Category Archives: Embryology

Fertility treatment and coronavirus: The Covid-19 baby boom jokes are hard to take – The Irish Times

The rest of the country only now have the experience of living with life on hold something Ive been dealing with for nearly three years, as well as my grief for my lost babies. This lockdown will end for most soon. Not so for us, says Elizabeth.

The emotional and psychological toll of undergoing fertility treatment is, she says, its own kind of lockdown.

In March, what Elizabeth describes as the lonely and heartbreaking wait for a baby was thrown into further uncertainty, when the European Society of Human Reproduction and Embryology (ESHRE) recommended that all fertility patients considering or planning treatment, even if they do not meet the diagnostic criteria for Covid-19 infection, should avoid becoming pregnant.

Patients whose treatment was already under way were advised to defer. But no such advice was given to those who did not need assisted reproductive treatment (ART) to become pregnant.

In March, the European Centre for Disease Control advised that there is no current evidence .. that infection with Covid-19 during pregnancy has a negative effect on the foetus no evidence of transmission of Covid-19 from mother to baby during pregnancy.

This caused distress and confusion for those undergoing treatment. I feel very discriminated against because there was no advice for normal women not to get pregnant, says Elizabeth.

Dr John Kennedy, medical director of the Sims Fertility Clinic in Dublin, says that the decision by Irish clinics to close was made in the national interest. Nobody actually formally directed us to close. But of course it is impossible to practice fertility treatment and maintain social distancing.

Fertility clinics were not originally classified as essential services. But the longer this goes on, the more essential we become, he says.

Last week, the ESHRE recommendations were updated to state that the pandemic is stabilising and the return to normal daily life will also see the need to restart the provision of ART treatments. The majority of Irish fertility clinics are planning to reopen from next week.

Even so, there remains a lot of uncertainty for the estimated 5,000-6,000 people who undergo fertility treatment in Ireland each year. Even before Elizabeths donor egg treatment was postponed, she had already experienced long delays including the nine months it took from her initial consultation to embryo transfer, a cycle which sadly ended in miscarriage.

At 43, she is acutely conscious of time passing. I havent had any updates from my clinic, just that theyll be contacting everyone. Im really hoping I can get started in June. Time goes by very slowly for women like me, and there can be many obstacles and delays.

The jokes about a Covid-19 baby boom are hard to take, she says.

Its time-sensitive, especially for the patients in their 40s. Its enough to make your mental wellbeing really poor, says Dr Bart Kuczera of the Beacon Care Fertility Clinic, which will also reopen next week.

But while the clinic will be open, he warns that you wont be able to start on Tuesday and have all the services available on Wednesday. Fertility cycles follow human reproductive cycles. So it will take at least a month for everything to be back.

For the clinics to reopen, major changes have had to be made in their operation, says Kennedy. Were completely changing how we work: longer days with less staff; theres going to be social distancing where possible for staff and patients; theres going to be appropriate use of personal protective equipment (PPE) which were in the process of sourcing.

Consultations will be virtual where possible, and some supportive drug treatments like immunotherapy and steroid treatment, wont be immediately available. All of the core things egg collection, ICSI, pre-implantation genetic screening will be proceeding as normal.

The early advice from ESHRE, that candidates for fertility treatment should avoid becoming pregnant, has left some women with lingering worries about potential risks. Every answer anybody gives has an asterisk beside it. We just dont know for sure. We think there arent any impacts unlike Sars and Mers, there doesnt appear to be an increased risk. It all appears safe, Kennedy says.

During recent virtual consultations, Kuczera noticed a sharp increase in the number of enquiries about egg freezing suggesting that some women were worried about a risk of becoming pregnant now, but wanted to try to protect their chances in the future. Half of the initial consultations were about egg freezing.

Even when the Irish clinics are once again up and running, for those had been undergoing treatment abroad, there are likely to be further delays.

Miriam travelled to Prague in the final days before international flights stopped so that she could undergo egg retrieval. She is very grateful for the care she received and has no regrets about her choice to undergo IVF there. But, she says, now we have no clue when we might get there to retrieve our embryos. It costs approximately 1,500 to have them shipped, and who knows the risks of that. I hope the governments of both countries recognise the trauma the ESHRE [recommendations have] caused to women like myself.

