Wednesday, October 28, 2015

Health education graduate performs surgery in Kwara clinic

Dr.Olaitan
The Medical and Dental Council of Nigeria has raided a hospital in Ilorin, Kwara State, identified as Springway Hospital.

Many documents and a medical certificate believed to have been stolen from their owners were found during the raid on Saturday.

The Head of Inspectorate, MDCN, Dr. Okwuokenye Henry, who was in Ilorin on the instruction of the council’s registrar, Dr. Abdulmumini Ibrahim, said the council got a report that a doctorate degree holder in Human Kinetics and Health Education, Dr. Olaitan Lanre, established and operated the facility in Oko Erin area of the state.

He added that Lanre had allegedly been working as a doctor, carrying out surgery and fertility operations on patients in the clinic which operates 24-hour services.

 According to him, Lanre also claimed to be a lecturer at the University of Ilorin.

The head of the MDCN inspectorate stated that the council had already informed UNILORIN about the illegal activities of the fake doctor who claimed to be a lecturer at the varsity.

Henry ordered the closure of the facility pending the resolution of the matter. He also urged the police to arrest Lanre.

He added that the raid was to prevent the fake doctor from endangering the lives of unsuspecting patients.

He stated that the two doctors indicted by the recovered documents at the hospital had been summoned to appear before the MDCN.

Henry said, “We received a petition in my office in Abuja that somebody who had a Ph.D in Human Kinetics and also a lecturer with University of Ilorin named Dr. Olaitan Lanre opened a hospital in Oko Erin in Kwara State and has been working as a doctor carrying out surgery on people and fertility operations.

“During the raid, we discovered that the letter for the registration of the hospital was written by the fake doctor who used the name of one Dr. Jimoh A.A. as the overseer of the hospital and another Dr. Adeyemi as the medical director in charge of the hospital.

“During investigations, both doctors denied knowing Lanre who opened the hospital. Dr. Adeyemi, who is said to be the medical director of the hospital and whose certificate was also used to register the hospital, does not work there. Lanre’s operations at the hospital are fraudulent.

“When we got to the place with policemen, we met the place under lock and key which shows that he had been informed of our coming but some employees of the hospital were hovering around the place. Two were arrested, and policemen are already interrogating them.”

The Director, Medical Services and Training, Kwara State Ministry of Health, Dr. Subair Erubu, said the fake doctor used the name of some doctors to obtain his licence to register the hospital.

“The hospital didn’t register as a hospital but as a clinic and maternity home to carry out minor treatments on people. But we are surprised that the clinic has gone beyond what is expected of it by carrying out surgery for cases that do not even require such,” Erubu said.

 

By Success Nwogu,The Punch
 

****Dr. Olaitan has also run Kingsway IVF clinic in the past.
 

 

 

 

Friday, October 9, 2015

LUTH Reopens IVF Clinic

From left: Former Chief Medical Director (CMD) LUTH, Prof Akin Osibogun, Prof Ashiru, Prof Bode, Prof Giwa-Osagie and Provost, College of Medicine, University of Lagos (CMUL) Prof Folashade Ogunsola at the event.
The Lagos University Teaching Hospital (LUTH), Idi Araba, has revived its Assisted Reproductive Clinic. It folded up in the 90s due to lack of funding. Now known as LUTH Assisted Fertility Clinic (AFC), the duo of Professors Osato Giwa-Osagie and Oladapo Ashiru, pioneered the clinic that produced the first test tube baby in Nigeria in March 1986. They both were at  the event, glowing with pride.

Going down memory lane, Prof Giwa-Osagie said the clinic through its IVF programme treated 20 patients between 1984 and 1994, “but we could not sustain it because of lack of institutional and government support.

Thereafter, the IVF services in Nigeria were largely made available by the private hospital. LUTH IVF clinic, according to him, “was the first in West, East and Central Africa.  Only Egypt and South Africa were the two African countries that had it before Nigeria in IVF history.”

