Breaking News

Avenues IVF programme results in eight test tube births

by Agencies
29 March 2018 | 1279 Views
The in vitro fertilisation (IVF) programme reintroduced at The Avenues Clinic in Harare in 2016 is proving successful, with eight live births so far and 20 ongoing pregnancies.

The IVF Zimbabwe team led by Dr Tinovimba Mhlanga has successfully managed some complicated fertility problems, including a rare case of hypogonadotropic hypogonadism, which is a deficiency of gonadotropin hormones resulting in a patient having a small uterus and absence of menstruation.

It has enabled women with blocked or tied tubes and other fertility problems to become pregnant. The team has made it possible for HIV negative women who are reluctant to have intercourse with their HIV positive husbands to conceive through intra-uterine insemination (IUI) and give birth to healthy HIV-free babies, with the mother remaining HIV negative.

IVF is the process through which a baby is conceived outside the body through the fertilisation of human eggs by sperm in a dish in a laboratory, hence the term test tube babies.

Normally the mother receives treatment to stimulate the formation of follicles, after which Dr Mhlanga extracts eggs in the follicular fluid from the mother through aspiration under ultrasonic guidance in an operating theatre adjacent to the IVF Laboratory at The Avenues Clinic.

They are then passed in a tube through a hatchway between the theatre and the laboratory to embryologist Tinei Makurumure. The eggs and sperm provided by her husband are then placed in a fertilisation medium in a dish in the laboratory.

The woman goes home soon after the eggs have been harvested. The embryologist monitors closely the development of any embryos. A few days later, when there is an embryo ready to be transferred in her womb, the woman comes back for embryo transfer.

 A microscope video camera facility is one of the recent innovations introduced in The Avenues IVF laboratory and theatre.

"Through the microscope video camera facility, the patient is able to see which embryo is picked and we are able to explain why we have chosen one embryo over another. They are able to see everything as it happens in the laboratory while they are in the theatre," Dr Mhlanga said.

Unused embryos are frozen for possible future use. The first mother to give birth to an IVF baby last year returned later in the year to have a frozen embryo transferred in her womb. She is now pregnant for the second time. She and her husband had been wanting a baby since they were married in 2012.

One of the eight women who gave birth after going through IVF had reached menopause but managed to conceive through donated eggs.

Dr Mhlanga said there had been two cases where a woman's husband was unable to be around during the time the woman was likely to be ready to have her eggs harvested, which meant they would be unavailable when their sperm was needed.

In both cases the men provided their sperm ahead of the procedure and their sperm was frozen and kept until it was required.  

The woman suffering from hypogonadism had an exceptionally small womb, low levels of oestrogen and no menstrual periods.

 "We gave her an oestrogen supplement to restore her periods and bring her womb to normal size before undertaking the IVF. She is now more than 20 weeks pregnant and doing well," Dr Mhlanga said.
He said with another patient the poor quality of the husband's sperm necessitated intracytoplasmic sperm injection (ICSI), a procedure whereby a sperm is injected directly into an egg.

In those cases where women were fertile but reluctant to have sexual intercourse with their HIV positive husbands, the husband's semen was washed and put through semen wash that ensured it was free from HIV, Mr Makurumure said. He said HIV cannot penetrate sperms but can be present in semen.
 
Dr Mhlanga said the team had dealt with cases of HIV serodiscordant couples, that is couples where one partner is HIV positive and the other is HIV negative. In all cases the babies conceived through IUI were born free of HIV.

The team is also happy to have successfully imported frozen embryos belonging to a Zimbabwean couple from South Africa so that they can have frozen embryo transfer in Zimbabwe. IVF Zimbabwe has the capacity to import embryos from all over the world so that transfer can be done locally.

He said that the programme was assisting not only Zimbabwean couples who were unable to have children without IVF but couples from other countries as well, particularly Mozambique. The team had a Portuguese interpreter on site to facilitate communication with Mozambican patients.

The team has continued to receive valuable consultative advice from partners in Australia. It has joined the African Network and Registry for Assisted Reproductive Technology (ANARA), which is a surveillance group that collects data from most IVF centres in Africa, analyses it and disseminates information on the availability, effectiveness and safety of ART at these centres.

An official at The Avenues Clinic said the success of the IVF programme was pleasing.
"We are proud of the fact that the country's first IVF programme was carried out at The Avenues Clinic in the 1980s and 1990s and that the reintroduction of the programme here in 2016 has been such a success.

