Ethical%20Issues%20In%20Reproductive%20Technology

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IVF In Palestine Do We Need REGULATIONS?
Dr. Salem Abu Khaizaran
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History of IVF

• 1977, first IVF pregnancy (ectopic).(By Edwards
  Stepto).

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Louise Brown (1978) the worlds 1st IVF baby
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NOW She is A mother
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Since then more than ONE MILLION IVF Child
were born worldwide
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BUT IVF also introduced countless ethical,
legal, and social challenges and raised many
questions
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IVF In Palestine
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IVF IN Palestine

• 1995 , establishment of first IVF center in
  Palestine ( Razan medical Center), using
  conventional IVF
• 1996 , introduction of ICSI .
• 1998, introduction of freezing system.
• 2009, PGD was introduced.

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PSFG

• Established in 2000.
• Members are Palestinians inside outside the
  country.
• Legislation NO of embryos to be transferred.
• Faith of embryos
• Training

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Peculiarities OF IVF IN Palestine

• Male Factor ..
• Prisoners
• No borders.(High tech medicine)

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Palestine Many Centers

• 5 centers in Gaza .
• 8 centers in West bank.

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Ethical Issues In Reproductive Technology
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Multiple Gestational Pregnancies

• The transfer of multiple embryos in a single
  cycle may increase success rate
• BUT also increases the rates of multiple births
  

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Fetal Reduction
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PGD Ethical Issues

• What is PGD?
• Technology used in conjunction with in vitro
  fertilization to screen embryos for genetic
  conditions prior to transfer
• Remove a cell from a 3-day old embryo
  fertilized in vitro
• Analyze cells for specific genetic or
  chromosomal abnormalities (PCR or FISH)

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PGD Ethical Issues

• 1990 PGD first used to screen against genetic
  mutation for cystic fibrosis and Aneuploidy .
• Since 2003, the procedure was able to select
  against 100 different genetic conditions.
• Another uses
• Avoidance of late-onset diseases
• Tissue-typing to save the life of
  another child
• sex selection

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Fertility preservation

• Female fertility is well documented to decrease
  with age .
• For cancer patients
• Social reasons

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Financial issues IN Infertility
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Do we need regulations ??

• Definitely we need regulations.

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Do we need regulations ??

• PSFG
• Medical association through GYNE OBS society
• Ministry of health

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Conclusion

• IVF is a big industry now in Palestine , with
  hundreds of people working in this industry with
  millions of dollars per year .
• This industry needs regulations.

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THANK YOU