Prof Giwa-Osagie said the full commencement of IVF services at LUTH had to wait for the ideal environment to be provided by the management. The perfect environment include sterile atmosphere for the laboratory and theatre; tiling of the laboratory and theatre; design of fee structure; acquisition of modern equipment; dedicated workforce and recruitment of patients.

The hospital, he said, is setting a goal of producing not less than 200 babies through IVF per annum.  “I am proud that this is coming to be as there is no short cut in life. Good legacies are built through perseverance, consistency and determination. The reopening of this clinic put history in the right perspective.

“This marks a return of IVF where it started in West Africa. We are set to charge lesser price than what obtains in the private sector. There are now about 45 IVF centres in the country,” he said.

Prof Ashiru was beside himself with joy and said international standard should be maintained in the clinic and it “includes training of embryologists, who will be certified and willing to train other embryologists.  Success of IVF is in the laboratory. “World Health Organisation (WHO) standard should be brought back here, including documentation,” he said.

LUTH’s Chief Medical Director (CMD), Prof Chris Bode, said the clinic will make IVF service affordable, accessible and available, “As this is a foremost institution of excellence and we have the experts here that get things done,” he said.

Saturday, October 3, 2015

FREE IVF SCREENING & TREATMENT

Lilypie Assisted Conception tickersLilypie - Personal picture

Nigeria :Why Success Rate of In-Vitro Fertilisation Can't Be Determined in Nigeria - Expert

Dr. Ajayi
A consultant Obstetrician and Gynecologist, Dr Abayomi Ajayi, has said it is difficult to determine the success rate of In-Vitro Fertilisation, IVF, in the country due to lack of monitoring agencies.

Speaking in Asaba during the Physicians' Roundtable with the theme 'Personalised IVF: New Techniques to Improve Success Rate', Ajayi decried the lack of monitoring agencies and dearth of records to ascertain the success rate of breakthroughs in reproductive health across the country.

He said: "We can't talk about success rate in Nigeria because there are no monitoring agencies. You can talk about success rate in your own clinic that is what you know about your clinic. For us, our success rate is equal to what you find in advanced parts of the world."

While saying that the success rate can only determined at the individual clinics where IVF services are rendered, Ajayi who is the Managing Director of Nordica Fertility Centre, debunked the claim in some quarters that IVF services were beyond the reach of citizens at the lower rung of the economic ladder.

"When people say that IVF is expensive, I know that it is not cheap but I don't know if it is expensive. People sometimes have the idea that IVF is up to N5 million above. It is not, at least I know in my own clinic. What I say most of the time is that, if you can buy a fairly used car, you can get IVF. So, you have to find out how much it is in the clinic you are going to and know how to access it. It is not cheap but it is not as expensive as people think.

"IVF involves the process of bringing the egg and the sperm together outside the body, and then the embryo that is formed is flushed back into the woman with the hope that it becomes a baby. It is used for people who want to have children either because they are having problem bearing children or because they want to avoid a particular genetic disorder or they are looking for a particular sex."

 

By Festus Ahon
Source: vanguardnews

Friday, June 26, 2015

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Thursday, June 25, 2015

The Hannaniya's quest for a child

It was gladness and great joy as embryos frozen more than 5 years earlier in England were sent to a Lagos clinic, transferred to Gladys’ uterus, successfully implanted and ended in a delivery of twin girls 29 weeks later…

Dr. Gladys Duruyani and Dr. Ishmael Hannaniya were married for 20 years and just like any other couple, they tried to have children.

However, unlike others, it took them several years to conceive and despite the challenge with conception and their expectations, all the pregnancies unfortunately ended in miscarriages.

This was a very grieving deal for them because the babies would grow to about five or six months in the womb and then a miscarriage would occur and some of these miscarriages were for multiple babies.

The enlightened couple utilized their globe-trotting exposure to seek medical solution overseas, all to no avail. Eventually as time progressed, Duruyani became ill and was diagnosed severally with various kinds of ailments.

She developed a type of cough the doctors could not understand and on the film some dark spots were seen in her chest region and lungs. Being devoted Christians, they sought medical solution to all the challenges yet committed them all to the Lord as they expected some miracle.

