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

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

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

4. NOW She is
A mother

5. Since then more than
ONE MILLION
IVF Child
were born worldwide

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

7. IVF In Palestine

8. 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.

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

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

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

12. Reproductive Technology
Ethical Issues In
Reproductive Technology

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

14. Fetal
Reduction

15. 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)

16. 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

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

18. Financial issues IN
Infertility

19. Do we need regulations ??
Definitely we need regulations.

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

21. 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.

22. THANK YOU