April 29-30 Lecture Flashcards
Wide array of procedures designed to overcome infertility and assist individuals and couples in conceiving a child.
Assisted Reproductive Techniques (ART)
Eggs are fertilized outside the body and then implanted into the uterus.
In vitro fertilization (IVF)
Steps in IVF
- Ovarian Stimulation
- Egg Retrieval
- Fertilization
- Embryo Culture
- Embryo Transfer
- Pregnancy Test
ICSI
Intracytoplasmic Sperm Injection
Ethical and societal considerations surrounding IVF
- number of embryos to transfer
- fate of unused embryos
- access to treatment
Injecting a single sperm directly into an egg to facilitate fertilization.
Intracytoplasmic sperm injection (ICSI)
Aprocedure that treats infertility of male clients.
Intracytoplasmic sperm injection (ICSI)
What are the risks of ICSI?
- Damage to some or all of the eggs during needle penetration.
- An egg doesn’t fertilize after the sperm injection.
- An embryo stops developing in the lab or after embryo transfer.
Congenital conditions associated with ICSI.
- Beckwith-Wiedemann Syndrome
- Autism
- Hypospadias
- Angelman Syndrome
- Disorders of sex differentiation
- Intellectual abilities
ICSI is often questioned for its involvement in?
cloning
A woman who carries a pregnancy and delivers a child on behalf of another individual or couple
Surrogate
Surrogate is also known as?
The “intended” or “commissioning” parents.
The term “surrogate” originates from Latin word?
“Subrogare,” meaning “to substitute”
2 forms of surrogacy
Commercial or Altruistic.
A surrogacy that is paid
commercial surrogacy
A surrogacy where the surrogate does not receive any compensation beyond reimbursements for medical and pregnancy-related expenses.
Altruistic surrogacy
2 Types of Surrogacy
- Traditional (genetic/partial/straight) surrogacy
- Gestational surrogacy (host/full surrogacy)
The result of artificial insemination of the surrogate mother with the intended father’s sperm, making her a genetic parent along with the intended father.
Traditional (genetic/partial/straight) surrogacy
An embryo from the intended parents or from a donated oocyte or sperm is transferred to the surrogate uterus.
Gestational surrogacy (host/full surrogacy)
Risks associated with surrogacy
- obstetrics complication
- multiple order pregnancy- the most common
Pregnancy, birth, and the postpartum period complications with surrogacy
- preeclampsia and eclampsia
- urinary tract infections
- stress incontinence
- gestational diabetes
Rare complications with surrogacy
- amniotic fluid embolism
- possibility of postpartum hemorrhage
What are the prime ethical concerns raised with surrogacy
- exploitation
- commodification
- and/or coercion when women are paid to be pregnant and deliver babies
- power differentials between intended parents and surrogates
term sometimes used due to the economic agents engaged in the practice
Womb commodification
A woman donates her eggs to another woman to help her conceive a child
Egg Donation
Process of Egg donation
- Screening
- Synchronization
- Ovarian Stimulation
- Monitoring
- Egg Retrieval
- Fertilization
- Embryo Transfer
Ethical Legal Concerns in ART
- Informed Consent
- Compensation
- Autonomy and Choice
- Health and Safety
- Genetic Connection
GIFT
Gamete Intrafallopian Transfer
ZIFT
Zygote Intrafallopian Transfer
eggs and sperm are placed directly into the fallopian tubes
Gamete Intrafallopian Transfer (GIFT)
a fertilized egg (zygote) is placed into the fallopian tube.
Zygote Intrafallopian Transfer (ZIFT)
It is viewed as another possibility when a couple or an individual wishes to have a child but is sub-fertile, the woman is unable to conceive, or the couple has some other reason not to engage in childbirth.
Alternatives to childbirth
Other options in childbirth
- surrogacy
- adoption
- child-free living
when a couple does not wish to carry the pregnancy themselves when pregnancy is impossible
Surrogacy arrangement
a woman who agrees to carry a pregnancy to term for a sub fertile couple
Surrogate Mother
A gestational surrogate is called
birth mother
What are the main indications for surrogacy
● the absence of the uterus
● uterine abnormalities
● medical conditions for which pregnancy is contraindicated
● single males or same-sex male couples
What are the criteria to help a mother choose the ideal surrogate
● Women who are at least 21 years old but not older than 35 years old
● Women who have experienced at least one safe birth
● Women who have passed a psychological examination conducted by a mental health expert
● Women who signed a contract outlining their obligations during the pregnancy