Eventually the Lord took this strange ailment away from her. Their challenges were numerous, and one day, while they dined at a Chinese restaurant in Abuja, Duruyani began to bleed.

She knew what was happening. Her husband, who is a microbiologist, a specialist neuro-physician, also rushed her to three different hospitals. Unfortunately, in each hospital, the senior doctors had all gone home.

After the third stop, he rushed her to the National Teaching Hospital where he found out again that all the senior doctors had also closed for the day.

At this point of desperation, he had to take the bull by the horn, choosing to go against the ethics of his profession that advise against a man performing such a major surgery on his spouse. He had a vague idea of what to do, besides there were some junior doctors around.

With the few junior doctors on duty, they quickly set up the theatre and began the surgery to take out the blood clot that was about to snuff life out of his beloved wife until an experienced doctor who came around the hospital for an entirely different reason heard of the situation and ran to take over the surgery already in progression.

On another day, she felt ill and in the cause of seeking a medical solution in South Africa, they were told that the blood result was bad news. The South African doctors gave the verdict; they were shaken and took the challenge once more to the Lord in prayers.

They said, “it was a rare form of blood disease.” The couple were shocked and torn apart for a while but braced up, rejecting the doctor’s report and holding unto the Lord’s report.

They sought medical solution in the UK afterwards and the doctors became puzzled and asked “who said she had a blood disease, a rare form of blood cancer? To the glory of God, the results of the latter test showed there was no trace of the cancer.

Did a miracle take place? They rejoiced and praised the Lord. Soon after this great news, they got a call from the South African doctors stating that there was a mix-up with her tests.

They investigated further and confirmed that she did not have any form of cancer in her system. Having gone through so much and having wailed on the Lord in the secret place of the Lord, they remained sober and thankful for once more sparing her life from the clutch of death.

After a while, they tried to have children again but it was to no avail as the series of miscarriages continued. Eventually they figured that since her womb could not keep the pregnancies, they would consider the option of surrogacy.

Their Harley Street doctor who is one of the first doctors in the world to successfully deliver in-vitro (IVF) babies had been very sympathetic to their cause and after series of the failed IVF had suggested surrogacy to them.

They began the necessary procedures and as embryos could be stored for years, they decided to store the excess embryos while they sought for a surrogate mother to carry their child.

Unfortunately, the surrogacy laws in Britain were so strict that it would have been impossible to find a mother to carry the child. The doctor who was natively Greek suggested that they find a surrogate in Greece.

They quickly embraced the idea but it was soon forgotten because there was a serious problem with the transportation of the embryos out of the region. When that failed, they tried to transport the embryos to Nigeria but the results were the same as that of Greece. It seemed like they would never be able to have their own children so they opted for adoption.

They adopted a little boy now six years old and they later adopted a girl who is now aged four. Duruyani’s body had gone through so much strain over these years and age was not on her side as she was classified as High Risk Pregnancy (if she took in).

On two occasions she had been diagnosed with a strange form of cancer, and later lymphoma, she had suffered a hemorrhage, suffered from a strange cough which left dark patches on her lungs, she had suffered emotional, physical and psychological trauma at the travails she had gone through amongst other health challenges too numerous to mention. She had also been on total bed rest all through these series of pregnancies that resulted in miscarriages.

Yet from all these, the Good Lord delivered her from the cold hands of death. Her husband, Hannaniya, who is a rare Igbira man from Kogi State and a distinguished gentleman remained a most loving husband to her, an Igbomina from Kwara State and kept all their travails away from family and friends.

THEY loved and doted on their two adopted children and once more wondered if it was necessary to have more children having gone through so much agony in their quest for their own biological children.

The Lord understood the desires of their heart and decided to seal their faith with a remarkable gift to them in the year 2014. They got a call from their doctor in Harley Street that the Law had lifted the storage limit of the human eggs/embryo which negated the earlier law of five years. Perhaps because they were silently thinking once more of their unborn children, they became expectant as a result of the serendipity they experienced.

Once more at this point in time, her embryos were still available and having tried all to no avail, including the suggestion of surrogacy that could not hold for statutory reasons, their deciding to try once more was not out of place.

