1. Artificial Insemination

2. Artificial Insemination
Homologous: Sperm comes from significant other
Heterologous: Sperm comes from a donor

3. Heterologous Insemination
Consent: Husbands consent required by some states
Avoid a “wrong” to the husband
Could sustain a suit for damages

4. Frozen Human Eggs What to do with the leftovers?
Over 500,000 embryos are in cryopreservation in the US
What do we consider these embryos?

5. Catholic Church To create a child outside of conjugal love is immoral
Heterologous insemination considered adultery
Is this a bridge to use of embryonic stem cells, use of cloning???

6. Multiple Births Twin Births: 137,217; 33.2 per 1,000 live births
Triplets: 5,905
Quadruplets: 255
Quintuplets and higher order: 80
About 4 million births/year

7. Fetal Mortality Rate
Twins: 16 per 1,000 live births (2.7 times higher than sigletons)
Triplets or Higher: per 1,000 live births (5 times higher than singletons)

8. Risk to Mom & Babies Medical complications Pre term delivery
Growth restriction
Extreme high cost
Preeclampsia
Anomalies
Abruption
Cord accidents

9. Selective Reduction Pregnancy of three or more fetuses
Selectively reduce pregnancy by one or more fetuses
Improve survival possibility of pregnancy

10. Nadya Suleman Gave birth to Octuplets Jan 2009
2nd set of octuplets born alive in the US
2001 IVF treatments, 5 pregnancy, 6 kids
remaining embryos

11. Nadya Suleman Believed that disposing of the embryos was abortion
Claimed to have been implanted with 6
Found that 12 were implanted
The norm 2-3
Dr. lost his medical license

14. Nadya Suleman

15. Just for fun