The Irish Times recently published a letter from another woman, Sarah K, describing the impact of the closure of clinics on her. Sarah K says now: Along with the universal uncertainty ... fertility patients have had to bear the added uncertainty as to whether this delay in treatment will affect their chance of becoming a parent. Im 42 and started this journey over two years ago. I never ever thought I would be still here, in this horrendous, anxiety-filled holding pattern.

As with everyone who spoke to The Irish Times, Sarah K is relieved at the updated ESHRE guidelines. Still, the waiting game goes on. Im still not sure as to when I will get to do my embryo transfer. I can only hope it is soon. Some might think it is only a few months delay, but for me every hour, day, month delay is an hour, a day and a month I wont have with my much longed-for child, and my parents wont have with their much sought after grandchild.

Names of those undergoing fertility treatment have been withheld to protect their privacy

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Fertility treatment and coronavirus: The Covid-19 baby boom jokes are hard to take - The Irish Times

What have couples been doing in lockdown? We might know in nine months – The Irish Times

Binge watching box sets, doing jigsaws and sharing almost every human activity possible through video apps are some of the most talked about ways of connecting and alleviating boredom during the coronavirus shutdown.

But what else are couples doing more of behind closed doors?

Maybe nine months will tell.

There has been plenty of light-hearted chatter predicting a wave of coronababies around Christmas and into 2021. A UK discount chain reported, with some glee, towards the end of April that sales of pregnancy test kits were up 25 per cent since the lockdown had begun in Britain on March 23rd.

However, while each pregnancy is ultimately the responsibility of just two people, whats going on in the wider society and economy have a huge bearing on a countrys birth rate. The current crisis is unprecedented and the ramifications are only starting to unfold.

We can only speculate on what impact the Covid-19 era might have, for better or for worse, on procreation in Ireland.

Here are some factors to consider:

At the outset, its important to understand the distinction between these two measurements when talking about increases and decreases in our baby population.

The fertility rate is the average number of children born to women of childbearing age (15-44), while the number of births is recorded as the number of live births per 1,000 of the population each year.

Here in Ireland, our birth numbers have shot up and down in recent decades while our fertility rate has slowly drifted downwards.

We had the highest birth rate in the EU in 2018, with 12.5 births per 1,000 residents while Italy recorded the lowest, at 7.3 per 1,000. However, this is primarily shaped by demographics (see below) rather than personal decision-making about whether or not to start, or enlarge, a family.

An EU comparison of fertility rates for 2017 showed Ireland had the third highest fertility rate, with 1.77 live births per woman, behind France, which topped the list with 1.90 live births per woman, and Sweden fractionally ahead of us with 1.78.

Sixty years ago, our fertility rate was 3.78 births per woman in 1960, the highest in Europe, and we held on to that top spot through 1970 and 1980 but by 1990 our fertility rate of 2.11 trailed that of Cyprus, Iceland and Sweden.

One of the biggest influences on Ireland in the past three decades has been migration, explains Prof Tony Fahey, Professor of Social Policy in UCD, and its effects are seen clearly in the maternity hospitals.

While the propensity of each woman to have children hasnt changed that much over the last 30 years, the number of children who have been born has changed enormously, he points out.

The Republics highest number of births in the 20th century was in 1980, at 74,064 according to CSO figures, and that fell to a low of just over 48,000 in 1994 reflecting the 1980s tide of emigration until a new peak of 75,554 births was reached in 2009.

The upsurge from the mid-1990s was driven entirely by the inflow of women in their late 20s, early 30s, so it was far more women having children, rather than women having more children, says Fahey. The tendency of the average woman to have children hasnt changed very much and has continued to be relatively high in Ireland.

In considering the impact of the coronavirus, he says its interesting to note that this pattern of childbearing was not affected much by the financial crisis in 2008 to 2012.

It did edge down a little, but you didnt get the kind of collapse you got in southern Europe and eastern Asia. We have never had a fall like that in Ireland but that could still happen.

Inward or outward migration, post-Covid-19, will depend not just on what happens to the economy in Ireland but also its relative performance to that of other countries.

We could have another bout of inward migration, or it could be flat, or, if recovery is stronger elsewhere sooner, we could have people leaving Ireland again, which would push the birth rate down again.

