do we have, how many attempts do we want to make, especially if it fails this time. And if so, then we will have to really think about whether we will go abroad to have a better chance of getting pregnant,” says Thomas Barlets."

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Friday Legal Updates - Sperm, Gay Marriage, Adoption Reversal, Italy & IVF

Can you believe that it is Friday already?  TGIF!  Some new developments on the legal landcape regarding IVF, adoption, sperm, equality, etc.  There is also a link to updates on Surrogenesis for those interested in keeping updated. 

Vermont – Vermont legalizes Gay marriage after voting to override the Governor’s veto, making it the first state to do so through legislation...

Indiana – The Indiana Supreme Court makes a controversial reversal…could your surrogacy borne child be next?

Texas – Mother says son would have wanted her to harvest his sperm…what are your thoughts?

United States – Sperm and the law…could your sperm bank be liable?

Tennessee – Following Equality Bills around the country.

Georgia – Embryo donation is already legal; this decision could make the adoption of these embryos also legal in the state.

Italy – Top court slightly relaxes their previously strict regulations on artificial procreation…not as relaxed as the media would have you believe.  

Surrogenesis Updates - http://www.eggdonor.com/blog/

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Madonna, Adoption & Reproductive Choice

I was originally going to stay out of this story, but I have become intrigued by how this story has been handled by the media and those with their differing opinions.  I actually feel sorry for Madonna as she is being dragged over the coals - a thought that is actually surprising for me, as I normally would never feel sorry for her in any way.  I do agree, however, with alot of the critics regarding the choice of country where there are no laws regarding adoption and the fact that her son David's father is alive in the country.  Angelina Jolie has been very vocal about this particular issue.

I think that I am most surprised that people are attacking her for adopting a child outside of the US.  Since when are we restricted by some moral code that we cannot adopt outside of our own country?  I understand that there are laws that are in place, and she should not be treated any differently; however, what is the real issue in adopting outside of the US?  I would love to hear from those of that opinion so that I can better understand the reasoning.

I am also concerned about the limits that people are suggesting that could eventually end with restricting our reproductive choice (aka IVF, adoption, etc.).  What are your thoughts?

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Triplet and Higher Order Multiple Births from ART Are Below Two Percent

According to a press release sent out by ASRM, Triplet and Higher Order Multiple Births from ART Are Below Two Percent.  Further the Society for Assisted Reproductive Technology Releases Data from 2007 Clinic Outcome Reports.   The information is as follows:

"Washington, DC – The latest IVF Success Rate Reports from the Society for Assisted Reproductive Technology (SART) are now on-line. The 2007 data show several important on-going trends: the percentage of live births with triplets or more is now below 2%; the average number of embryos transferred has declined; and the percentages of cycles utilizing single embryo transfer is up.

SART President, Elizabeth Ginsburg, MD, commented, “Our latest numbers show our progress in decreasing the incidence of multiple pregnancies. In 2007, 1.8% of live births to patients under 35 were triplets or more; this is down from 6.4% in 2003. As our members continue their efforts in implementing ASRM-SART guidelines, we should see future improvements in patient care and outcomes.”

For 2007, 358 clinics reported data to SART on 132,745 treatment cycles, 40,050 of which resulted in the birth of 53,050 babies. "

For the SART Results, patients can click on the yellow box, “IVF Success Rate Reports,” to search for SART member clinics in their area and view the clinics’ individual data. Each clinic’s report allows access to yearly data from 2003 through 2007 and details procedures the clinic offers with corresponding success rates. Prospective patients can use the site’s features to view clinic data organized according to the treatment types and diagnoses most relevant to them and with a click, can send a request for additional information.

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IVF & Surrogacy in India - an Update

With fertility tourism on the rise, as we all know, I like to keep you informed of perspectives that come across my desk so that you can decide how to proceed with your eyes wide open.  Specifically, how does one handle that there are no laws that regulate IVF and surrogacy in India?  Does that concern you?  Or, are you willing to overlook these issues to have a baby?  I would like to hear your thoughts on this author's perspective:

"There is no doubt that IVF technology represents one of modern medicine’s success stories. Using IVF , we can help couples who could never have a baby with any other technique to start their own family.

However, woe betide the patient who ends up in a bad IVF clinic ! For example , one of the IVF clinics in New Delhi is owned by a skin specialist. This doctor, who is not even a gynecologist , offers IVF treatment ! Not only are your chances of getting pregnant in a bad IVF clinic very low, you also run a major risk of losing a lot of time, money and energy. Not only do you pour your money down the drain, you also end up losing confidence in IVF technology, thus depriving yourself of your best chance of having a baby . And when you do find out afterwards that the IVF clinic you selected was a bad one, there is little you can do about it ! Blaming yourself or cursing the doctor afterwards does not help, which is why you need to be very careful when deciding which clinic in which to do your treatment ! Caveat emptor - and this is why it's very important that you do your homework carefully - you are making a major investment !"

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Georgia Embryo Legislation Update - Resolve.org

In order to keep everyone posted on the situation on the ground in Georgia, Resolve has updated us with the following information, as the Georgia legislature has yet to update their site.

"UPDATE!  The Special Subcommittee formed last week to provide time to study SB 169 met this morning at 9:30 a.m. for 30 minutes.  A new version of SB 169 was introduced.  The new version was voted on by the full HHS Committee at 10:30 a.m. this morning and the bill passed by a vote of 7-6.  The revised SB 169 bill will now go to the Rules Committee where further changes may be made, then to the full Senate for a vote, perhaps as early as Wednesday.  The revised SB 169 bill has not been posted online but RESOLVE will post a link to the revised bill as soon as possible. "

Ladies and Gentleman of Georgia, we need to continue contacting the legislature in the State of Georgia to let them know this needs to be stopped for the sake of families everywhere.

