February 18, 2009

Growing Consensus on Genetic Risks of IVF

In vitro fertilization has generally been considered safe since the first IVF baby was born more than 30 years ago. But recent studies unveil a number of risks that couples considering the procedure should be aware of, reports Gina Kolata of the New York Times.

These IVF-related risks may include increased risk of low birth weight and premature birth, as well as severe birth defects like “a hole between the two chambers of the heart, a cleft lip or palate, an improperly developed esophagus, and a malformed rectum.” Studies indicate that IVF possibly give rise to abnormal genetic expression patterns that are responsible for these genetic disorders.

In addition to the more common birth defects, children born by IVF are also suspected to be at greater risk for other genetic disorders that are much rarer: Beckwith-Wiedemann syndrome (children with this syndrome are much more predisposed to childhood cancers of kidney, liver or muscle) and Angelman syndrome (severe mental retardation, motor defects and inability to speak).

Although certain risks of in vitro fertilization are beginning to surface, no finding is conclusive yet – these are preliminary studies that show “comparative risks,” but no “absolute risks” are known yet. Researchers are still in the process of discovering exactly what the risks are and what can be done to minimize them. More research reports will be available as scientists track the development and growth of babies born by IVF, and couples interested in fertility treatment should educate themselves about the risks in order to make informed decisions.

August 16, 2008

Highway Proximity and Infant Health

A recent Canadian study shows that pregnant women who live near highways are more likely to give birth to premature or low-birth-weight infants--but only among wealthy mothers. Pollution from the highways is what causes these effects, researchers say. The reason why these results are not found among poorer mothers is, says lead researcher Dr. Melissa Generoux, because poorer mothers have so many more risk factors that this particular single factor has less of an obvious effect. Wealthier mothers, safe from other risks, are more likely to be noticeably affected by this one factor.

Expecting mothers are bombarded with advice and even lectures on the minutest details of what they consume during pregnancy, and are often overcome with anxiety over these matters. Yet they and their children are still powerfully affected by factors outside their personal control, such as the level of pollution near residential areas.

April 17, 2008

Child Wins Birth Defect Settlement

The migrant worker parents of a 3-year-old Florida boy have won a significant settlement from Ag-Mart Produce, arguing that their child's birth defects were caused by exposure to pesticides in Ag-Mart's fields. This is enough to provide for the boy's expenses for the rest of his life, as the plaintiff's lawyer says. From the article:

Terms of the settlement have been kept private, but the family's attorney, Andrew Yaffa, said the money is "significant." Carlitos will not have to worry about medical care the rest of his life.

"Hopefully, someday, some way through medical research, they will be able to equip him with a wheelchair so he can gain some independence," Yaffa said.

Carlitos' parents said the boy is representative of many more children affected by pesticides, but their families are afraid to come forward. Yaffa credited the family for exposing deplorable conditions in farm work and creating changes that will benefit others for years to come.
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