How was it for you? The change of life imposed by Covid-19 that is. Mixed anecdotal messages about increased or decreased sex drive could be broadly explained by individual responses to changes in circumstances and with whom youre sharing your home.

Just because many cohabiting couples have had more time and opportunity for sex, doesnt mean they wanted it. For some the novelty of change in routine, with perhaps more sleep, no commute and the relief of being removed from the communal workplace, may have been invigorating. For others, the heightened anxiety is paralysing; or maybe its the exhausting effect of ever-present children.

Stress has an impact on intimacy and desire, says Dublin psychotherapist and couples counsellor Bernadette Ryan, who points to the fear engendered by the pandemic. Suddenly, our bodies have become our enemy and that can bring a lot of anxieties up for people; those kinds of things impact on sexual intimacy.

Sex therapist Diane Gleim, writing on the effect of this time on libido, explains: A persons sex drive needs just enough anxiety/tension/uncertainty to get activated but not too much anxiety/tension/uncertainty or else the person can get overwhelmed, flooded, and then sex drive goes underground.

Its a spectrum, she says in Psychology Today, on which any one of us can move up and down, depending on how youre coping mentally with the pandemic fallout.

With short-term national emergencies in the recent past, such as the crippling snowfalls in February, 2018, courtesy of The Beast from the East, there was an air of excitement, says Ryan about battening down the hatches for a couple of days and that might heighten the sense of wanting to be intimate. This is different; this is endless and we dont know what the new normal is going to be.

Routines and distractions for all of us have radically changed, which alters the dynamics of every relationship. Sex tends to be the thing that goes on the back burner at times of stress, she says, and if it has for you, that is fine dont feel under pressure.

Ryan expects a post-Covid-19 surge in demand for counselling at her Ranelagh practice (dsixcounselling@gmail.com), fearing that the pressure of living with the restrictions will have exacerbated cracks couples might have had in their relationship.

For people cooped up with small children in small places, its tough, she adds. It really will test the mettle of the relationship.

Fertility experts say that couples often dont have sex frequently enough to give themselves the best chance of conceiving, with intercourse three or four times every week being recommended. If that level of sexual activity has been more attainable since mid-March for more couples, there would surely be an increased pregnancy rate among those who are not using contraception.

You can add to that a surmise that anecdotal accounts of more alcohol being consumed at home, along with trade reports of a 40 per cent rise in take-home alcohol sales on the same period last year, may have increased sexual risk-taking and faulty use of contraceptives.

Since were living through what amounts to a social experiment, there is no knowing whether the psychological impact would make couples less or more likely to think about starting a family or, indeed, enlarging one.

On the one hand there is huge uncertainty about what sort of world you might be bringing a child into in nine months time, Ryan points out, on the other hand people can realise through all this what is important for them in life. Those who might have been putting off starting a family, may now feel the time has come, she suggests.

Up to now, the number of Irish women going on to have a third or fourth child has tended to keep the birth rate up in Ireland, says Fahey. Often it is the middle-class and professional women who are having the third and fourth child, which really is a bit unusual in international terms.

While immigrant women have accounted for a sizeable share of births in Ireland some 25 per cent of births in 2012 were to non-Irish mothers they tend to have fewer children than Irish women, he says, as many of them come from Eastern Europe where birth rates are lower and family sizes smaller than in Ireland.

This likelihood of the third or fourth child is one thing that Fahey thinks may change, not just due to the Covid-19 economic fallout but other pre-existing issues, such as the housing crisis.

A standout example in recent times of the impact mass uncertainty can have on a countrys birth rate is what happened in East Germany over the period of reunification with West Germany.

It is probably the most astonishing case study we have, says Dr Jo Murphy-Lawless, research fellow at NUI Galways Centre for Health Evaluation, Methodology Research and Evidence Synthesis.

Between 1989, the year the Berlin Wall fell, and 1991, a year after reunification, the number of births in the old GDR fell by 44 per cent, she reports. The completed fertility rate was 1.57 in 1989; by 1991 it was 0.8.

It didnt really begin to recover at all, only slightly, until the mid-1990s. It was almost as if women in East German, seeing the collapse of Communism, just gave up having children because of the absolute lack of confidence in their immediate futures.

