Thursday, 6 March 2014

All about surrogacy, how to decide on surrogacy in India?



Wombs on Rent? What Is this term?


Surrogacy is an arrangement between a woman and a couple or individual to carry and deliver a baby. Many couples have pursued surrogacy in india and have been able to have a child with the parents own genetic material or with the assistance of a donor egg.Many couples have pursued surrogacy in India and have been able to have a child with the parents own genetic material, or with the assistance of a donor egg, and the help of an Indian surrogate Many couples have pursued surrogacy in India and have been able to have a child with the parents own genetic material, or with the assistance of a donor egg, and the help of an Indian surrogate Many couples have pursued surrogacy in India and have been able to have a child with the parents own genetic material, or with the assistance of a donor egg, and the help of an Indian surrogate


Generally there are two types of surrogates.

Traditional surrogates. A traditional surrogate is a woman who is artificially inseminated with the father's sperm and she is the baby’s biological mother as it was her egg that was fertilized by the father’s sperm. She then carries the baby and delivers it for the parents to raise. Donor sperm can also be used for a traditional surrogacy.

Gestational surrogates. With IVF treatment it is now possible to harvest eggs from the mother, fertilize them with father’s sperm, and place the embryo into the uterus of a gestational surrogate. The surrogate then carries the baby until birth. Here the gestational surrogate has no genetic ties to the child as it was not her egg that was used. The biological mother, though, is still the woman whose egg was fertilized.

Who can use Surrogates?

  •  Women who have medical problems with their uterus or have got their uterus removed with the hysterectomy procedure.
  • Women who have been unsuccessful to become pregnant with various ART techniques such as IVF
  •  For those who have been declared medically risky pregnancy such as severe heart issues.
  • For people who might not be able to adopt a child due to their age, marital status or sexual orientation.

To find a surrogate who can help you?
Friends or family – A friend or relative can be a surrogate if willing though there are chances of same genes between first-degree relatives. But a tried and tested family relationship is easier to manage provided the high cost of surrogacy and the legal issues complexity.

A surrogacy agency - Helps would-be parents find a suitable surrogate, makes arrangements, and collects any fees passed between parents and the surrogate, such as reimbursement for her medical expenses

You should choose a surrogate who:

  • Is at least 21 years old.
  • Has already given birth to at least one healthy baby so she understands the medical risks of pregnancy and childbirth and the emotional issues of bonding.
  • Has passed a psychological screening
  • Willingly signs a contract agreeing to her role and responsibilities in the pregnancy, such as steps she'll take to ensure prenatal care and to relinquish the baby after birth.
  • Surrogates also need screening for immunity to measles, rubella (German measles), and chickenpox. Medically the normal structures of the uterus is observed to evaluate the potential to carry a pregnancy.

Continue reading below...
Legalities With Surrogates in India
Commercial surrogacy in India is legal since 2002. This industry has grown fast due to the availability of medical infrastructure and potential surrogates, combined with international demand.

Currently to undertake surrogacy in India you must apply for travel on medical visa. If donor eggs are used or you are sending embryos from your home country only 3 to5 days need to be spent in India. 5 to 15 days need to be spent in india if own eggs are used.
To Know More Surrogacy in India Contact Us Now...

About Us:-
Fertility First is Fertility Clinic in Mumbai, India. Fertility First provides affordable male, female ivf treatments, surrogacy, embryo transfer, egg, sperm donation services.

Contact Us:-

Parakh Hospital
Khokhani Lane,
Opp. Ghatkopar Rly. Stn.,
Ghatkopar (E), Mumbai - 400 077
Phone: 022 - 67827000 / 7004 / 7005
Fax: 022 - 6782 7007
Emergency:9821125519/9821237708
Email: info@fertilityfirst.in
 

Wednesday, 5 March 2014

Due for delivery ! Looking for painless childbirth, it is possible with epidural analgesia.



Why painless childbirth?
Normally childbirth is a process where there are intense contractions of the uterus and that causes pain. The incidence of normal delivery in women of rural areas is more compared to urban women as they are generally active throughout the 9 months of pregnancy and their pain bearing capacity tends to be more than women in the cities.

