Monday, May 23, 2016

Parents at 70: Reproductive choice or pushing the ethical limits? >>



On a phone call from Ahmedabad, obstetrician Dr Mehul Damani of Planet Women hospital patiently explains how the Kutch-based Punjiben Patel, 60, got pregnant last year. “The Patels had been trying for a baby for many years. We told them this would not be easy, and there were no guarantees,” says Damani.

Over the next seven months, Punjiben, who had been menopausal for 15 years at the time, was injected with hormones to restart her menstrual cycles, and prepare her uterus that had shrunk with age. Subsequently, an embryo was created with a donor egg and her husband’s sperm, and implanted in her womb.

Nine months later, Punjiben delivered a baby boy. Planet Women has since had three more cases of women in their 60s who have opted for IVF and are pregnant now.

This ‘feat’, however, is not specific to Ahmedabad’s Planet Women.Earlier this month, Amritsar’s Daljinder Kaur, 70, delivered a baby boy at Hisar’s National Fertility and Test Tube Baby Center. The Center’s website boasts of several “successful” cases of IVF births in post-menopausal women, some of whom are well into their 60s and 70s.

The latest in this list of “successes”, the case of Daljinder Kaur, has triggered an ethical debate: should doctors support the “reproductive autonomy” of women such as Daljinder and Punjiben? With technology, they can, but given the inherent health risks and the issue of childcare, should they?

“It’s totally unethical,” says Dr Duru Shah, Mumbai-based gynaecologist and vice-president, Indian Society for Assisted Reproduction. “In pregnancy at that age, the heart, the kidneys come under pressure; the tissues are already aging. There’s enough data to prove that risks exist in women over 50 years of age,” Shah says.

Unfazed by the criticism, Dr Anurag Bishnoi, owner and embryologist at the National Fertility Centre insists that he ensures thorough medical check-ups for his patients, and claims that the centre has done about a “hundred such cases”, mostly from Haryana and Punjab.

One of them is Rajo Devi, who became mother to a baby girl in 2009 at 71. When this author had met Rajo in 2010 in the district of Jind, she was breastfeeding her daughter, Naveen, and appeared confident of seeing the child through adulthood. However, Naveen’s birth has had consequences for Rajo: in 2010, she had to have her uterus removed after there was bleeding.

Six years later, Rajo has been diagnosed with cancer.

Bishnoi, however, argues that in such cases, risks exist only when more than one embryo is transferred into the womb -- a practice that is routine in many IVF clinics -- to ensure pregnancy, a procedure that he claims to have done away with.

Despite his ‘assurances’, however, many such as Shah feel that doctors need to draw a line when it comes to women over 50. This limit has been validated by the draft Assisted Reproductive Technology (Regulation) Bill, 2014, which prevents clinics from performing the procedure on women and men over 50. But Mumbai-based infertility specialist Dr Aniruddha Malpani disagrees: Pregnancies in older women do have an “increased risk of medical problems such as hypertension or diabetes,” but determining a “safe age limit” is “unfair” and “arbitrary,” he says. “The safe age limit depends on how well the heart, kidneys and lungs function. Some countries have tried putting an age limit, but usually bureaucracies can never do a good job of determining what the right age is,” he says. However, in cases such as that of Daljinder, Malpani advocates caution on part of doctors.

Globally, debates around post-menopausal births have provoked equally passionate responses. In 2009, the death of the world’s oldest mother, Maria Carmen del Bousada -- a 69-year old Spanish woman who had children via IVF in 2006 -- due to ovarian cancer, three years after she gave birth, led to heated debates on the subject.In the UK, there were several discussions when the cut-off age for IVF was raised to 42 from 39.



In the Indian context, however, Bishnoi insists that the “social pressures” of being childless, having a legal heir, or, as in many cases, trying for a baby to compensate for the untimely death of a child, are reason enough to not deny parents “choice”. “Surrogacy is not acceptable in these areas, so the only option for them is to go for pregnancy at that age,” he says. Of course, the parents should appoint a local guardian to take care of the child after they are gone, says Bishnoi.

In the wake of India’s booming IVF industry and a lack of a regulatory mechanism, women’s health activists have long argued that the tropes of “freedom” and “choice” in IVF treatments often mask the inherent risks. In the rural areas of Haryana and Punjab, technology — howsoever invasive, expensive and risky — offers an “easy” route to subvert nature and preserve family lineage, leaving long-term issues such as childcare, unresolved. “Entrusting children to relatives is a dangerous prospect. What about their safety after the parents are dead?” wonders advocate Anurag Chawla, who specialises in legal matters around assisted reproductive technologies.