Murphy-Lawless had a masters student who had lived in East Germany and who did her thesis on the experience of women there making the transition to a united Germany. Her research highlighted how the former GDR had given significant support to women as child bearers and child rearers, says Murphy-Lawless.

Somehow that shock of having to recalibrate their lives led to this colossal drop in fertility, unlike anything we have ever had. In general, we have been floating down.

Yet, she adds, we still seem to have quite a fondness for children in Ireland. We have the highest percentage of households with children in them in the EU, which is 40 per cent.

The impact possible long-term travel restrictions post Covid-19 might have on peoples decisions on family formation is something that Murphy-Lawless also muses about.

Global consumerism capitalism, which has been part and parcel of individualisation, has meant people have just moved on to greener pastures, be it for economic, career or lifestyle reasons. How easy it is going to be to do that now is the great unknown, she suggests.

If the opportunity and/or social pressure to see the world before starting a family is curtailed, that may have an effect if more people choose to settle down in Ireland now. There may be fewer stories originating from this period of going away for a year and ending up staying away for a lifetime.

The housing problem is a factor in the margins that Fahey has been considering as having implications for our birth rate. The traditional three-bed semi-detached was suitable for a three- or four-child family where a two-bedroom apartment is not.

Having a little garden out the front and the back makes having children a lot easier, he suggests indeed, never more so than right now.

The difficult of acquiring a long-term home in the first instance may deter people from starting families at all, he says or at least delay them, with possible repercussions for fertility the longer they wait. An inability to trade up to a bigger property might also deter couples from having a third or fourth child.

They were the factors that were there and, oddly enough, the indications are that maybe the current crisis will ease the housing problem, he says, pointing, for example to Airbnb properties coming onto the rental and sales markets.

Also, if the lack of capacity in the construction sector has hindered the building of new houses, he wonders if the inevitable stalling of plans for new hotels in the Dublin area over the next few years might free up a workforce to accelerate the numbers of homes being built.

This is a roundabout way in which a crisis like this could have an upside effect rather than a downside effect, he adds.

The closure of assisted reproduction clinics since the last week of March was devastating for couples in the midst of, or about to embark on, treatment. They have lost months in what some regard as a race against time.

We didnt get an absolute direction to close, says Dr John Kennedy, medical director of theSimsDublin and Cork and the RotundaIVF clinics. We closed because it was the right thing to do.

The health services were under huge pressure, he points out. However, he had been a little surprised at the European Society of Human Reproduction and Embryology (ESHRE) advising, in a statement on March 19th, that, as a precautionary measure against possible negative effects of Covid-19, all fertility patients should avoid becoming pregnant.

On April 23rd, the ESHRE rowed back on that, advising that, as infertility is a disease and with the risk of Covid-19 decreasing, all ART treatments can be restarted for any clinical indication, in line with local regulations.

At the time of writing, Kennedy is in the midst of planning for reopening the first week of May, with a new way of working, including extended opening hours to allow for social distancing through segregated team working and space in patient waiting areas. However, he adds, everything comes with an asterisk, as we are in uncharted waters.

That goes to Prof Fahey who has written extensively over the years on demographics: As with anything in this field, there are so many factors piling in together and they are not all pointing in the one direction of what the overall outcome will be.

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What have couples been doing in lockdown? We might know in nine months - The Irish Times

Cooperative Extension adapts to keep you informed – The Robesonian

I think it is safe to say we are all experiencing things we have never faced before. So, how are you doing?

I bet everyone is asking you a similar question these days. When I am asked that question, I say things like, I will be glad when this is over, or This is crazy, but we will get through it, or Im fine. In my head I am thinking, I am not doing fine at all. This is not okay.

Like everyone else, I am staying home for those who might not fare so well if they were to be infected with COVID-19. Then I remind myself, I am doing this for the greater good! But it is stressful! Our response to the situation we are in has been so quick, we have had no time to process what has happened to our very ordinary lives.

Many of us are trying to work from home and manage our families at the same time. Parents and caregivers are now homeschool teachers for the children in their homes. We are all trying to help each other understand what is going on in our world and how we can adapt to what we are all calling our new normal.

