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

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Presentation transcript:

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

History of IVF 1977, first IVF pregnancy (ectopic).(By Edwards &Stepto).

Louise Brown (1978) the world’s 1st IVF baby

NOW She is A mother

Since then more than ONE MILLION IVF Child were born worldwide

BUT IVF also introduced countless ethical, legal, and social challenges and raised many questions

IVF In Palestine

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.

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

Peculiarities OF IVF IN Palestine Male Factor .. Prisoners No borders.(High tech medicine)

Palestine … Many Centers 5 centers in Gaza . 8 centers in West bank.

Reproductive Technology Ethical Issues In Reproductive Technology

Multiple Gestational Pregnancies The transfer of multiple embryos in a single cycle may increase success rate BUT also: increases the rates of multiple births

Fetal Reduction

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)

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

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

Financial issues IN Infertility

Do we need regulations ?? Definitely we need regulations.

Do we need regulations ?? PSFG Medical association through GYNE & OBS society Ministry of health

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.

THANK YOU