 

Creating Designer Children Causes Stir in IVF Community

A Los Angeles Clinic, and not the octuplet doctor if you must ask, is now offering their patients the "option" to select genetic traits to those who want it - eye color, hair color, skin color, freckles.  Is this a marketing ploy, or is this really possible?  I understand the concept of PGD, preimplantation genetic diagnosis, but does it really provide the opportunity for this sort of selection? 

When I first read the articles, I was immediately concerned, as I knew that this sort of "weird science" would cause quite a stir, which we really do not need right now in the IVF community after the octuplet mess.

Well, read for yourselves, and let me know what you think.

According to the Wall Street Journal, "A Los Angeles clinic says it will soon help couples select both gender and physical traits in a baby when they undergo a form of fertility treatment. The clinic, Fertility Institutes, says it has received "half a dozen" requests for the service, which is based on a procedure called pre-implantation genetic diagnosis, or PGD." 

"While PGD has long been used for the medical purpose of averting life-threatening diseases in children, the science behind it has quietly progressed to the point that it could potentially be used to create designer babies. It isn't clear that Fertility Institutes can yet deliver on its claims of trait selection. But the growth of PGD, unfettered by any state or federal regulations in the U.S., has accelerated genetic knowledge swiftly enough that pre-selecting cosmetic traits in a baby is no longer the stuff of science fiction.

'It's technically feasible and it can be done,' says Mark Hughes, a pioneer of the PGD process and director of Genesis Genetics Institute, a large fertility laboratory in Detroit. However, he adds that 'no legitimate lab would get into it and, if they did, they'd be ostracized.'

But Fertility Institutes disagrees. 'This is cosmetic medicine,' says Jeff Steinberg, director of the clinic that is advertising gender and physical trait selection on its Web site. 'Others are frightened by the criticism but we have no problems with it."

Click Here for Complete Article in the WSJ

Click Here for Complete Article in BBC News

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

 

FRIDAY LEGAL UPDATES - Lesbian Couple Suing for Access to IVF & Woman Suing for Loss of Last Embryo

Unfortunately, due to my attendance at the Donor Egg Meeting in South Carolina, today’s updates are minimal. Hopefully, this conference will give me plenty to blog about next week, so stay tuned.

UK - Lesbians Want Access to IVF from NHS. The Sun is reporting the following: “Caroline Harris and Julie McMullan claimed discrimination and breach of human rights after they were rejected for IVF treatment. They say they suffered “distress and anxiety” — and ran up a bill of £11,000 paying for private care.

They want a judge to review the decision by NHS Greater Glasgow and Clyde .  The couple, whose challenge is backed by equality officials, also want the health board to order fertility treatment for Caroline.

NHS chiefs insist the service, which costs £3,300 a time, is for couples who have tried in vain to conceive in the normal way. In papers lodged at the Court of Session in Edinburgh, they claim Caroline and Julie do not fit the definition of an infertile couple.

But the women claim official rules do not mention that only same-sex couples can get treatment.”

Furthermore, “Last night, the Equality and Human Rights Commission Scotland — who are backing the women — said that “discrimination of this type is unlawful.”

Spokeswoman Lynn Welsh added: ‘It will not be tolerated in a fair society. Equality means that while no one has an absolute right to receive treatment, the services provided by the NHS have to be available to everyone equally.’

A full hearing is expected at a later date. “

Click Here for Complete Article

Australia – An Australian woman claims her fertility lost her last embryo, thereby thwarting her chances at motherhood – and she is suing for pain and suffering. The article provides details as follows: “The woman, said to be in her late 40s, alleges Melbourne IVF staff allowed her potential baby to be destroyed.

She claims to have paid storage fees for years to preserve on ice the last of 13 embryos created during infertility treatment in 2003 and 2004.

But the embryo allegedly couldn't be found for a final round of treatment in 2007.

The woman has launched legal action in the County Court against Melbourne IVF, which is expected to defend the claim.

Court documents filed by the woman's lawyers this week claim the would-be mom started IVF treatment in October 2003.

A total of 31 eggs were harvested and 13 of the resulting embryos were frozen, the suit says.

The woman alleges Melbourne IVF's Dr. Geoffrey Clarke assured her one embryo would be kept in storage for later use.”

Click Here for Complete Article

Click Here for Another Article On This Case

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

 

California Legislator to Introduce Bill to Establish Stricter Standards on Fertility Clinics

State Senator Gloria Negrete McLeod (D-Chino) intends to introduce a measure that will establish accredidation standards and guidelines for the operation of fertility clinics.  The intent is to better protect the public because of the increasing number of surgical procedures being performed outside of the walls of a hospital.  The measure would essentially bring fertility clinics under the jurisdiction of the Medical Board of California requiring the establishment of standardized procedures and protocols to be followed in the event of complications and to govern emergency and urgent care situations.

This bill will also affect other clinics, such as plastic surgery centers.  This bill also recommends some additional requirements including disclosure; however, this just appears to be the first of many regulations to come after the wake of the octuplets. 

Click Here for Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

 

California Legislator to Introduce Bill to Establish Stricter Standards on Fertility Clinics

State Senator Gloria Negrete McLeod (D-Chino) intends to introduce a measure that will establish accredidation standards and guidelines for the operation of fertility clinics.  The intent is to better protect the public because of the increasing number of surgical procedures being performed outside of the walls of a hospital.  The measure would essentially bring fertility clinics under the jurisdiction of the Medical Board of California requiring the establishment of standardized procedures and protocols to be followed in the event of complications and to govern emergency and urgent care situations.

This bill will also affect other clinics, such as plastic surgery centers.  This bill also recommends some additional requirements including disclosure; however, this just appears to be the first of many regulations to come after the wake of the octuplets. 