Biologically every woman is different because of that, each of them experiences childbirth differently and will feel different amounts of pressure and pain. Some women's bodies are simply better designed for fast, mostly painless childbirth. Others have a stronger level of mental control and can easily 'tune out' the pain. But even for those who aren't naturally designed for an easier birth experience, there are still plenty of ways to help reduce and alleviate the pain. One of the options for Painless Delivery with an epidural anesthesia in medical terms it is called the “Epidural Block.” A woman whose pelvic passage is adequate, and who wishes to opt for a normal delivery but is afraid of the pain can choose this option.


What Is an Epidural Analgesia procedure ?
Epidural anesthesia or analgesia refers to total or partial loss of sensation in the trunk between the fundus and the pubis or lower. It is the introduction of small doses of medicines into the lower back spine through a fine plastic tube. The back is cleaned with an antiseptic and the area where the catheter is to be introduced is numbed with a local anesthetic. The needle is then passed into the epidural space and one does not have to enter the spinal canal as feared by some. The tubing is then strapped to the back with tape and kept in place. Other than the prick of the local Anaesthesia there is generally no other discomfort. Once the tube is in place medicines are introduced into the catheter, which are enough to block your pain, but you will be able to push the baby.


Advantages of epidural block
Reduction in labor pain without affecting the mother's mental state.
The exhausted mother can sleep during the labor without being anxious.
Additional medication can be easily administered if needed once the catheter is in place.
  • Epidurals often lower blood pressure, this may benefit some women with pregnancy induced hypertension.
  • Epidurals reduce pain without reducing other sensations or muscle function, hence the women can change positions more easily than with anesthetics.
  • The women remains aware of her contractions and often continues to participate; using breathing patterns and other comfort measures.

Disadvantages of epidural block
Epidural blocks carry some risks to the mother, fetus and newborn. Unwanted effects tend to be greater

On the mother like:

Inadequate pain relief (up to 10%)
Drop in the mother’s blood pressure
 Short or long-term backache from bruising caused by the injection or from ligament strain caused by prolonged time spent in a damaging position or inappropriate movement
Long-term backache is almost twice as likely to occur with an epidural than without.
Possible unintentional spinal block and resulting spinal headache requiring days of bed rest.
Mild to severe itching of the skin
Retention of urine, requiring a bladder catheter.
Problems caused by human error or maternal structural anomaly, such as inability to place catheter properly; inadvertent injection of anesthetic into a blood vessel; or too much anesthesia, affecting respiration and swallowing (rates vary with skill of the practitioner and anatomy of the mother).
Rare complications, such as residual numbness or weakness from needle injury to nerves
Delayed respiratory depression with epidural narcotics


Undesired effects on the fetus:
Abnormal heart rate patterns,
If the mother develops post epidural fever, it can affect the baby by passing on the infection thus leading to need of antibiotics etc for the baby.


Undesired effects on the newborn:
Some babies may show subtle neurobehavioral effects, such as irritability and inconsolability and decreased ability to track an object visually or to shut out noise, bright light.
It is reported that there are more difficulties in feeding babies whose mothers had an epidural when compared to unmedicated babies.
Decreased infant responsiveness may lead to long-term consequences for the parent-infant relationship.
Parents need to be counseled to give their babies time to recover from the birth and medication




To Know More Pregnancy treatment in india


About Us:-
Fertility First is Fertility Clinic in Mumbai, India. Fertility First provides affordable male, female ivf treatments, surrogacy, embryo transfer, egg, sperm donation services.

Contact Us:-

Parakh Hospital
Khokhani Lane,
Opp. Ghatkopar Rly. Stn.,
Ghatkopar (E), Mumbai - 400 077
Phone: 022 - 67827000 / 7004 / 7005
Fax: 022 - 6782 7007
Emergency:9821125519/9821237708
Email: info@fertilityfirst.in
 

Monday, 3 March 2014

InFertility Problems – Treatment Overview



What are Infertility problems?
You may have infertility problems if you haven't been able to get pregnant after trying for at least 1 year. It doesn't necessarily mean you will never get pregnant. Often, couples conceive without help in their second year of trying. Some don't succeed. But medical treatments do help many couples.