This time they asked for the frozen embryos to be sent to Nigeria and this became the appointed time for them, as they were able to transport these embryos and implant them in Lagos, Nigeria.

Twenty-nine weeks after the implantation of the embryo, Dr. Hannaniya, while at work, got a call from the surgeon that his twin baby girls had been delivered weighing 0.9kg and 1kg respectively. He could not believe his ears and questioned the time and date of delivery to which the surgeon responded that it was either they were saved at that point in time or they were lost like all the others gone.

Dr. Hannaniya, knowing what everybody in this country and beyond knew which was that the babies had a slim chance of survival in a country like Nigeria, did not get excited. He did not worry either but chose as usual to leave this one more challenge to God.

For the first time their babies had been delivered alive so it was clear that the Lord had given them the miracle of an identical twin birth but with the incessant power outages and the inadequate medical care especially for neonates in the incubators, what would be the fate of these little ones? As usual and with wisdom, he chose to keep the news away from family and friends for he did not want to get excited over his preterm babies. They willingly submitted the case to the Lord and waited for time to celebrate if it was the will of God for them.

As God gave his approval, both babies survived and were christened Grace and Esther on Sunday, 22nd March 2015 at the time of their expected date of delivery.

The other two children who had been adopted were also christened on the same day aged six and four. There was a lovely celebration of the two healthy babies and their older adopted siblings afterwards at the beautiful event organized by the family in the Federal Capital Territory of Abuja. Their phenomenal testimony was shared by the husband himself and all those present were amazed as Dr. Hannaniya shared this incredible testimony of over 90 minutes while their guests were entertained with food and drinks.

Their parents, siblings, relations, friends, colleagues and well-wishers were speechless and moved to tears of joy for the Grace of God on his beloved children, Duruyani and Hannaniya, as they finally found complete joy in their now family of six.

There were great lessons to learn from the power of prayers and the power in sealed lips for they did not give room to any interference or sympathy from family and friends.

They had toured the world in search of children of their own, they had spent money over the years, the Lord continued to provide for them and eventually when they least expected it, the Lord showed them that something good could still come out of their own country, Nigeria, and this was the serendipity of our Lord, the perfection of science, their dogged hope and above all, the abundant blessings of the Great God they serve.

 

 

 

Tuesday, May 5, 2015

First Surrogate In-vitro Fertilization (ivf) Baby In South East Nigeria

On Friday the 3rd of April 2015 in LIFE SPECIALIST HOSPITAL LTD Nnewi Anambra State a major medical breakthrough occurred. The South East of Nigeria took delivery of its FIRST SURROGATE IN-VITRO FERTILIZATION (IVF) BABY. This feat was achieved by a doctor who has achieved so much in this area over the past few years, Professor Joseph Ikechebelu. Facebook doctors spoke with him but before you read the interview, what is IN-VITRO FERTILIZATION INTRACYTOPLASMIC SPERM INJECTION (ICSI)
IN-VITRO FERTILIZATION (IVF) is a series of complex procedures and the most effective form of assisted reproductive technology (ART) used in the treatment of fertility and some genetic problems. It has offered hope and put smiles on the faces of couples who for reason or the other have not been able to achieve pregnancy and have a child of their own. fertility-image

IVF entails collecting/ harvesting mature eggs from the ovaries and fertilizing them in the laboratory using the sperm. When the egg and sperm fuse and form the embryo, it is then transferred to the uterus for implantation and growth into a baby (the so called test tube baby). The eggs and sperm can come from known or unknown donors, fused and transferred to a recipient (mother) who will then carry it to term and own the baby. Sometimes, a man whose partner can not carry a pregnancy but can produce eggs, can have the eggs harvested, fertilized by the partner’s sperm and transferred to another woman’s womb (surrogate mother), who will carry it to term, deliver the baby and hand it to the parents. One cycle of IVF can take about two weeks and can be time consuming,expensive, minimally invasive but it is worth the try. It can also produce twins or triplets (multiple pregnancy) of desired sexes. You are a candidate of IVF if you have the following:

a) Damaged or blocked fallopian tubes

b) Ovarian failure

c) Malignant diseases of the uterus or other parts of the reproductive system

d) Tubal removal or sterilization

e) Unexplained infertility


INTERVIEW WITH PROF. JOSEPH IKECHEBELU

Anambra state is proud to record the birth of the first surrogate baby girl, born on friday the 3rd of April 2015 at 6.35am at the fertility centre of LIFE SPECIALIST HOSPITAL Nnewi in Anambra state.