Businesses in town are having the same struggles. Finding the new routine and rhythm they need to meet the needs of the community and still provide those services while keeping everyone safe is a challenge. North Carolina Cooperative Extension, Robeson County Center, is no different. We are working hard to find new ways to connect to our clients and continue to give the research-based information we are known to provide. We know that many in our community do not have internet capabilities to get information from the World Wide Web. It is challenging for some, and others may be afraid to try new things. As Christopher Robin said to Winnie the Pooh, Youre braver than you believe, stronger that you seem, and smarter than you think.

You can embrace these new challenges and master them to keep informed and in touch with the things and people that are important in your life. Robeson County Cooperative Extension is committed to staying in touch! We will continue to broaden our scope of how we provide information as well as continue to provide the hands-on approaches you need. We are very interested in knowing what information you need from us and how you want to receive that information. We will be reaching out in a variety of ways to get feedback. Please dont hesitate to let us know what you need from Extension. We will continue to add to and update the ways you can get information from us.

Currently, you can find us on Facebook with live segments, titled Digging in with Extension, that highlight gardening information using our raised beds as the demonstration areas. You may have tuned in to see the daily egg-citing embryology segments by 4-H over the past month. New ideas for youth programming are being generated as quickly as possible and information will be available in the near future. The research many farmers depend on in our county for making planting decisions is continuing, and you can look forward to new and different ways of see those results very soon.

Follow us on Facebook at North Carolina Cooperative Extension, Robeson County Center. You can also check our website at http://robeson.ces.ncsu.edu/ for informative articles, links to resources and information, and (once we can gather again safely) upcoming events.

For more information, contact Christy Strickland, County Extension director, at 910-671-3276, by email at [emailprotected], or visit our website at http://robeson.ces.ncsu.edu/.

Christy Strickland is the county Extension director with North Carolina Cooperative Extension, Robeson County Center. She can be reached at 910-671-3276, or at [emailprotected]

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Cooperative Extension adapts to keep you informed - The Robesonian

Coronavirus-hit mum gives birth to magic IVF baby six weeks premature in a hospital bereavement room – The Irish Sun

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A MUM battling coronavirus has given birth to a "magic" IVF baby six weeks premature in a hospital bereavement room.

Claire Trusson, 37, fell pregnant after having IVF treatment following two years of struggling to start a family with husband Murray Mitchell, 33.

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Just weeks before Claire was due, she started to experience cold-like symptoms which soon developed into a persistent cough.

She went into isolation, until she started experiencing contractions and was rushed to St Helier Hospital in Carshalton, near Sutton in South-West London.

While in hospital, medics had to put her in the most isolated room on the ward to keep her away from all others - which turned out to be the bereavement delivery room.

Claire went home and a day later tested positive for the virus - but found herself back in the bereavement suite just a week later on March 30 to safely give birth to baby Jake.

In the scheme of things, I am super lucky - I'm well, he's well and really it's amazing

The first-time mum said giving birth six weeks early while suffering from the virus was stressful, and she didn't expect to give birth in the bereavement room.

Claire said: "I found out this week that that's the bereavement room - that's where they put families with their stillborn babies so they can have some time with them.

"They have a memorial clock on the wall, and because I was timing my contractions when I was first in there, I spent a lot of time staring at that clock."

But she added that she was "really grateful" to have given birth to baby Jake and avoid "another six weeks of anxiety of what giving birth would look like".

She added: "In the scheme of things, I am super lucky - I'm well, he's well and really it's amazing."

What is IVF Treatment?

After struggling to conceive for two years, Claire and her husband received IVF on the NHS and a single egg was implanted in August 2019.

IVF is one of the most successful fertility treatments, and has given birth to 8 million babies worldwide.

The success rate is dependent on multiple factors, and range from 7 per cent to 29 per cent, according to the Human Fertilisation and Embryology Authority.

But despite her joy at having baby Jake, Claire is still concerned about passing the virus onto him due to a lack of face masks.

On the way home from hospital, Jake met his grandmother Angela and uncle David through the car window.

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She added: "Every little sneeze and every little cough and every little cry, I jump on him like, 'oh god, you've got coronavirus.'

"It sounds really reckless, but it's really hard to look after a baby and them not see your face - and I didn't really have any face masks."

"I'm just trying not to breathe on him."

