CHENNAI :
The birth of a baby boy with the help of a frozen donor egg has given a boost to
infertility treatment in India, giving childless women yet another option in
assisted reproductive therapy. While it is common to freeze sperms and embryos,
the consistency of success from frozen oocytes has been very limited, even
though the procedure is more than two decades old. The first such baby was born
in 1984 in Australia. So far, less than 100 babies have been born out of frozen
oocytes.
The process involves cooling the oocytes to sub-zero
temperatures using cryoprotectants (freezing media) and preserving them in
liquid nitrogen jars at minus 196 degrees centigrade. When required , the eggs
are thawed at room temperature using special thawing medium.
"We use
different mediums and procedures. We have achieved a fair retrieval rate," said
senior obstetrician- gynaecologist Dr Kamala Selvaraj , head of GG Hospital who
on Wednesday assisted her daughter Dr Priya Selvaraj in helping a 29-year-old
woman deliver the baby - claimed to be the first in India to be born out of
frozen oocyte. The baby boy, weighing 2.5 kg was born after an elective
caesarean in the 36th week of pregnancy by doctors at the GG Hospital in
Chennai. The mother, who chose to be anonymous, was healthy and will be nursing
the baby from Thursday.
With a history of frequent abortions
resulting from chromosomal disorders, the woman approached GG Hospital . The
doctors told her that she would require an egg replacement for a healthy
pregnancy and decided to use the cryopreservation (freezing) method for a donor
egg. "She came to us at a time when fertility procedures in the hospital were at
their peak and it was impossible to find a donor. Fortunately, our hospital had
started freezing eggs since 2005. We used an egg that was frozen in July 2006 as
everything from the blood group to features of the patient matched with that of
the donor," said Dr Priya Selvaraj, who performed the caesarean.
The
procedure has been used with hesitation by several doctors, including experts
abroad, as freezing and thawing could disturb the chromosomal structure in these
cells and result in abnormalities in the embryos. "Oocyte is a specialized cell
and extremely sensitive to the freezing and thawing process. The structural
integrity of the cell has to be maintained throughout the cryopreservation
process. But the advantages with this technique is that we can avoid multiple
births that occur when frozen embryos are used as there is only one egg and one
sperm used in the process," Dr Selvaraj said.