Click Here for Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

 

Multiple Births via IVF and the Octuplet Mess that is Increasing Scrutiny of the Industry

The octuplet "mess" will just not want to go away, especially now with a sperm donor claiming to be involved in the mix as shown on Good Morning America.

However, there were several articles over the last few days that I think will help everyone take a look at the real costs of multiples births, as well as how this one case may end up forcing the industry to take a good look at itself. 

The first one is through the New York Times, and it takes a hard look at the fertility industry.  They think that the octuplets' birth is a real wake up call:

"The American Society for Reproductive Medicine, the association of fertility doctors, even adopted guidelines in 2008 encouraging the transfer of only one embryo for women under 35, and no more than two, except in extraordinary circumstances. The guidelines allow more for older women, up to a maximum of five.

But unlike some other countries, the United States has no laws to enforce those guidelines. The Centers for Disease Control and Prevention has a surveillance system that collects data on fertility clinics, but reporting is voluntary and there are no government sanctions for not reporting.

As a result, experts say many doctors are still implanting too many embryos to increase the chance of pregnancy. Only 11 percent of in vitro procedures in the United States involve single embryos, according to 2006 data from the C.D.C."

Click Here for the Complete Article

Furthermore, in Newsweek, an article by Dr. Mark Evans talks about the other side of multiple births - selective reduction.  He states the following:

"When I first heard that a California woman had given birth to octuplets after undergoing in vitro fertilization, I couldn't believe it. As the details of Nadia Suleman's story emerged, it became only more incredible. As it turned out, a clinic transferred six embryos (two of which later split into identical twins) to Suleman, who had six children already, meaning she was extremely fertile. I have nothing against IVF. More than 2 million women worldwide have children because of it. But with the increase in fertility treatments, the U.S. birthrate of twins has more than doubled in the past 30 years. Overlooked in the happy news, though, are the troubling surges in neonatal deaths, developmental disabilities and other long-term problems.

For those reasons, doctors prefer to avoid multiple births. But with each cycle of IVF costing more than $10,000, there's enormous pressure to get patients pregnant—fast. Guidelines of the American Society of Reproductive Medicine and the Society of Assisted Reproductive Technologies say that in women under 35, usually only one or two embryos should be transferred to the uterus in any cycle. The U.S. average is 2.4. A third of such pregnancies result in twins, and 4.3 percent yield triplets or more. In women over 35, the overall pregnancy rate falls dramatically, and the proportion of multiples goes up."

He goes on to talk about the criticism that he receives regarding selective reduction as a solution in some cases:

"Of course, selective reduction can be an agonizing decision for a parent, but most of the couples who come to me have had a longstanding infertility problem. For them, selective reduction is just one more hurdle to deal with. But they are better able to cope when they know the facts: a woman with a quadruple pregnancy has about a 25 percent chance of losing all four babies, but she can decrease the loss rate to about 5 percent by reducing to twins. The risks of prematurity, cerebral palsy and genetic abnormalities (if tested) are all reduced, too.

Reduction will always be controversial. A woman has an abortion because she wants—for whatever reason—to not have a child. But women who have reductions are often desperate to have children. In high-risk situations, reduction may be the best way—sometimes the only way—for that to happen. I realize that in the minds of pro-lifers, this reasoning is flawed. But if performing this procedure means that couples who have suffered years of anguish can have their own healthy children, I'll take all the criticism I get."

Click Here for Complete Article
 

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

Japanese Woman Implanted with Wrong Egg

Hospital officials in Japan have reported that a Japanese woman was likely impregnated with the fertilized egg of another woman by accident during an in vitro procedure last year. 

According to the Associated Press, the woman, who is in her 20s, aborted the pregnancy when she was told of the potential mix-up at the government-run hospital in Kagawa prefecture, about 330 miles southwest of Tokyo.

"She is now suing the local government for 20 million yen ($222,000), according to news reports.  Hospital officials apologized for the mistake at a news conference Thursday.

"She was very happy after undergoing such a difficult procedure and becoming pregnant, but unfortunately a mistake had been made," said Yuzo Matsumoto, director of the Kagawa Prefectural Central Hospital.

The hospital has a long history of carrying out such procedures, and this is the first time such a mistake has occurred, hospital spokesman Hajime Morishita said.

"The in vitro procedures are carried out in sequence one after the other, and in this case the eggs from one procedure may have accidentally been left over and used in the following procedure," he said.

In vitro procedures — in which a woman's eggs are removed, fertilized outside the womb, and placed in her uterus to cause a pregnancy — are common in Japan, with hundreds of thousands carried out per year.

The case drew wide attention because bearing and raising children who are not related to the mother is uncommon and has been discouraged by Japanese medical groups.

Surrogate births, in which eggs are removed for fertilization and implanted in another woman, and adoptions are rare in the country."

All I can say is wow, this woman was courageous for handling this issue in the way that she did.  This could have caused an entirely different set of issues for her to deal with, as well as the rest of the people involved.  Unfortunately, an abortion had to occur to solve this.  What are your thoughts?

Click Here for Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

FRIDAY LEGAL UPATES - Octuplets, Missouri Donor Legislation & Indian Surrogacy

 

A. Missouri – it appears that the Missouri legislature, headed by Cynthia Davis. In her bill (HB355) she is attempting to ban all anonymous donation (egg and sperm) in Missouri and give all donor-conceived offspring the right to access the donor’s identity at age 21.          In fact, she wants the child’s birth certificate reflect the biological parent’s name (yes, she called the donor a parent) and the donor parent’s name as well. She is not intending to create any legal relationship between donors and the offspring, but the use of the word PARENT is extremely disturbing. What do you think?