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Coronavirus-hit mum gives birth to magic IVF baby six weeks premature in a hospital bereavement room - The Irish Sun

Response to the Rev. Dr. Matthew Johnson – News – Rockford Register Star

TuesdayApr28,2020at7:15PM

The Register Star ran an interesting editorial by The Rev. Dr. Matthew Johnson. His article is titled "Everyone is worthy of care and inclusion." Johnson is "pro-choice" when it comes to the brutal and vicious dismembering of children in the womb. What he fails to realize, as most abortion supporters fail to realize, is that when they say it should be a legal "choice" to kill a beautiful living little girl or boy in the womb, they are also saying not all people are worthy of care even though science, embryology, 3D and 4D ultrasound technology, theology, human reason and basic decency prove abortion is the killing of a member of our human family.

Johnson says government decisions in regards to reopening the economy should be "guided by justice, compassion, and concern for human dignity." Every abortion is the murder of a child who is a full member of our human family. Abortion destroys justice, compassion and the human dignity of all involved in the act of killing a baby.

Johnson wrote "we cannot and should not have second-class citizenship for anyone." The crushing of the skull and stopping of the beating heart of a person in the womb is a crime against life and the basic human rights of a person in the womb.

He closes his article with, "Everyone is worthy of care and inclusion. No exceptions." He is right, we should have no exceptions to love and respect for all people. We must end the unjust and barbaric legal killing of our preborn sisters and brothers in the womb.

Kevin Rilott, Rockford

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Response to the Rev. Dr. Matthew Johnson - News - Rockford Register Star

Fertility clinics granted two-year extension to store frozen eggs – Wales247

There has been a warm reception for Mondays announcement from the Government granting a two-year extension to the period legally permitted for fertility clinics to store frozen eggs, sperm and embryos for use in assisted fertility procedures.

The extension increases the routine storage period from 10 to 12 years, in order to allow additional time for the resumption of fertility services which are currently on hold because of coronavirus.

Health minister, Lord Bethell, explained that the move is to ensure those that have embryos, sperm or eggs stored as part of their treatment are not unfairly caught out by the existing storage limits and have the best possible opportunity to start their family in the future.

Sally Cheshire, chair of the Human Fertilisation and Embryology Authority (HFEA), has welcomed the government announcement and stated that the HFEA will be issuing guidance to individual clinics on implementing the new extension.

Family law expert Sarah Wood-Heath, a partner with Clarke Willmott LLP, said: This is such an important and reassuring step being taken by the Government.

Undergoing fertility treatment is a difficult and emotional process anyway, and with the difficulties presented by Covid 19 it has been a concern that if patients are unable to proceed with treatment their frozen embryos or gametes may have been destroyed once the 10 year time limit was met.

Patients can now feel reassured that although fertility treatment is currently suspended, once clinical procedures resume they should be able to continue with treatment as previously planned and use the embryos and gametes they already have in storage.

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Fertility clinics granted two-year extension to store frozen eggs - Wales247

Heartbreak of IVF cancellations and the desire to have genetically related children – The Conversation UK

These are unsettling and uncertain times. Our lives have effectively been put on hold. And for some people, so too has the opportunity to become a parent with fertility treatments suspended across a number of countries due to the COVID-19 pandemic. This has left thousands of fertility patients in limbo, experiencing uncertainty and grief.

Following the guidance of the British Fertility Society and the Association of Reproductive and Clinical Scientists, the Human Fertilisation and Embryology Authority has issued directions requiring fertility clinics to suspend all treatments (with the exception of fertility preservation for cancer patients).

This is in part because the impact of COVID-19 on pregnant women is still unclear. Fertility treatments also entail close contact between patients and staff, making it impossible to respect social distancing measures. And as caring for COVID-19 patients takes priority in terms of the distribution of available medical resources, fertility treatments have fallen under the category of non-essential treatments and procedures which have been halted across the UK.

This has had very severe consequences for fertility patients. For some, this suspension adds an undefined amount of time to the years trying to conceive before becoming eligible for treatment and to the months on the waiting list for IVF.

For those who have been injecting hormonal medications, closely monitoring their sleep, diet, mental and physical health, all this seems to have been done in vain. The age cutoff to be eligible for IVF varies across the UK. This suspension might mean that women aged 35 in some areas, and 42 in others, will no longer be eligible for treatment.

