Artificial Insemination• http://www.youtube.com/watch?v=

VGuUv3u92KI• http://www.youtube.com/watch?v=

qCdIiLLF0vw&feature=related• http://www.youtube.com/watch?v=

eO27B563GYg&feature=related

Artificial Insemination• Homologous: Sperm comes from

significant other

• Heterologous: Sperm comes from a donor

Heterologous Insemination• Consent: Husbands consent

required by some states– Avoid a “wrong” to the husband– Could sustain a suit for damages

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?

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???

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

Fetal Mortality Rate• Twins: 16 per 1,000 live births (2.7

times higher than sigletons)• Triplets or Higher: 27.18 per 1,000

live births (5 times higher than singletons)

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

Selective Reduction• Pregnancy of three or more fetuses• Selectively reduce pregnancy by

one or more fetuses• Improve survival possibility of

pregnancy

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

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

Nadya Suleman• http://www.youtube.com/watch?v=

r8pkQ8PSkwE

Just for fun• http://www.youtube.com/watch?v=

mZH_4j1_lM0&feature=related