 

 

Click Here for the information on this bill HB355

Blog On Bill HB355

B. Octuplet Case – the ASRM is now considering to kick the octuplet doctor out of the society. What affect do you think this will really have? And, with his new case of quadruplets, why do patients keep seeking him out for treatment, especially with his (un)success rates?

Click Here for an Article on this Case in WSJ

Click Here for an Article on this Case in Union Tribune

Click Here for an Article on this Case in New York Post

C. India Surrogacy & a Legal Warning – I read an informative article on a warning to couples/individuals going to India for a surrogate mother. The article discusses what I have guessed all along, that pursuing surrogacy in India is still a risky process because there are still no comprehensive laws covering the practice. I am always concerned when people cut corners when they are in such a vulnerable and desperate state of mind. What do you think?

See article at www.theage.com.au

Theresa M. Erickson, Esq. www.ericksonlaw.net

 

 

 

 

 

Octuplets and Regulation - What Should We Do with Fertility Treatments?

I am still waiting for this controversy to finally die down, but it sure does not look that way with new information coming out about the mother and her fertility doctor.  But, today I want to stay away from that and look more to the regulations that everyone is literally screaming for at the top of their lungs.  I understand that everyone wants some control since it looks like the tax payers are ultimately going to pay the bill for her decisions, but I also want to make note of how regulations will also affect the millions of other fertility patients that do make sound decisions in their family planning.

First, in other countries that have regulations surrounding the number of embryos being implanted, I want to note that the government actually foots the bill for a certain number of IVF cycles - thereby giving patients an added assurance that they can try one embryo at a time because their government will pay for another (possibly) cycle.  Here, in the US, we do not have that luxury as this is a cash business.  Very few, if any states and insurance companies cover the costs of IVF.  These patients are then placed in the dilemma of not having enough funds to cover another cycle if this one does not work.

Now, with that in mind, I want to encourage everyone to look at the issue of regulations with an open mind, and look at what Dr. James A. Grifo, the program director of the New York University Fertility Center at the Langone Medical Center and a professor of obstetrics and gynecology at the university’s School of Medicine, has to say in the following piece:

"The fascination with the octuplets born last week has dominated the news media. But after the initial marvel of the miraculous feat faded, we were left wondering why an unemployed mother of six wanted more. Responses from around the country, and within the medical community, included cries of malpractice and demands for new laws regulating fertility treatment.

But where would this lead? A knee-jerk response to one outlier does not always prevent the next. Legislation about how to practice medicine threatens doctor-patient relations and has unintended consequences that may be worse than the actual problem. We live in a country that doesn’t regulate family size. If we were to decree a proper number, who would decide?

In 1992, Congress passed a law requiring fertility clinics to report their pregnancy rates. It came about because a rogue practitioner was telling patients the success rates of in vitro fertilization based on national statistics and neglecting to mention that his own clinic had none. Thus a national registry was born, financed by taxpayers. The clinics that refused were listed as non reporters, hardly a punishment.

But the implications of a government published report were unanticipated and it changed behavior. Since clinics were measured by pregnancy rates, there was incentive to implant more embryos into a patient — creating the unwanted consequence of a boom in twins and triplets.

The American Society of Reproductive Medicine and its subgroup, the Society for Assisted Reproductive Technologists, recognized the problem and published guidelines for the number of embryos to transfer to maximize pregnancy rates but minimize multiple gestation, especially triplets and beyond. We have now published three iterations of these guidelines since 1999 with a significant decline in the incidence of triplets and higher. This happened without laws being passed; it was simple cooperation of clinicians doing the right thing for positive change to happen.

Medicine cannot be practiced in a vacuum or by legislation. It requires a patient and physician dialogue, it requires decision-making that minimizes risk and maximizes good outcome, and it requires patients and physicians to make good decisions. Indeed, that is already happening but that story is lost in the tsunami of one unusual case whose facts are not known."

Click Here for the Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

Octuplets Birth Continues to Cause "Outrage" - What Do You Think?

I do hate stories such as this that capture so much media attention.  They actually take away attention from all of the "good" stories out there, such as the couple who conquered their infertility after five tries at IVF.  Just today I read scores of articles calling the birth an outrage and the actions of the doctor criminal.  I am still on the fence about this entire story, and I am withholding judgment at this point, but I am curious to see what others are thinking.

Click Here for Article from LA Times - Octuplets' birth spawns outrage

Click Here for a Press Release from an IVF Physician in Georgia

Click Here for Blog from San Diego IVF Physician

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

New Technique to Improve IVF Success Rates - Good Timing!

With all of the criticism over the number of embryos being transferred during IVF treatments in response to the octuplets, it is good to hear that some new techniques are being developed to help counter that.  In the UK, they have developed Comparative Genomic Hybridization, which employs a microscopic needle to remove the chromosomes from that capsule without disturbing the egg.

"A leading British fertility clinic has developed a new technique that could dramatically increase a woman's chances of having a successful in-vitro fertilization treatment.

Doctors at Nottingham's CARE Fertility clinic have found a way to extract the extra set of chromosomes released by a woman's egg and analyze it for abnormalities.

Chromosomal abnormalities in the embryo are one of the main reasons pregnancies fail."

It sounds like promising science.  Let's see where this goes.

Click Here for Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

The Octuplets and Regulations - What Should We Do?

I have been trying to show restraint with my opinion on the octuplets because I believe strongly in reproductive freedom for everyone in America, and I also understand an individuals strong desire for children.  But, I really enjoyed the piece written by George Dvorsky on the Institute for Ethics and Emerging Technologies Blog.  He makes quite a few good points involving common sense and restraint.  As many have cited, he wants ASRM to set up and give their guidelines some teeth.  I am not certain if that will happen or if it should happen, but let me know what you think. 

"Like a lot of people last week, I was shocked to find out that Nadya Suleman, the mother of the octuplets born last week in Los Angeles, already has 6 children—all between the ages of 2 and 7.