This raises questions as to what should be considered essential treatments. It could be argued that fertility treatments are indeed non-essential. Trivially, no one is actually dying or missing out on life-saving diagnoses or treatments. Indeed, thinking of having a child during a pandemic, might seem a vanity of vanities.

Within discussions on the ethics of reproductive technologies, some criticise fertility treatments for these reasons especially when they involve the development and use of new technologies. They contend that state funding should be allocated elsewhere and employed for more pressing medical issues. Others also argue that there are many children in need of adoption and that people can become parents in many other ways that do not entail costly and burdensome procedures.

Another critique of reproductive technologies stresses that the decision to undergo fertility treatments is not entirely autonomous and that oppressive societal norms shape peoples preferences. These norms emphasise the value of having genetically related children over other forms of family formation with women taking the biggest health risks.

The COVID-19 pandemic has put unprecedented strain on healthcare systems. So it would be easy to conclude that fertility treatments should not be a priority. But maybe instead, we should rethink their social value.

Infertility can have profound psychological implications and can lead to self-blame and distress. Halting fertility treatments exacerbates all this. But its partly due to social norms that the experience of infertility is so psychologically devastating.

Making fertility treatments a priority during a pandemic and increasing funding in normal times may lend support to the view that a having a genetically related child is the only valuable way of becoming a parent.

This poses a dilemma: should peoples desire to have a genetically related child be fulfilled even if this might promote oppressive social norms?

In her book Resisting Reality: Social Construction and Social Critique, the philosopher Sally Haslanger contends there are two ways to address this difficult problem.

One way is to satisfy peoples desires and bring them as close as possible to fitting social norms. Not halting fertility treatments during the pandemic and increasing funding would be a way to do this. Another way would be to combat the dominance of such social norms, even when there are negative consequences for those involved.

In my research, I focus on the ethical and political questions raised by the development and use of reproductive technologies. My view is that neither of these approaches should be excluded when dealing with this dilemma.

Rather, peoples desire to have genetically related children must be respected, along with an understanding of the costs of not satisfying it. But there is also a need to critically engage with oppressive ideologies and the conditions that sustain them.

In this sense then, the predominance of genetic ties must be questioned along with the value it is attributed. But all this should be complementary to offering practical and moral support to people who are currently experiencing infertility. This is essential.

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Heartbreak of IVF cancellations and the desire to have genetically related children - The Conversation UK

‘Years In The Making’: Hamilton’s Arkells give Ava, class of 2020, grad gift to remember – The New Hamburg Independent

And, adds Max, all these people not getting a graduation ceremony, because of the pandemic, seemed a misfortune too meaningful not to be redressed, however symbolically.

So he decided he would play the song for someone as a kind of congratulations by proxy to all graduates, the class of 2020, in the absence of a formal gathering. But who?

Max is friends with Paul Langlois from The Tragically Hip, whose daughter Sophie attends McMaster. He phoned her, asked if she knew of anyone who was especially deserving and who might get a special lift out of being sung to as a graduation acknowledgment.

I know just the person, Max quotes Sophie as saying.

Ava is not only a student who has been accepted to Oxford University in England to do her Masters in clinical embryology, starting in September, if circumstances allow, but she volunteers at a shelter and with Good Shepherd, she tutors, collects protective eyewear for COVID-19 workers, and she was on the graduation gala dinner/dance committee as well as shortlisted to be valedictorian.

So the loss caused by the cancellation of graduation and the dinner/dance cut quite deep for her.

Max contacted Avas parents, Tessa and Paul, as well as her boyfriend, Haydn Walker, on the sly. They concocted a pretext for getting her outside in ceremonial garb they wanted photographs to send to granddad in England.

It was quite a ruse, Ava says with a laugh, in hindsight, about the elaborate lengths to which they went to set her up.

Well, I was totally confused and amazed. So it completely worked. In the clip that was shown on TV she is saying, This is insane, and Oh my god!! It was a group effort (her family, boyfriend and Arkells) they put in and it was so sweet and genuine, says Ava. She still wishes shed had a graduation but this was definitely more than I ever could have expected or hoped for.

Did she know right away who these two troubadours on her lawn were when she came out to the sound of their singing?

Instantly, she says. Ava is a fan. Part of the segment that aired on Sunday was Ava smiling for a cellphone video her boyfriend took of her at an Arkells concert.