In an interview with the Medical director and owner of the hospital, Professor Joseph Ikechebelu, (a professor of Obstetrics and Gynaecology) Nnamdi Azikiwe University Teaching Hospital, he told us that choosing fertility (which is a branch of Obstetrics and Gynaecology) to him, is like a calling from God. Hear him….


FBD: We are members of the team of Facebook doctors, an online health magazine or blog. We logged on to facebook yesterday and saw you in a picture with a newborn baby who you described as the first surrogate child from IVF in your clinic, so we decided to come and find out more about it and the IVF. Prof how did you get into IVF/fertility and why did you choose this area?

Prof: (laughs) Let me say that I actually chose fertility as a calling. Some people may have it as a place where they like to be but as for me, it is like a directive from God to move into fertility and help people achieve their life ambition of becoming pregnant and having a baby.

FBD: You must be very good at it because we have heard reports and when we got here we were like “is this the humble place where these things happen?”

Prof: (laughs heartily)

FBD: It is something to celebrate really but what exactly is in-vitro fertilization?

Prof: IVF is a special reproductive technique for achieving a pregnancy where you harvest the egg from the woman and sperm from the partner and fuse the two in the laboratory, when the embryo is formed, you put it back in the womb to grow. In-vitro means outside the body, so it is a fertilization that is taking place outside the body but you have to return it into the womb for it to start growing.

FBD: And now we have a surrogate baby, that means somebody else carried the baby? PROF AND BABY Prof Ikechebelu and the new surrogate baby

Prof: (nods) Beautiful! In surrogacy as it is called, for one reason or the other the womb of the woman can not carry the pregnancy but she still has ovaries and can generate her own eggs. So in this particular woman we had, she has an absent uterus, a kind of malformation she was born with. But she has her ovaries and eggs, so all we did was harvest her eggs and the husband’s sperm, fertilize it in the laboratory. When it formed an embryo, we transferred it into a 3rd party, the surrogate mother.

FBD: How did you get the 3rd party?

Prof: The 3rd party is usually a person who is willing for a fee to give the service. All they need to do is write an agreement and carry the pregnancy, deliver and hand it over to the couple because the genetic material is from the couple. This is where you want to have a baby of your own…because when we talk about the levels of parenting or what makes a child your own, the genetic material must come from you. All you lack is the suitable environment to grow the embryo and that’s what is ‘hired’…we hired a womb to carry the pregnancy.

FBD: But in hiring a womb to carry the pregnancy, does it not affect the baby..I mean the environment where the embryo grows?

Prof: No! Usually once there is fertilization and the embryo is formed, every genetic material it needs to grow is there, all you need is the environment. It is just like taking a newborn baby whose mother died after childbirth and give it to a foster parent for them to bring him up.

FBD: That brings me to ethics and genetic engineering and mutation. What is your take on this?

Prof: Genetic engineering…yes, it’s in progress now and they are even talking about cloning, These are all new technologies and fal louts of IVF.

FBD: Is it right or wrong? What do you think about it?

Prof: Mmmm…aah..The question whether it is right or wrong is relative. Why I said that is this; If it is used for the purpose of advancing knowledge and science, it is right. But if it is used negatively to kill or produce a technology that destroys life, then it is wrong. BABY1 The New Surrogate Baby

FBD: How far has IVF gone in helping those in the conditions you mentioned?