And that she is a single mother who has already filed for bankruptcy, and that she is a self-described “professional student” who lives off education grants and parental money.....

Looking at this case one gets the feeling that some fertility clinics look upon their patients as nothing more than customers. Given the nature of their work, however, this attitude will simply not do.

A lassez-faire approach to repro-tech won’t work to protect the interests of those hoping to use these technologies and to protect those lives that are created as a result. I agree that regulation should be very liberal and accommodating to a diverse set of interests, but complete de-regulation would be both dangerous and facile.

But establishing regulations and guidelines is one thing, enforcing it is quite another.

In some cases, this one included, it would be perfectly reasonable for the state to intervene and deny access, or at the very least compel clinics to follow a strict set of guidelines to prevent this sort of thing from happening. It’s time to empower groups like the ASRM—particularly now as new reproductive technologies are emerging quickly. This way, fertility clinics will be compelled to follow the rules and be held accountable for their actions.

It’s clear that this has to happen. Clinics won’t regulate themselves.

But why should we have expected them to? They’re not the ones who now have to raise these children. "

Click Here For Complete Article

See Also Article by the Reproductive Rights Prof Blog

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html


 

Ireland Supreme Court Begins Hearing on the Use of Embryos After Divorce

With all of the news surrounding the octuplets, I figured I would let the dust settle for a while and address the couple in Ireland fighting over their embryos. 

As reported by the IrishTimes.com, "A man who separated from his wife after agreeing to her undergoing fertility treatment is prevented both by the Constitution and various documents signed by him from stopping her having the remaining embryos implanted in her womb with a view to becoming pregnant again, the Supreme Court was told today.

The State, because of the 1983 constitutional amendment requiring it to protect and indicate the right to life of the unborn, must facilitate the implantation of the remaining embryos, Gerard Hogan SC, for the woman, said.

Asked by Mr Justice Adrian Hardiman if the State is always required to facilitate implantation of viable embryos, counsel said he was not arguing women could be coerced into carrying embryos.

In this case, the woman could not be denied implantation as she wanted to provide “a home” for the embryos. Her attitude was a “highly relevant factor” in determining the extent of the State’s obligations towards these particular embryos."

How do you think the court should rule?  As for me, having written on behalf of Randy Roman in the case of Roman v. Roman for the US Supreme Court, my vote is for the husband.

Click Here for the Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

Friday Legal Updates - Embryo Dispute, Donor Conceived Children & Those Octuplets

Well, we have quite a day in legal news today. So, let’s start with the notorious octuplets –

As Sarah Palin, whether you like her or not, would say “Joe, say it isn’t so” to this one. This week I reported that this mother of eight should not be judged until “we have walked in her shoes,” but today all of the news outlets (such as LA Times, GMA, Today, etc.) are reporting that she already has six kids and reproductive technologies were used, whether IVF, Clomid, or some other means. 

Karen Hammond of the AFA stated “I congratulate this lady for having the fortitude to carry octuplets to viability, but in a sense, this birth represents a failure of infertility treatment. The majority of such high-order multiple pregnancies end with loss of all the infants, and multiple pregnancy poses dangers for the mother as well,” says Hammond.

Even Fox News made a great argument stating that the focus should not be on why she did not selective reduce, but why, if the story is true, did her physician place eight, yes 8, embryos into her uterus. I certainly hope that it was not an American physician – what will the ASRM say or do about this? Either way, I am concerned about regulation due to the actions of a few if embryos were transferred.

I think that the jury is out on this one until we get all of the facts, but here is the update. Let’s see how it turns out. What do you think? 

Now, as for the donor conceived case filed in Canada, the court has ruled as follows:

“For the first time in Canada a court has ruled on the legitimacy of a donor contract in determining the competing parental rights of a lesbian couple and a gay man who was the sperm donor.

The precedent-setting court ruling that the agreement is not enforceable could open the door for a child to have three or four recognized parents in "known donor" situations.”

At the same time, it may also have a chilling effect on lesbian couples seeking a specific donor and who want their child to know the identity of the father.

The legal dispute involves a lesbian couple in Toronto and a gay man who agreed to be their sperm donor and play an active role as a parent.

Click Here for the Complete Article

And, finally, we have a woman who has died leaving three frozen embryos. It is stated that her fiancé, who sperm was used, wants to use his sister as a carrier.   The dead woman’s mother is poised to fight that this is not her daughter’s wishes. We will see where this one goes. 

Click Here for the Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

 

 

IVF More Successful In Younger Women

The New England Journal of Medicine released a report today that shows that IVF works - but, it works better for younger women name older women, which is not surprising in itself. 

"Women who undergo up to 6 cycles of in vitro fertilization (IVF) with either fresh or frozen nondonor embryos are more likely to achieve a live birth if they are younger, according to a large, retrospective, single-center study published in the January 15 issue of the New England Journal of Medicine."

Click Here for Complete Article

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Subscribe to my blog at: http://www.surrogacyeggdonorblog.com/subscribe.html

What We All Want - When Wanting a Child & IVF Becomes Who We Are

Today's post comes courtesy of Angie Best-Boss of How To Make a Family: The Blog at http://howtomakeafamily.typepad.com.  Angie brought this following article from the NY Times to my attention via her blog, and I wanted to make certain that she got due credit.  It is a beautiful article that is both moving and inspirational.  Let me know what you think.

"IT was on Sept. 29, the day the first bailout failed, and I was on the train from Carroll Gardens to the financial district — an area I normally hit only for Century 21 — for drugs. Not recreational drugs, vestiges of my waning youth, but the outrageously expensive fertility medications not covered by my insurance. (Thank you, national health care system.) I was setting out for the law office of an extraordinarily charitable woman who no longer needed her drugs and whose far more beneficent insurance plan covered them. I had never met her and she was about to hand over a cooler of these medications in the lobby."