Its so easy to feel disconnected these days, says Max. Sometimes we need a reminder.

Jeff Mahoney is a Hamilton-based reporter and columnist covering culture and lifestyle stories, commentary and humour for The Spectator. Reach him via email: jmahoney@thespec.com

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'Years In The Making': Hamilton's Arkells give Ava, class of 2020, grad gift to remember - The New Hamburg Independent

Letter: Response to the Rev. Dr. Matthew Johnson – Rockford Register Star

TuesdayApr28,2020at7:15PM

The Register Star ran an interesting editorial by The Rev. Dr. Matthew Johnson. His article is titled "Everyone is worthy of care and inclusion." Johnson is "pro-choice" when it comes to the brutal and vicious dismembering of children in the womb. What he fails to realize, as most abortion supporters fail to realize, is that when they say it should be a legal "choice" to kill a beautiful living little girl or boy in the womb, they are also saying not all people are worthy of care even though science, embryology, 3D and 4D ultrasound technology, theology, human reason and basic decency prove abortion is the killing of a member of our human family.

Johnson says government decisions in regards to reopening the economy should be "guided by justice, compassion, and concern for human dignity." Every abortion is the murder of a child who is a full member of our human family. Abortion destroys justice, compassion and the human dignity of all involved in the act of killing a baby.

Johnson wrote "we cannot and should not have second-class citizenship for anyone." The crushing of the skull and stopping of the beating heart of a person in the womb is a crime against life and the basic human rights of a person in the womb.

He closes his article with, "Everyone is worthy of care and inclusion. No exceptions." He is right, we should have no exceptions to love and respect for all people. We must end the unjust and barbaric legal killing of our preborn sisters and brothers in the womb.

Kevin Rilott, Rockford

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Letter: Response to the Rev. Dr. Matthew Johnson - Rockford Register Star

Coronavirus-hit mum gives birth to magic IVF baby six weeks premature in a hospital bereavement room – The Sun

A MUM battling coronavirus has given birth to a "magic" IVF baby six weeks premature in a hospital bereavement room.

Claire Trusson, 37, fell pregnant after having IVF treatment following two years of struggling to start a family with husband Murray Mitchell, 33.

Just weeks before Claire was due, she started to experience cold-like symptoms which soon developed into a persistent cough.

She went into isolation, until she started experiencing contractions and was rushed to St Helier Hospital in Carshalton, near Sutton in South-West London.

While in hospital, medics had to put her in the most isolated room on the ward to keep her away from all others - which turned out to be the bereavement delivery room.

Claire went home and a day later tested positive for the virus - but found herself back in the bereavement suite just a week later on March 30 to safely give birth to baby Jake.

In the scheme of things, I am super lucky - I'm well, he's well and really it's amazing

The first-time mum said giving birth six weeks early while suffering from the virus was stressful, and she didn't expect to give birth in the bereavement room.

Claire said: "I found out this week that that's the bereavement room - that's where they put families with their stillborn babies so they can have some time with them.

"They have a memorial clock on the wall, and because I was timing my contractions when I was first in there, I spent a lot of time staring at that clock."

But she added that she was "really grateful" to have given birth to baby Jake and avoid "another six weeks of anxiety of what giving birth would look like".

She added: "In the scheme of things, I am super lucky - I'm well, he's well and really it's amazing."

What is IVF Treatment?

After struggling to conceive for two years, Claire and her husband received IVF on the NHS and a single egg was implanted in August 2019.

IVF is one of the most successful fertility treatments, and has given birth to 8 million babies worldwide.

The success rate is dependent on multiple factors, and range from 7 per cent to 29 per cent, according to the Human Fertilisation and Embryology Authority.

But despite her joy at having baby Jake, Claire is still concerned about passing the virus onto him due to a lack of face masks.

On the way home from hospital, Jake met his grandmother Angela and uncle David through the car window.

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She added: "Every little sneeze and every little cough and every little cry, I jump on him like, 'oh god, you've got coronavirus.'

"It sounds really reckless, but it's really hard to look after a baby and them not see your face - and I didn't really have any face masks."

"I'm just trying not to breathe on him."

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Coronavirus-hit mum gives birth to magic IVF baby six weeks premature in a hospital bereavement room - The Sun