Prof: That’s a very good question. I will say that IVF is a God-given procedure and has helped so many couples who for one reason or the other cannot have a child. Some people because their fallopian tubes are blocked, they live a life of condemnation, some people because of a surgery they did that destroyed some parts of their reproductive system, it is not a fault of theirs. Some men whose spermatic cord are mistakingly tied for instance, during herniorrhaphy but still have sperm in their testes, are some of those cases that IVF has provided an answer to. The sperm or eggs in these cases can be harvested and used to achieve pregnancy and the couples will be satisfied. Remember that marriage in an African setting is for child bearing. No matter how much love they confess to each other other, once a child is not there, the love vanishes. (general laughter).

FBD: So sir, what are the dangers associated with IVF?

Prof: The dangers are minimal I will say but the one we really know of is hyperstimulation syndrome. During the process of trying to get the eggs, if you overstimulate the ovaries, they can develop hyperstimulation syndrome and if it is severe, can lead to death. But every doctor who is using this technology knows how to avoid that, using proper precautions. Once the syndrome is not there, you can do IVF as many times as it is possible.

FBD: How far has IVF spread in Nigeria? Is it something we have cottoned on to?

Prof: IVF is all over the country and has come to stay, the challenge is that it is still very expensive. In developed countries, people have health insurance and can take care of about 6 cycles of IVF, but in Nigeria, people pay from their pockets. PROF1 Professor Joseph Ikechebelu MD Life Specialist Hospital Nnewi

FBD: Why is it so?

Prof: Because our health insurance scheme is still very young, so they start by covering those basic ailments that affect more people- the masses. Fertility affects just about 2-3% of the general population.

FBD: What is your advice to people out there who have fertility problems?

Prof: Well my advice is if you want to have a child of your own when natural conception is impossible, IVF provides a solution to that so once you can afford the money, go for it.

FBD: Are you also advising people all over the country who need IVF to come down to Nnewi?

Prof: There are many fertility centres all over the country where IVF is done, but if you feel that what we are doing is good enough for you and you have faith, why not? I always tell people to have some faith in whatever they do. This is science but we still need to have some faith.

FBD: I was going to ask what it is with doctors and faith because everywhere you go, you hear them saying something like In God we trust….We treat but God heals…

Prof: (smiles) Yes, faith is important because we still have some limitations in IVF. There are some certain areas that are not within our control for instance, the preparation, harvesting of the eggs and the fertilization can be controlled, we can put it in the incubator, we can even do intracytoplasmic sperm injection (ICSI) where we can select a single sperm cell and inject it into an egg…yes we can do all that but once the embryo is formed, check it, select it and put it inside the womb, at that stage of what we call embryo-endometrial cross stuck, from there, we have no other control and that is where we apply faith to get it to implant. We however, know that there are things that can be done to increase the rate of implantation but they are still under research. That is also the stage where most IVF procedures fail.

FBD: Alright prof, thanks for granting us an audience, we are most grateful.

Prof: Thank you.

FBD: uhm…, we also wish to talk to the surrogate mother and the biological mother of the baby, is it possible?

Prof: Oh well, it is possible and i have spoken to them earlier about it but high level of confidentiality should be maintained in this case…you understand?…

Written by Dr. JOY OKECHUKWU EBUSSON of facebookdoctor team

Sunday, June 29, 2014

Nigeria records Oldest IVF Mother in Africa as 60 year old delivers baby girl

A woman said to be 60 has just been delivered of a baby at a Lagos hospital. For 31 years, Mrs Omolara Irurhe was globetrotting not for pleasure but in search of a child. She was a guest in the best hospitals.

But in 2010, her journey ended in the most unlikely hospital and country when she began an Invitro Fertilization (IVF) treatment at the St. Ives Hospital in Lagos. On Monday, what began as a seed hope four years ago culminated in the delivery of a bouncing baby girl.

Mrs. Irurhe becomes the oldest IVF mother in Africa. The global recognition for oldest IVF delivery goes to Rajo Deri Lohan, an Indian who in 2008 was delivered of a baby at 69 years.

The IVF Unit at St. Ives Hospital successfully aided the conception and delivery of the baby and has now equaled the United Kingdom’s record of IVF age delivery.