Age is an important factor if you are trying to decide whether to get testing and treatment for infertility problems. A woman is most fertile in her late 20s. After age 35, fertility decreases and the risk of miscarriage goes up.
  • If you are younger than 35, you may want to give yourself more time to get pregnant.
  • If you are 35 or older, you may want to get help soon.

What causes fertility problems?
In cases of fertility problems:
  • About 50 out of 100 are caused by a problem with the woman’s reproductive system. These may be problems with her fallopian tubes or uterus or her ability to ovulate (release an egg).
  • About 35 out of 100 are caused by a problem with the man's reproductive system . The most common is low sperm count.
  • In about 10 out of 100, no cause can be found in spite of testing.
  • About 5 out of 100 are caused by an uncommon problem, such as the man or woman having been exposed to a medicine called DES before birth.

Should you be tested for infertility problems?

Before you have fertility tests, try fertility awareness. A woman can learn when she is likely to ovulate and be fertile by charting her basal body temperature and using home tests. Some couples find that they simply have been missing their most fertile days when trying to conceive.
How are infertility problems treated?
A wide range of treatments is available. Depending on what is causing the problem, a couple may be able to:
  • Take a medicine that helps the woman ovulate.
  • Have a procedure that puts sperm directly inside the woman (insemination).
  • Have a surgery that corrects a problem caused by endometriosis or blocked fallopian tubes.
  • Have a procedure that might increase the man?s sperm count.

Which Infertility Treatment should you opt for?
Some infertility problems are more easily treated than others. In general, as a woman ages, especially after age 35, her chances of getting pregnant go down. But her risk of miscarriage goes up.
If you are 35 or older, your doctor may recommend that you skip some of the steps younger couples usually take. That's because your chances of having a baby decrease with each passing year.
It's important to understand that even if you are able to get pregnant, no treatment can guarantee a healthy baby. On the other hand, scientists in this field have made many advances that have helped millions of couples have babies.

Take time to plan
Before you and your partner start the infertility treatment, talk about how far you want to go with treatment. For example, you may want to try medicine but don't want to have surgery. While you may change your mind during your treatment, it’s good to have an idea where you want to draw the line.


Treatment for infertility can also cost a lot. And insurance often doesn't cover these expenses. If cost is a concern for you, ask how much the medicine and procedures cost. Then find out if your insurance covers any costs. Talk with your partner about what you can afford.
Thinking about this ahead of time may help keep you from becoming emotionally and financially drained from trying a series of treatments you hadn't planned for.


Types of Infertility treatment

- Treatment for the woman
Treatments for fertility problems in women depend on what may be keeping the woman from getting pregnant. Sometimes the cause isn't known.
  • Problems with ovulating. Treatment may include taking medicine, such as:
    • Clomiphene. It stimulates your ovaries to release eggs.
    • Metformin. It's used to treat polycystic ovary syndrome.

  • Unexplained fertility. If your doctor can't find out why you and your partner haven't been able to get pregnant, treatment may include:
    • Clomiphene.
    • Hormone injections.
    • Insemination.
  • Blocked or damaged tubes. If your fallopian tubes are blocked, treatment may include tubal surgery.


- Treatment for the man
Your doctor might recommend that you try insemination first. The sperm are collected and then concentrated to increase the number of healthy sperm for insemination.

When initial treatments don't work
Many couples who have problems getting pregnant arrive at a common point: They must decide whether they want to try assisted reproductive technology (ART).

  • In vitro fertilization (IVF) is the most common type of ART.
  • Intracytoplasmic sperm injection, or ICSI (say "ICK-see"). In a lab, your doctor injects one sperm into one egg. If fertilization occurs, the doctor puts the embryo into the woman's uterus.


To Know More About Infertility Treatment Clinics Mumbai Contact Us Now...


Fertility First
Khokhani Lane,
Opp. Ghatkopar Rly. Stn.,
Ghatkopar (E)
Mumbai - 400 077
Phone: 022 - 67827000 / 7004 / 7005
Fax: 022 - 6782 7007
Emergency:9821125519/9821237708
Email: info@fertilityfirst.in