It’s not that the new parents don’t feel these dilemmas though. In a poignant comment to the British press, Susan Tollefsen, who became the country’s oldest mother at 57 (in 2006) has stated: “I get a great emotional feeling when I look at her [her daughter], and a sadness when I realize time is running out”.


SHARE THIS

Author:

Thanks for visiting our website. Like our FB pages and subscribe for daily updates; you can comment on the above post bellow ↓with your Google id or Facebook id – Thank you for your time..☺

0 comments:

 
‎لطیفے اور شاعری‎
Facebook group · 8,142 members
Join Group
یہ گروپ آپ سب کے لئے ہے۔ پوسٹ کیجئے اور بحث کیجئے۔۔۔۔۔ اپنی آواز دوسروں تک پہنچائے۔۔۔اور ہاں گروپ کو بڑا کرنے کے لئے اپنے دوستوں کو بھی گروپ میں دعو...
 

All Categories

Aaj Kamran Khan ke Saath Aamir Liaquat Hussain Aapas ki Bat NajamSethi Abdul Qadir Hassan AchiBaatain Afghanistan Aga Khan University Hospital AirLineJobs Allama Iqbal America Amjad Islam Amjad Anjum Niaz Ansar Abbasi APP Aqwal Zareen Articles Ayat-e-Qurani Ayaz Amir Balochistan Balochistan Jobs Bank of Khyber Banking Best Quotes Biwi Jokes Blogger Tips Chaltay Chaltay by Shaheen Sehbai China Chitral Coca-Cola Coke Studio Columns CookingVideos Corporate News Corruption Crimes Dr Danish ARY Sawal Yeh Hai Dubai E-Books EBM Education Educational Jobs Emirates English #Quotes English Columns EnglishJokes Funny Photos Funny Talk Shows Funny Videos Gilgit-Baltistan Girls Videos Govt Jobs HabibJalibPoetry Hamid Mir Haroon Al-Rashid Hasb-e-Haal with Sohail Ahmed Hassan Nisar Hassan Nisar Meray Mutabaq Hazrat Ali AS Sayings HBL Health HikayatShaikhSaadi Hospital_Jobs Hotel Jobs Huawei Hum Sab Umeed Say Hain India Information Technology Insurance International News Islam Islamabad Islamic Videos JammuKashmir Javed Chaudhry Jazz Jirga with Salim Safi Jobs Jobs Available Jobs in Karachi Jobs in KPK Jobs in Pak Army Jobs_Sindh JobsInIslamabad Jokes Jubilee Insurance Kal Tak with Javed Chaudhry Karachi Kashmir KhabarNaak On Geo News Khanum Memorial Cancer Hospital Khara Sach With Mubashir Lucman Khyber Pakhtunkhwa Lahore Latest MobilePhones Lenovo LG Life Changing Stories LifeStyle Live With Dr. Shahid Masood Live with Talat Hussain Maulana Tariq Jameel MCB Bank Microsoft Mobilink Mujeed ur Rahman Shami Munir Ahmed Baloch Nasir Kazmi Nazir Naji News News Videos NGO Nokia North Korea Nusrat Javed Off The Record (Kashif Abbasi) Off The Record With Kashif Abbasi On The Front Kamran Shahid OPPO Orya Maqbool Jan Pakistan Pakistan Army Pakistan Super League Pashto Song Photos Poetry Political Videos Press Release Prime Time with Rana Mubashir PTCL Punjab Quetta Quotes Rauf Klasra Samsung Sar-e-Aam By Iqrar-ul-Hasan Sardar Jokes Saudi Arabia ShiroShairi Show Biz Sikander Hameed Lodhi Sindh Social Media Sohail Warriach Songs Sports News Stories Syria Takrar Express News Talat Hussain Talk Shows Technology Telecommunication Telenor To the point with Shahzeb Khanzada Tonight with Moeed Pirzada Turkey Tweets of the day Ufone University Jobs Urdu Ghazals Urdu News Urdu Poetry UrduLateefay Video Songs Videos ViVO Wardat SamaaTV WaridTel Wasi Shah Zong اردو خبریں
______________ ☺ _____________ _______________ ♥ ____________________