The team of doctors at the hospital was led by the Chief Medical Director, Dr. Tunde Okewale, who expressed joy at the successful delivery. Okewale said the physical condition of the mother – and not just the age – is a major factor that determines the success of conception and delivery through IVF.

“We treat only after strict medical check of couples. For us, age is not important in our decision to take her on; what was important is the physical condition of the mother. Older women generally make better patients in our experience,” Okewale said.

The new mother was full of enthusiasm and joy over her new baby. She said what kept her going after many years of childlessness was faith in God and a belief in herself.

Mrs. Irurhe said she had tried to have a baby for many years and had gone to many hospitals both within and outside the country for a solution to her childlessness. But in 2010, her journey came to an end when she was introduced to St. Ives Hospital and the treatment began.

“I believe we should not limit God and what the doctors can do in this modern age. I believe this is the appointed time. I was very hopeful throughout the years I was childless and I remained focused on God. We went to many hospitals but we didn’t give up,” she said.

The joyful mother said her husband’s Catholic faith prevented him from marrying a second wife as the two of them put their faith in God.
“We didn’t have much pressure, even though our marriage is cross cultural –I am Yoruba; my husband is Edo- but we remained hopeful,” she said.
Desmond Adekunle Irurhe was elated at the birth of his baby. When asked if she supported his wife going for the IVF he replied: “ I supported her throughout because my wife was dogged and she believed in herself. When I saw her faith, I had no choice but to go with her. She kept telling me she would have her child”.

The husband said even though there was some pressures, it wasn’t too much. “I wasn’t thinking of another wife. I came from a monogamous family and I decided she is all I will have. The family was understanding too and we fought together to get this baby.”
Irurhe praised the medical team at the hospital, saying they made everything easy for them. “ The hospital didn’t give us any problem, they were very helpful and we thank them for the successful delivery.”
With the successful delivery, hope rises for older women who may want to go the way of IVF in child conception. In Nigeria, the cost of the IVF treatment varies but from available statistics, the most expensive treatment is under N2million. The Iruhres paid less than N1 million for their successful treatment.

“I will advise couples who are trying to get a baby to try the IVF. My case has rekindled hope for the barren woman. I will say the couple should relax and take it as it comes, they will surely smile,” the mother said.
Having a first child at the age of 60 years may not be the norm but for the mother, it is an experience she does not mind going through again. “ I don’t know if I will have another baby, but if the doctors say I can, I will try it,” she said, smiling.

Mrs. Omolara Irurhe: We have tried for many years to have a baby and after we failed to get a baby naturally we opted for the IVF. We had gone to many hospitals before here but the treatments that we received didn’t work. We came in contact with this hospital in 2010 before we delivered this baby.

“I give glory to God, we kept our faith in God, we believe this is God’s appointed time.

Sunday, February 2, 2014

The Hope Valley Clinic introduces new IVF technique to tackle infertility

Towards  reducing the burden of infertility in Nigeria, a new  In vitro Fertilisation (IVF) technique- Intracytoplasmic Morphologically Selected Sperm Injection (IMSI) has been introduced by The Hope Valley International Clinics Ltd, Lagos designed to achieve a  higher clinical pregnancy rate.

 The technology  according to the hospital  is capable of   magnifying sperm 600 times more than other  existing techniques like the intracytoplasmic sperm injection (ICSI)  for better fertilization and implantation of the human eggs.
IVF and other assisted reproductive technologies have become a well accepted  medical treatments for infertility globally .


Available statistics show that  over  4,000 babies have been born through IVF  in Nigeria and five million globally.


The first IVF baby, Louise Brown, was born in England 34 years ago, while the first in black Africa was on March 17, 1989, at the Lagos University Teaching Hospital (LUTH), Idi-Araba.
European Society of Human Reproduction and Embryology (ESHRE) in a story published recently by Agence France Presse (AFP) said as the initial controversy over man’s scientific manipulation of nature has faded, about 350,000 babies conceived in petri dishes are now born every year.