Click Here for the Complete Article

IVF, Fertility and Other Issues? Look to these great resources...

While searching the internet, I found the following resources that I think may be of help to many.

http://stirrup-queens.blogspot.com

http://baby-wanted-apply-within.blogspot.com

http://hopeforbaby.blogspot.com

http://www.conceiveonline.com

Happy Reading!

Theresa M. Erickson, Esq.
Surrogacy Lawyer & Egg Donation Lawyer 
www.EricksonLaw.net

Vatican Issues Statement on Embryos & IVF

The Vatican issued a document regarding the issues behind bioethics on Friday, explaining to Roman Catholics and non-Catholics alike the church’s stance on such issues.

To read the New York Times article regarding the document please go to: http://www.nytimes.com/2008/12/13/world/europe/13vatican.html?_r=1&ref=policy

For the actual document please go to: http://www.usccb.org/comm/Dignitaspersonae/Dignitas_Personae.pdf 

What are your thoughts?

Theresa M. Erickson, Esq.
Surrogacy Lawyer and Egg Donation Lawyer
www.EricksonLaw.net

 

Leftover Embryos - What Shall You Do With Them?

Duke University Medical Center released a new study this week regarding embryo donation for research. They found in their study that more than 41% of patients who had finished fertility treatments and had leftover embryos would rather donate them to research than to another couple.

These findings are significant considering that the national debate regarding research using stem cells and embryos is highly controversial. However, the patients that said they would donate their excess embryos to research said that they would rather donate to research because they did not want the embryos to become children in families other than their own.

Additionally, these patients also said that donating the excess embryos to research was easier than simply destroying the embryos outright. Could this mean that the nation’s feelings about stem cell and embryo research are changing?

Click Here for Complete Article

SOLO PRACTICE UNIVERSITY FACULTY ANNOUNCEMENT!

Today (December 8th) it was announced that Theresa M. Erickson would be joining the prestigious faculty at Solo Practice University. Theresa will be bringing her expertise in Assisted Reproduction and Family Formation law to her students and other faculty alike.

Click Here for More Information

Why a Lawyer/Attorney is so Important in the Area of Third Party Reproduction

As most of your reading this know…having an attorney when diving into the prospect of becoming a parent through Assisted Reproductive Technologies is one of the most important things that you can do. That becomes even more important once Egg Donors and Surrogates also get involved. Having a lawyer, especially one that specializes in Reproductive law, becomes more important for a few reasons:

1.      EXPERIENCE & KNOWLEDGE. A lawyer within the field of Reproductive law will not only know the laws concerning surrogacy and egg donation in each state, but they will also have the experience in dealing with prospective parents as well as surrogates and egg donors.

 

2.      CONTRACTS. An experienced attorney will be able to draft a comprehensive surrogacy and/or egg donation agreement that will be able to address any issues, whether monetary or not, that may arise during the course of the contract.

 

3.      TRUST ACCOUNTS/FUND MANAGEMENT. A lawyer experienced in reproductive law will be able to tell prospective parents what fees and/or expenses are customary and will be able to fully handle your trust account along with keeping your relationship with your surrogate and/donor separate from any issues regarding funds.

 

4.      DISPUTE RESOLUTION. With the help of an experienced attorney, you will have an intermediary for any disputes that may arise during the surrogate pregnancy between you and your surrogate.

 

5.      RELATIONSHIP MANAGEMENT. Having an attorney that drafts your surrogacy contract and/or egg donation contract can aid prospective parents in deciding what type of relationship they will have with either their egg donor and/or their surrogate throughout the pregnancy and after.

 

Along with these few reasons there are numerous others that illustrate why you should have an experienced reproductive lawyer prior to embarking on egg donation and/or surrogacy. What are your thoughts?

 

Study Regarding Paternal Age Affecting Embryo Quality & Implantation

The Reproductive Bio Medicine journal recently published a huge study for the area of Assisted Reproductive Technologies. This study was conducted by a group of Spanish researchers and is considered to be the largest and most comprehensive study regarding the effect of male aging and its effect on assisted reproductive technologies.

Following their extensive research, they found that male aging does not have any negative impact on the resulting embryo quality or the implantation rate for these resulting embryos. This is a very interesting study considering that it was believed that like female aging, male aging also had an effect on embryos and their implantation rate when using Assisted Reproductive Technologies.

However, it would be interesting to look at this study more closely and to see exactly what their findings were to compare to the same results from a study based upon female again and its effect on ART. What are your thoughts?

Click Here for Complete Article

ASRM - Single Embryo Transfers in the US?

At the ASRM’s annual meeting in San Francisco this year most of the speakers and participants spoke about the push towards only implanting one embryo at a time within the US, which is the standard throughout Europe.

However, some practitioners warned that this should only be pushed, as ASRM recommends, for patients under the age of 35 who have not had a failed previous cycle of IVF. If this was adopted in the US it is believed that it would save a total of $1 billion in healthcare costs from the adverse affects of multiple pregnancies.

However, it could also cost patients an extra $100 million to achieve the same pregnancy rates as with the multiple embryo transfer. Which is better? What are your thoughts?

Click Here for the Complete Article

Assisted Reproductive Technologies and Birth Defects May Be Linked

 According to a new study, birth defects and ART may be linked.

"Epidemiologists at the Centers for Disease Control and Prevention believe there may be a connection between use of Assisted Reproductive Technologies (ART) and birth defects, specifically abnormalities in the heart wall, gastrointestinal disorders, and the presents of a cleft lip.

Assisted Reproductive Technologies are classified as anything involving the surgical removal of eggs from a woman’s uterus, the fertilization of the egg in the lab and the reimplantation in either the same or another woman."