"It has meant that couples who may have given up hope of having a baby are now able to experience the joy of having their own baby as a result of the expertise of the IVF team and the technology employed in the IVF procedure," she said. She added that as one of the country's leading health facilities, the clinic will continue working on other programmes that add value to the community and champion great service delivery.
IVF test tube births Dr Tinovimba Mhlanga

Source: Agencies

Comments

Latest News

Open letter to Innocent Kufa - Dear Sir,      ...

by Gordon W. McFarlane | 23 February 2019 | 11 Views

Mnangagwa's gamble works for the economy - Monetary Policy is defined ...

by Dr Masimba Mavaza | 23 February 2019 | 2 Views

Zimbabwe's rural politics - The vulnerability of Rural Zimbabweans pol...

by Clement Moyo | 23 February 2019 | 4 Views

ZAA International launches Canada Edition

by Agencies | 23 February 2019 | 6 Views

Callistus Ndlovu to be buried today

by Staff rpeorter | 23 February 2019 | 7 Views

Chamisa snubs Mnangagwa indaba, again

by Staff reporter | 23 February 2019 | 4 Views

Cop faces 3 counts of criminal abuse of office - An Odzi police office...

by Staff reporter | 23 February 2019 | 1 Views

Ex-Zanu-PF MP in court over $9 000 debt - Former Zanu PF Mbire legisla...

by Staff reporter | 23 February 2019 | 6 Views

Mnangagwa solidarity march flops

by Staff reporter | 23 February 2019 | 1 Views

Can Zimbabwe learn from history, the pain of yesteryear? - CENTRAL ban...

by Editorial - newsday | 23 February 2019 | 4 Views

Shamed cheat commits suicide - A 41-YEAR-OLD married Shamva woman comm...

by Staff reporter | 23 February 2019 | 5 Views

Man found with live pangolins in bedroom - A BULAWAYO man has been arr...

by Staff reporter | 23 February 2019 | 7 Views

On the run MDC MPs, not on the run, says MDC

by Staff reporter | 23 February 2019 | 1 Views

Ex-cop sues Mathema, Matanga for contempt of court - A FORMER police o...

by Staff reporter | 23 February 2019 | 5 Views

Seven key PSL venues, including Rufaro condemned

by Staff reporter | 23 February 2019 | 1 Views

Zimbabwe lost $2 billion on 1:1 forex exchange rate

by Staff reporter | 22 February 2019 | 86 Views

Abusive Zanu-PF councillor sets wife alight - Zanu-PF Ward 9 councillo...

by Staff reporter | 22 February 2019 | 97 Views

Chamisa cries as his political career ends

by Dr Masimba Mavaza | 22 February 2019 | 462 Views

'Chamisa, Mnangagwa power-sharing not on the agenda'

by Staff reporter | 22 February 2019 | 68 Views

Ginimbi to 'tour' Australia

by Staff reporter | 22 February 2019 | 101 Views

Fake news rocks Zimbabwe military - Zimbabwe National Army has disowne...

by Staff reporter | 22 February 2019 | 215 Views

Caps United avert player strike over unpaid dues - HARARE giants Caps ...

by Staff reporter | 22 February 2019 | 36 Views

Mnangagwa courts Chinese

by Staff reporter | 22 February 2019 | 79 Views

Zimbabwe/South Africa officials to meet ahead of Ramaphosa visit

by Staff reporter | 22 February 2019 | 60 Views

MDC Alliance members run away with ballot papers - DIVISIONS in the MD...

by Staff reporter | 22 February 2019 | 102 Views

Woman arrested for obscene message to lover's wife - A 28-YEAR-OLD wom...

by Staff reporter | 22 February 2019 | 105 Views

Bulawayo takes deliberate affirmative action policy

by Staff reporter | 22 February 2019 | 47 Views

Two stabbed, axed in gold rush - AN illegal gold panner from Plumtree ...

by Staff reporter | 22 February 2019 | 47 Views

Bosso zero in on three for captaincy - HIGHLANDERS' technical bench ha...

by Staff reporter | 22 February 2019 | 28 Views

Entertainment

TinTin suffers mental illness scare

by Mandla Ndlovu | 19 February 2019 | 4134 Views

Bulawayo artiste blasts Mnangagwa - BULAWAYO artiste Njabulo "SizFire"...

by Staff reporter | 18 February 2019 | 609 Views

Jabu features in nasty indecent tape - Studio 263 actor Jabu (real nam...

by Staff reporter | 18 February 2019 | 1471 Views

Omkhula lament lack of arts promoters in Zimbabwe

by Staff reporter | 17 February 2019 | 1057 Views

'Bulawayo artistes more popular outside Zimbabwe'

by Staff reporter | 17 February 2019 | 879 Views

Sex makes Zodwa Wabantu fat

by Staff reporter | 17 February 2019 | 3419 Views

HIFA 2019 cancelled

by Mandla Ndlovu | 15 February 2019 | 764 Views

WATCH: Jah Prayzah and Misred drop Kunerima video

by Mandla Ndlovu | 12 February 2019 | 5538 Views
iBlog

Samsung Gear Vr Innovator Edition For S6: The Perfect Vr Intro For Professionals

we're drenched in talk about the impending wave of consumer-facing vr headsets about to hit the market, starting at the end of 2015. by contrast, you can walk into a best buy right now and pick up the samsung gear vr innovator edition for the galax... Read More
Sergey 20 June 2015 ago

What To Look For In Video Converter Software

looking for the best video converter software? you have to compare different video converters before making a purchase.the ability to watch video on different types of devices is a wonderful thing. not so wonderful are the compatibility issues that ... Read More
Sergey 19 June 2015 ago