Managing Director of  the clinic, Dr. Michael Ogunkoya, said the technology  was introduced to assist couples with fertility problems have their own children, stressing that  IMSI is an essential tool for breaking barriers in infertility management.
Ogunkoya stated that the overall effect of availability of IMSI was to improve success rate in terms of pregnancy rate and take home baby rates which has “ become evident at The Hope Valley Clinics in the last few years.”

Friday, December 13, 2013

REGULATING IVF TREATMENT IN NIGERIA


InVitro Fertilisation (IVF) is increasingly becoming a
method of bringing joy and laughter to fertility challenged couples all over the world. According to recent reports over one million babies have been conceived through the test-tube method globally with 40,000 taking place in Nigeria.

Many marriages which had hitherto hit the rock in Nigeria due to the problem of childlessness have been restored. So, it’s all kudos to the technology and the experts who have been involved in the service, particularly in Nigeria.

However, for us to continue to enjoy the benefits of the life giving  technology, it is important, doctors and other stakeholders look into some disturbing practices that have crept into the scene. There seems to be no regulatory measures concerning the practice as a result of which incompetent and unethical methods are now the order of the day.

I recently heard a story of how a donor egg was used for a couple without their consent. Fortunately, the woman had a little knowledge of IVF procedure and was able to detect that something was wrong. She knew that for an embryo to be produced, a woman’s egg should be collected and fertilized with a man’s sperm.
But in their own case, her husband’s sperm was collected after which she was asked to come to the clinic for embryo transfer. She was surprised and wanted to know how the embryo came about without her egg. What followed was accusations and counter accusations between the couple, the doctor and his staff which eventually ended at the police station.

A lot of other cases of unethical practices abroad. Practitioners do all kinds of things to convince couples that they are the best and live them to their clinics, just to make money.

In 2012, the Association for Fertility and Reproductive Health (AFRH) of Nigeria, approved minimum standards for clinics offering Assisted Reproductive Technology (ART)/IVF in Nigeria.

The guidelines which focused on the type of personnel that can operate in an IVF Clinic, the qualification, and experience necessary for such clinic operations also outlined the number of embryos that can be transferred in a treatment cycle. It recommended a maximum of two embryos for patients less than 30 years old, three for 31-38 years old, and not more than four for those above 38 years. It also required and mandated all IVF centres to keep records of procedures and have informed consent.

Unfortunately, accounts of couples who have undergone IVF treatment show that what obtains in many clinics is far from the recommendations of AFRH. In some cases, like the one I narrated earlier, the details of the procedure are known only to the doctor. Capitalising on the ignorance of some couples and their desperation to have their own children, the doctors manipulate the procedure, throwing all ethical guideline over board to achieve results. Many of them insert up to seven fertilized eggs instead of the recommended numbers inspite of the dangers it poses to the mother and the baby.

What about quacks who have hijacked the technology. At a public event recently, the Chief Medical Director, The Bridge Clinic, Dr Richard Ajayi, lamented that more than 60 per cent of people offering IVF service in the country do not have the facilities and qualified personnel for it, but have continued to do so in order to get money from patients.

He said that due to the perceived financial benefits and patronage, doctors and health workers who know little or nothing about IVF have continued to take advantage of couples in need by offering services they lack the right infrastructure to offer.

We all know that IVF treatment is very expensive. Infact, to go through one treatment cycle, some couples have to sell their properties or borrow money from different sources. It will therefore, be intensity of those  in authority to allow these couples to be ripped off by doctors, both the qualified and unqualified ones. The  procedure for IVF and the cost should be standardised.

Strict regulation and monitoring of IVF activities in the country is the only way to protect the patients and eliminate quacks from the system. It will also serve as a check for medical practitioners who have been making false claims to draw more patients. As Professor Osato Giwa-Osagie, co-pioneer of IVF  in Nigeria advised, “we must regulate how many embryos should be transferred. We must determine what qualifies you to operate an IVF clinic and what should be the qualification of doctors who offer infertility treatments.”

In addition; couples opting for IVF should be educated properly on the procedures for the treatment. Ignorance, can be very dangerous to the mother, the baby and can lead to continuous waste of money and emotional trauma.

 

By Calista Ezeaku