But, note that they ended the information with the statement that more studies need to be done, especially on a larger population, as follows:

"They found that babies conceived with ART were twice as likely to be born with heart wall defects, more than twice as likely to be havea cleft lip, and over four times as likely to have gastrointestinal difficulties. However, it is not known if ART causes these defects to occur, if it has more to do with the woman’s infertility, or if its’ something else entirely.

Many say there is a need for more research with a larger sample of women who used ART to conceive."

Click Here for the Complete Article

Important Read for Intended Parents, Surrogates and Donors

"The Ultimate Medical Privacy Guide: 100 Tools and Resources to Secure Your Health Records" looks to be an important read for all ART clients.

"Have you heard the positive points about putting your health records online? Or, like many, are you concerned about security and privacy issues about using your credit card online, let alone adding your health records to a Web-based program? If you stand in either camp, you’re not alone. But, even online health record advocates are leery about security.

With that fear in mind, the following list contains 100 tools and resources you can use to make an informed decision about this issue. Health records have, historically, been protected by regulations that protect the patient’s privacy. An online venue, on the other hand, requires different measures to secure sensitive information. So, we’ve included links to opinions about health record security, tools that will help you understand new regulations and technology that centers on health industry security, blogs that focus on frequently updated news about this movement, and background information on eHealth, Health 2.0 and law support for various health issues."

Click Here for a Link to Post

Egg Donation Regulation? What Should We Do?

Recently as last year, a physician from Arizona had begun lobbying in front of Congress to regulate egg donation. This is in response to the fact that her own daughter, who donated her eggs several times, died of colon cancer at a young age.  Now, I met this woman personally at a conference in Chicago earlier this year, and I do sympathize with her; however, I was unable to find a direct correlation between her donation and the cancer.  I must note that my investigation was only cursory at best. 

With that in mind, how are we to resolve this issue for this donor and for all other donors?  As of right now egg donation is not regulated beyond the FDA testing and the ASRM guidelines that are in place to "guide" everyone.  

Additionally, the field of Assisted Reproduction is not required to hold on to any of the medical records for any egg donors following the completion of their egg donation cycle. I will note that this Arizona doctor is suggesting that Congress create a national egg donor database where medical records and other information on the egg donor will be kept for future children, as well as for the donor herself if she suffers any complications or the like.

Now, even though this national egg donor database seems like a great idea, could it not also cause problems of its own? For example, will fewer women be willing to donate their eggs if it is not completely anonymous? Will there become waiting lists for egg donors who are willing to make this information known? How far will this database go? Will donors become completely known or will they be given an identifier where their medical information is only known? What are your thoughts?

Click Here for the Arizona Article

Click Here for an Intended Mother's Perspective

Egg Donation Regulation? What Should We Do?

Recently as last year, a physician from Arizona had begun lobbying in front of Congress to regulate egg donation. This is in response to the fact that her own daughter, who donated her eggs several times, died of colon cancer at a young age.  Now, I met this woman personally at a conference in Chicago earlier this year, and I do sympathize with her; however, I was unable to find a direct correlation between her donation and the cancer.  I must note that my investigation was only cursory at best. 

With that in mind, how are we to resolve this issue for this donor and for all other donors?  As of right now egg donation is not regulated beyond the FDA testing and the ASRM guidelines that are in place to "guide" everyone.  

Additionally, the field of Assisted Reproduction is not required to hold on to any of the medical records for any egg donors following the completion of their egg donation cycle. I will note that this Arizona doctor is suggesting that Congress create a national egg donor database where medical records and other information on the egg donor will be kept for future children, as well as for the donor herself if she suffers any complications or the like.

Now, even though this national egg donor database seems like a great idea, could it not also cause problems of its own? For example, will fewer women be willing to donate their eggs if it is not completely anonymous? Will there become waiting lists for egg donors who are willing to make this information known? How far will this database go? Will donors become completely known or will they be given an identifier where their medical information is only known? What are your thoughts?

Click Here for the Arizona Article

Click Here for an Intended Mother's Perspective

Infertility Sucks! So, Join the 1st Annual Haiku Competition

My office is sponsoring the grand prize of $100.00 for My Fertility Plan's 1st Annual

International Infertility Haiku Contest.

Here are the rules:

"Why haiku? Anyone can do it. A haiku is a three line poem, made up of only 17 syllables. The first line has 5 syllables. The second line has 7 syllables

The third line has 5 syllables. That’s it. 

Your haiku must relate in some way to your family-building journey and it must follow the haiku-syllable rules. There are 2 categories – Serious and Silly. Just make sure you label which category your poem falls in (even if you think it’s obvious). If your entry relates to medication, it will also be considered for the medication-related haiku award.

It is free to enter – and you can enter as many times as you want. Each haiku must be in a separate e-mail. Please include your name and email as well. The contest is open to international entrants, but the entry must include an English translation."

Go to My Fertility Plan for more information.    And, get writing!

Take Charge of Your Infertility - National Infertility Awareness Week!

Check in with Resolve.org for events and information regarding National Infertility Awareness Week!

A movement to raise awareness about the disease of infertility which affects 7.3 million Americans - www.resolve.org/takecharge

Embryos - What shall we do with the remaining created through IVF?

As the LA Times recently reported deciding what to do with excess embryos is a daunting task for many individuals and couples who have gone through fertility treatments and achieved a healthy pregnancy.

Additionally, if you decide to donate your cryopreserved embryos to research it is often a lot easier said than done, especially in states that do not allow embryos to be used in medical research. However, even if you are donating your embryos in a state that allows embryos to be used for research it is still a daunting task with a lot of paperwork that needs to be completed.

