What You Need to Know ABOUT IVF 2 Introduction IVF • Causes of infertility Childless couples i.e. .man (male) and wife (female) IVF has medical, legal, religious, ethical and moral aspects Kenya Christian Professional Forum (KCPF) Treatment of last recourse for infertility 3 Introduction Male Female Other • Abnormal sperm production or function • Problems with the delivery of sperm • Overexposure to certain chemicals and toxins • Damage related to cancer and its treatment, • Ovulation disorders • Uterine or cervical abnormalities • Fallopian tube damage or blockage • Endometriosis • Primary ovarian insufficiency • Pelvic adhesions • • • • Thyroid problems Cancer and its treatment Certain medications Other conditions – absence of menstruation (amenorrhea), – sickle cell disease, – kidney disease – diabetes, Kenya Christian Professional Forum (KCPF) Causes of Infertility 4 Right to Life 5 Right to Life The Concern laboratory After fertilisation an embryo is formed: a new human being This embryo is a person scientifically, ethically & legally as per the Constitution of Kenya The right to life of this person is guaranteed by The Constitution of Kenya 2010 Article 26:1 & 2 • • 26:1 Every person has a right to Life 26:2 The life of a person begins at Conception Kenya Christian Professional Forum (KCPF) Human eggs and sperms are mixed in a 6 Donor Origins (who am I) Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Age of consent? Informed consent? Relationship to the IVF child parenteral responsibility according to Children’s Act? Commercialization? Health Risks? Kenya Christian Professional Forum (KCPF) Harvesting of egg & sperm 7 Right to Life Concern Origins (who am I) Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Storage and disposal? Ownership? Commercialisation? Selective abortion? Abuse in scientific research e.g. designer babies, chimeras, cloning etc..? Kenya Christian Professional Forum (KCPF) Harvesting of egg & sperm 8 Surrogacy Origins (who am I) Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Abnormal babies Divorce of commissioning parents Death of commissioning parents Medical complications-Surrogate Mum Multiple Pregnancies/Selective abortion Kenya Christian Professional Forum (KCPF) Harvesting of egg & sperm 9 Children Rights Origins (who am I) Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Right to know the donor.; At what age? What of the under age child? Responsibility of the donor to the child? Genetically transmitted diseases? Risk of marrying close relatives if parentage is not disclosed? Kenya Christian Professional Forum (KCPF) Harvesting of egg & sperm 10 Legal Implication Is it a right for every couple to conceive their own baby? If yes, according to Article 43a of constitution the government can be forced to offer IVF services to all infertile couples. That makes the IVF bill a money bill (affect government spending)? The egg donor who suffers complications can sue. The IVF generated child can sue to know parent and get support. Ownership of excess embryos in case of a completed family size, death or divorce? Origins (who am I) Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Kenya Christian Professional Forum (KCPF) Harvesting of egg & sperm 11 Social utility Origins (who am I) and practices Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Kenya Christian Professional Forum (KCPF) IVF vs single men and women IVF vs same sex unions ( outlawed in Kenya) IVF vs religious and cultural beliefs Harvesting of egg & sperm 12 Origins - Who am I? Death of commissioning parents die before the birth of the baby? Can baby inherit anything from commissioning parents estate? Congenital abnormalities Origins (who am I) Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Embryo implanted into the Womb (mother or Surrogate) Social Utility 9 months pregnancy Legal Implication Birth of baby Kenya Christian Professional Forum (KCPF) Harvesting of egg & sperm 13 • Age of consent • Informed consent • Relationship to the IVF child- parenteral responsibility according to Children’s Act • Commercialisation • Health Risks • IVF vs single men and women • IVF vs same sex unions (outlawed in Kenya) • IVF vs religious and cultural believes and practices. Mixing egg & sperm (fertilization) to form EMBROY CONCEPTION OCCURS HERE Origins (who am I) Storage and disposal Ownership Commercialisation Selective abortion Abuse in scientific research e.g. designer babies, chimeras, cloning etc Embryo implanted into the Womb (mother or Surrogate) Social Utility • Is it a right for every couple to conceive their own baby? • If yes, according to Article 43a of constitution the government can be forced to offer IVF services to all infertile couples. • That makes the IVF bill a money bill (affect government spending) • The egg donor who suffers complications can sue • The IVF generated child can sue to know parent and get support • Ownership of excess embryos in case of a completed family size, death or divorce • • • • • 9 months pregnancy Legal Implication Birth of baby • • • • • • • • • • • • • • • • Storage and disposal Ownership Commercialisation Selective abortion Abuse in scientific research eg designer babies, chimeras, cloning etc Selective abortion Abnormal babies Divorce of commissioning parents Death of commissioning parents Medical complication of surrogate mother Right to know the donor. At what age? What of the under age child? Responsibility of the donor to the child Genetically transmitted diseases Risk of marrying close relatives if parentage is not disclosed Kenya Christian Professional Forum (KCPF) • Death of commissioning parents die before the birth of the baby? • Can that baby inherit anything from commissioning parents estate. • Congenital abnormalities. Harvesting of egg & sperm 14 Recommendations first – it is comprehensive and covers IVF. There are many alternatives to IVF e.g. adoption and Naprotechnology that have fewer legal, ethical, moral and religious concerns. Need to consult public and stakeholders. Kenya Christian Professional Forum (KCPF) Health Bill should be introduced 15 Kenya Christian Professionals Forum, AEA Building, Next to Dental School, Valley Road, P O BOX 4223-00100, GPO Nairobi, Kenya. Kenya Christian Professional Forum (KCPF) Thank You! Tel: (+254)718 715 079 Email: [email protected]/ [email protected] www.kcpf.or.ke 16
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