Because of all of the paperwork many clinics report that couples and/or individuals are more likely to discard their excess embryos because that is the “easier” option. Yet, for some donating or discarding is not even an option because they feel that they would be donating or discarding a “child,” which, if that is your belief, only makes this decision all the more difficult.

However, if these embryos were to be donated to science there are numerous maladies that are being researched to find a cure for and these embryos could help find those cures.

Click Here for Complete Article

Affording IVF, Surrogacy, and Egg Donation in These Tough Economic Times

Many people thinking about using assisted reproductive technologies to start a family think of almost every possible outcome, except for how much all of it will cost - considering that most, if not all, health insurance policies will not cover assisted reproductive technologies. Even though these expenses are great, and even without the added expenses associated with the use of a surrogate and/or an egg donor, it is still possible for many…IF they just look through their financials and really focus on how much it could possibly cost them and what they can to do to budget and afford these costly, but ultimately priceless expenses.

So, it is best to start early with your own financial assessment and investigate the options available for financing. Yes, they are still out there, despite what is going on with Wall Street. Once that is done, ask questions of your doctor, your agency, your friends, and anyone else that have gone through this - after all, the only dumb question is the one that is never asked.

Click Here for Complete Article

Whispering About Infertility....shhhhh

I read a very thoughtful and provocative blog by an Intended Mother the other day,
http://babygiddings.blogspot.com/.  I think that it gives others going through this process a voice where they can share their "experience in the trenches."

She publicly announces her thoughts and feelings in such a way to let others know that they are not alone.  Make certain you take the time to read this blog when you get a chance.  Maybe you too will feel as if you can go public in your own way.
 

Illinois Court Declares that Destruction of Frozen Embryos not Wrongful Death

On Friday, the Illinois Court of Appeals ruled that couples cannot sue for wrongful death when their embryos have been destroyed by a fertility clinic. Whether or not the destruction was intentional or accidental, the court of appeals stated that the laws do not extend to the preservation of embryos outside of the womb.

This could be a huge ruling in the field of reproductive law and embryo disposition cases in the United States because this court would not compare an embryo to a fetus when considering wrongful death. Hopefully, with this ruling the court will have a concise opinion that solidifies their ruling for the rest of the United States’ courts to use when hearing these types of cases.

Click Here for Complete Article

California Woman Cannot Use Frozen Sperm of Dead Husband

Recently, the Third District Court of Appeals in Sacramento ruled on the disposition of a dead man’s sperm. The case, which began in late 2005, followed from the death of Joseph Kievernagel who had deposited sperm for him and his wife to use in their attempt at IVF beginning a month before his death.

However, after he died, his wife Iris sought custody of the sperm that he had deposited in order to become pregnant with his child. A Superior Court judge refused citing the fact that Joseph had checked a box on their clinic’s consent form that said that his sperm was to be discarded upon his death. Iris appealed this decision with the Third Circuit Court of Appeals, which handed down their decision recently stating that Joseph, as the donor, “had the sole decision-making authority as to the use of his sperm for reproduction.”

This ruling is a milestone for the field of reproductive law in that it provides courts with much needed guidance as to whether or not the informed consent contracts should stand as a legally binding document.

Click Here for Complete Article

Woman Sues Over Having to Use an Egg Donor

Do you truly need to be genetically related to a child to feel that they are your own? Well according to a United Kingdom woman, she needs the genetics.

According to reports the woman and her husband were attempting to do fertility treatments for nearly 5 years and, unlike the United States, they were put on a waiting list for treatments. However, the woman claims that when they started the process her eggs were in perfect condition and it was her husband’s sperm that was the issue, now she says that once they were finally able to get treatment the doctors discovered that her eggs were now too old and they would need to use an egg donor.

Unfortunately, they would have to wait for that too since egg donors in the UK are not easy to come by, so instead of waiting they went to Spain where the donors are anonymous and there is a lot more of them. Of course, since they did not want to wait any longer, they opted out of waiting for a blue eyed and went for the first available donor.

Now with only days left in her pregnancy she is publicizing her story and threatening to sue the fertility clinic in the UK because she is now having a son that will not be genetically related to her. A son, that she says, she will not love as much because there is no genetic relationship between them and for that she feels as though she has been shafted.

Obviously, this is a horrible experience that she went through and she has had to wait for a very long time for this baby. However, she should look at the bright side and look at the fact that she is about to give birth to a perfect baby. What does it really matter if there is not a genetic link? What are your thoughts?  

Women Battling Infertility Win Battle with Employers

Women who are struggling with infertility are aware that it is a long and arduous process that has a tendency to be very time consuming, especially when it comes to work schedules. However, the struggle has gotten a little easier in Chicago, Illinois where a panel of three judges decided that women who need time off to complete infertility treatments are allowed to invoke the Pregnancy Discrimination Act. This should help plenty of women who have been threatened with unemployment for taking too much time off her infertility treatments. Of course, this judgment could easily be overturned when the defendant’s appeal as they have already begun to do, but for now this is a huge step in the right direction.

Click here for the full article

Wired Magazine - Why Things Suck? Specifically, IVF Treatments......

As I was reading my monthly Wired magazine, which I truly enjoy for its information, I can across the following article:

http://www.wired.com/culture/culturereviews/magazine/16-02/su_infertility_treatments

It really shocked me, as it was a very negative piece.  I know that the author may have had some bad experiences, but I do not like the fact that they "kind of" gave medical advice stating that it is better to use Clomid than do an IVF cycle - they did not address the fact that is not an option for everyone.  Plus, they stated that it rarely works - boy, I am shocked as that is not my professional and personal experience.  What do you think?

Court: Embryo implanted in mother's womb after father's death not an heir

This article is interesting, as it clearly shows us that we are moving forward each day into a brave new world.

See article:  http://www.arkansasnews.com/archive/2008/01/11/News/344782.html